『調剤指針』のテキストマイニングから明らかになった調剤の概念の変遷

• Published in: 社会薬学 Vol. 37; no. 2; pp. 81 - 90
• Main Authors: 冲田, 光良, 秋元, 勇人, 井上, 直子, 從二, 和彦, 安田, 和誠, 大原, 厚祐, 大嶋, 繁, 沼尻, 幸彦, 小林, 大介, 大島, 新司, 森, 勇人, 根岸, 彰生
• Format: Journal Article
• Language: Japanese
• Published: 日本社会薬学会 10.12.2018; Japanese Society of Social Pharmacy
• Subjects: dispensing; Guidelines for Dispensing; KH Coder; pharmacist’s duties; text mining
• ISSN: 0911-0585; 2188-2754
• DOI: 10.14925/jjsp.37.2_81

Drug dispensing is a statutory and designated duty of a pharmacist. We aimed to examine the changes in the nature of drug dispensing using a text mining method. Our corpus consisted of text documents from “Chozai Shishin”, the most standard manual for dispensing drugs in Japan, Editions 1 to 13 (Japan Pharmaceutical Association), and we used the KH Coder software for text mining. We constructed networks showing the association between frequent word co-occurrence and edition number, and co-occurrence relations for frequent words in each edition. We found that “patient” superseded “dispensing” as a frequent term over time. “Dispensing” was another frequent term with a highly centralized node in each edition. Accordingly, we targeted the term “dispensing” for network analysis to depict its co-occurrence relations. We found that the range of related words for “dispensing” broadened from “preparation” and “compounding” to include “patient adherence instructions”, “assessment”, “medical treatment”, and “information provision”. Accordingly, we concluded that the content of “dispensing”, which is a pharmacist’s duty, has expanded from the duties of “dispensing drugs” to include “responding to patients” within the definition of “dispensing”, and we were able to present this finding as objective data by using the mechanical method known as text mining.