目的： 本研究調查民眾使用慢箋至社區藥局領藥行為、原因、影響因素及慢箋知識，作為未來 進行慢箋宣導方式改進參考。
方法： 2007 年 5 月至 10 月在桃園社區藥局或健康活力站作問卷調查。問卷屬半開放性模式， 內容包含人口學、慢箋領藥行為以及慢箋知識等三大部分。
結果： 本研究在 2007 年分析 689 份問卷，其中有使用慢箋人數為 362 人（52.5%），只到社區 藥局領藥佔 37.8%。慢箋知識 7 題平均答對題數為 4.7 題（66.6%）。社 區 藥 局 便 利 性 、 提 供 藥 事 品 質、藥 師 的 專 業 性 是 民 眾 持 慢 箋 至 社 區 藥 局 領 藥 的 重 要 考 量 前 三 名 。 慢箋資訊來源（p<.0001）、慢箋使用組別（p<.0001）及教育程度（p=.0005）為 影響慢箋知識高低的重要因子。收案地點（社區藥局與活力站相比，勝算比 OR=16.62， p<.0001）、慢箋知識（答對 5-7 題與答對 0-2 題相比的 OR 為 11.55，p<.0001）、慢箋資 訊來源（只來自護理人員、醫院或社區藥師與沒聽過者相比的 OR 為 7.75，p<.0001）、 自述罹患心臟病（OR=2.50，p=.005）和自述罹患痛風（OR=0.24，p=.012）是持慢箋到 社區藥局領藥行為重要影響因素。
結論： 提升便利性、提供多元、高品質的藥事服務，應有助於民 眾 持 慢 箋 至 社 區 藥 局 領 藥 的 比 例 。 在慢箋的宣導上，可加強以低教育程度者和未接受慢箋宣導的民眾為主。
Aims: To investigate reasons, knowledge, and factors related to refill prescription for chronic diseases (RPCD) at community pharmacies. The findings can be used to improve the means of promoting and educating more people in regards to using RPCD for medication refills at community pharmacies.
Methods: A questionnaire was made to survey those who participated in activities at the Vital Health Station and/or those who have purchased items at community pharmacies in Taoyuan County,Taiwan.
Results: In 2007, 689 questionnaires were eligible for the present study. 362 people (52.5%) had used RPCD, but only 37.8% of them were filling their prescriptions at community pharmacies. On average, 4.7 (66.6%) questions regarding the knowledge of RPCD were answered correctly. The reasons for why patients were not taking their prescriptions to community pharmacies to have them filled included: no convenient community pharmacies locations, the sale irrelevant merchandise at the pharmacy, pharmacists are often not around and unprofessional. The information sources for RPCD (p<.0001), usage group of RPCD (p<.0001) and education level were important factors which affected a person's knowledge of RPCD. Also, the location in which the questionnaire was collected (community pharmacy vs. Vital Health Station, odds ratio (OR)=16.62, p<.0001), the person's knowledge of RPCD (answered 5-7 items correctly vs. 0-1 items correctly, OR= 11.55, p<.0001), the information source for RPCD (from nurses, hospitals or community pharmacists only vs. never heard, OR=7.75, p<.0001), having a history of heart disease (OR=2.50，p=.005), or gout (OR=0.24，p=.012) were important factors which affected whether or not the person took his/her prescriptions to community pharmacies to have them filled.
Conclusions: Increasing location convenience and improving the quality of pharmaceutical service may be helpful in attracting more people in using RPCD at community harmacies. In regards to RPCD-promoting campaigns, the target audience should be those with little or no knowledge of RPCD.
