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Exploring subjective outcomes perceived by patients receiving a pharmaceutical care service
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (Samhällsfarmaci)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (Samhällsfarmaci)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
2006 (English)In: Research in Social and Administrative Pharmacy, ISSN 1551-7411, Vol. 2, no 2, 212-231 p.Article in journal (Refereed) Published
Abstract [en]


There is a need for evidence to support expanded pharmacist services, especially regarding subjective outcomes experienced by patients. However, it is unclear what aspects of life are actually affected by such services.


The aims of this study are to identify patients' perceptions of both an expanded pharmacist service and its impact on subjective outcomes such as health and quality of life, and to elicit variables that may be targeted in future evaluation of the impact of such services.


In-depth interviews were performed with 12 respondents receiving a patient medication record service. The interviews were analyzed using a qualitative constant comparative method.


The service was perceived very differently by unique respondents in regards to its purpose and content, as well as its outcomes. It was difficult for respondents to describe the service as separate from other health care experiences. Gaining control of drug treatment and a perceived feeling of increased safety were central concepts in patients' description of the service. Talking spontaneously about health effects of the service carried no meaning for the respondents.


The value of enhanced patient consultation, empowerment, the feeling of safety, and increased drug knowledge are important to patients receiving this kind of service and should be central in choosing outcome measures when studying such services.

Place, publisher, year, edition, pages
2006. Vol. 2, no 2, 212-231 p.
Keyword [en]
Sweden, qualitative research, pharmaceutical care, patient medication record, humanistic outcomes
National Category
Pharmaceutical Sciences
Research subject
Social Pharmacy
URN: urn:nbn:se:uu:diva-108386DOI: 10.1016/j.sapharm.2006.01.003PubMedID: 17138509OAI: oai:DiVA.org:uu-108386DiVA: diva2:235651
Available from: 2009-09-17 Created: 2009-09-17 Last updated: 2012-01-02Bibliographically approved
In thesis
1. Patient Perspectives on Community Pharmacy Services
Open this publication in new window or tab >>Patient Perspectives on Community Pharmacy Services
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Community pharmacy practice is changing, putting a greater emphasis on patient involvement and empowerment than on physical drug products. Developing practice philosophies, such as pharmaceutical care, are operationalised through an ever-evolving service proliferation. There is, however, a paucity of studies addressing the patients’ subjective perceptions of pharmacy services. The few studies that measure the impact of pharmacy services on humanistic outcomes show little or no effect. This might be due to the services, or the assessment instruments used.

The aim of this thesis was to enhance the understanding of how patients perceive community pharmacy services, their preferences for community pharmacy services, and how these services could be evaluated from the patient perspective.

This was done by: 1.exploring patients’ perceptions of an existing pharmaceutical care service using in-depth interviews; 2. exploring patient preferences for the ideal pharmacy visit using Q methodology, and characterising those patient groups that have different preferences and; 3. testing the validity of the Swedish version of the Pharmaceutical Therapy-Related Quality of Life (PTRQoL)-instrument, using think aloud methodology.

Patients had vague, and sometimes erroneous, understandings about a pharmaceutical care service that they were currently receiving. They reported that the service had increased their feeling of safety, enhanced their knowledge, provided drug treatment control, and empowered them. Seven different viewpoints of the ideal pharmacy service were identified, which could be broadly divided into two groups, those emphasising the physical drug products as central to the encounter and those seeking a relationship with the pharmacist. Some differences between the group characteristics were identified, but not specific enough to guide individualised care practice. Several problems with the validity of the PTRQoL-instrument were detected. Overall, the thesis has highlighted various aspects of patient perspectives on community pharmacy services that could be used for the development andassessment of such services.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2009. 95 p.
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy, ISSN 1651-6192 ; 105
community pharmacy services, patient prespectives, pharmacy services, pharmaceutical care, Q methodology
National Category
Social and Clinical Pharmacy
Research subject
Social Pharmacy
urn:nbn:se:uu:diva-108392 (URN)978-91-554-7610-6 (ISBN)
Public defence
2009-11-06, lecture hall B21, Biomedical centre (BMC), Husargatan 3, Uppsala, 09:15 (English)
Available from: 2009-10-16 Created: 2009-09-17 Last updated: 2009-10-16Bibliographically approved

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Renberg, TobiasKettis Lindblad, ÅsaTully, Mary P
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