Pharmacy users' expectations of pharmacy encounters: a Q-methodological study
2011 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 14, no 4, 361-373 p.Article in journal (Refereed) Published
Background: Pharmacy practice is evolving according to general healthcare trends such as increased patient involvement, evidence-based practice and public health initiatives. In addition to this, pharmacists strive to find new professional roles. Clients’ expectations of service encounters at pharmacies is an under-explored topic but crucial to understand how pharmacy practice can evolve efficiently.
Objective: To identify and describe clusters of people with different normative expectations of the pharmacy encounter.
Methods: Q-methodology, an approach to systematically explore subjectivity that retain complete patterns of response and organises these into factors of operant subjectivity.
Setting and participants: 85 regular prescription medication users mainly recruited at Swedish community pharmacies.
Results: Seven factors of operant subjectivity were identified, organised into two groups. Factors that emphasised the physical drug product as the central object of the pharmacy encounter were labelled as independent drug shopping; logistics of drug distribution; and drugs before drug use before healthcare. Factors that emphasised personal support as desirable were labelled competence as individual support; individualist professional relations, just take care of me; and practical healthcare and lifestyle support.
Discussion and conclusions: The systematic q-methodological approach yielded valuable insights in how pharmacy clients construct their expectations for service encounters. They hold differentiating normative expectations for pharmacy services. Understanding these varying viewpoints is important for developing and prioritising among efficient pharmacy services. Clients’ expectations do not correspond with many of the trends that guide current pharmacy practice development. This might be a challenge for promoting or implementing services based on such trends.
Place, publisher, year, edition, pages
2011. Vol. 14, no 4, 361-373 p.
Q-methodology, pharmacy services, pharmacy practice development, pharmacy encounter, normative expectations
Social and Clinical Pharmacy
Research subject Social Pharmacy
IdentifiersURN: urn:nbn:se:uu:diva-108388DOI: 10.1111/j.1369-7625.2010.00643.xISI: 000297244400004OAI: oai:DiVA.org:uu-108388DiVA: diva2:235664