Practising individualised care in community pharmacy: variation in patient preferences
(English)Manuscript (preprint) (Other academic)
Objective: To explore different variables that might be correlated to patient preferences for pharmacy services, and to use these findings to understand a changing professional role of pharmacists.
Setting: Patients recruited at Swedish community pharmacies.
Method: Patients previously identified as holding either drug-focused or relationship-focused pharmacy service preferences were given questionnaires. The group means for the various variables were compared using t-tests and Χ2-tests.
Tested variables: Age, gender, main language, social support, living situation, educational level, experience with healthcare sector, economic vulnerability, drug treatment, pharmacy use, self-rated health, beliefs about medicines, and medication adherence.
Results: Patients with drug-focused pharmacy service preferences were more likely than relationship-focused patients to disagree with statements indicating that pharmaceuticals are harmful and overused substances. They were also more likely to hold an academic degree, have Swedish as a main language, and reported more pharmacy visits for all purposes. Individual differences within the groups were considered large.
Conclusion: The changing scope of pharmacy practice, together with variable patient preferences, puts strain on the ethical competence and ability to provide individualised care required by the pharmacists. There is an unresolved problem in how to identify and incorporate patients’ service preferences into an individualised care practice at pharmacies.
Pharmacy services, pharmaceutical care, individualised care, patient preferences
Social and Clinical Pharmacy
Research subject Social Pharmacy
IdentifiersURN: urn:nbn:se:uu:diva-108390OAI: oai:DiVA.org:uu-108390DiVA: diva2:235677