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Practising individualised care in community pharmacy: variation in patient preferences
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. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Samhällsfarmaci)
Uppsala University, University Administration. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (Samhällsfarmaci)
School of Pharmacy & Pharmaceutical Sciences, University of Manchester, UK.
(English)Manuscript (preprint) (Other academic)
Abstract [en]

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.

Keyword [en]
Pharmacy services, pharmaceutical care, individualised care, patient preferences
National Category
Social and Clinical Pharmacy
Research subject
Social Pharmacy
Identifiers
URN: urn:nbn:se:uu:diva-108390OAI: oai:DiVA.org:uu-108390DiVA: diva2:235677
Available from: 2009-09-17 Created: 2009-09-17 Last updated: 2013-01-17
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.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy, ISSN 1651-6192 ; 105
Keyword
community pharmacy services, patient prespectives, pharmacy services, pharmaceutical care, Q methodology
National Category
Social and Clinical Pharmacy
Research subject
Social Pharmacy
Identifiers
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)
Opponent
Supervisors
Available from: 2009-10-16 Created: 2009-09-17 Last updated: 2009-10-16Bibliographically approved

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Renberg, TobiasKettis, Åsa

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