Receiving a pharmaceutical care service compared to receiving standard pharmacy service: How do patients in Sweden differ with regard to perceptions of medicine use and the pharmacy encounter?
2010 (English)In: Research in Social and Administrative Pharmacy, ISSN 1551-7411, E-ISSN 1934-8150, Vol. 6, no 3, 185-195 p.Article in journal (Refereed) Published
Background: Qualitative research has shown that gaining control of medicine treatment, increased feelings of safety and empowerment are central concepts in patients’ perceptions of a pharmaceutical care (PC) service provided in Sweden. However, little is known about the relationship between patient-perceived outcomes and the level of community pharmacy services that they receive. Objective: To describe and compare patients who had previously received a PC service and patients who had received a standard pharmacy service (SS) with regard to their perceptions of medicine use and the pharmacy encounter. Methods: Cross-sectional survey design comparing matched groups of patients who were previously selected to receive a PC service or who had received a standard service. Patients who were 60 years or older and used 5 or more prescription medicines concomitantly were included in the survey. Questionnaires included questions about feelings of safety in drug therapy, general health, drug-related problems (DRPs), medication beliefs, adherence and experiences of pharmacy encounters. Results: Patients receiving the PC service used more prescription medicines, had poorer self-reported health, and felt less safety in their medicine therapy, than did patients in SS. PC patients reported that they felt safer with medications, felt a genuine interest from the pharmacist, received important information, and felt more prepared to see the doctor after having spoken to the pharmacist, than did patients in SS. DRPs reported to a greater extent by patients receiving the PC service included difficulties opening containers, worries about side effects, experiences of side effects, worries about drug-drug interaction and inadequate treatment effects. Adherence and medication beliefs showed no statistical difference between groups. Conclusion: Patients receiving a PC service are a worried, vulnerable and information seeking group. In comparison to patients receiving SS, the PC patients are more insecure about their medicine therapy, although talking to a pharmacist increased their self-reported feelings of safety and provided better preparation for visits to the doctor.
Place, publisher, year, edition, pages
Pittsburgh: ELSEVIER , 2010. Vol. 6, no 3, 185-195 p.
Community pharmacy, Pharmaceutical care
Social and Clinical Pharmacy
Research subject Social Pharmacy
IdentifiersURN: urn:nbn:se:uu:diva-108971DOI: 10.1016/j.sapharm.2009.09.002ISI: 000208738900003PubMedID: 20813332OAI: oai:DiVA.org:uu-108971DiVA: diva2:241914