School of Pharmacy, University of Pittsburgh, PA, USA.
J Am Pharm Assoc (2003). 2009 Sep-Oct;49(5):611-6. doi: 10.1331/JAPhA.2009.08089.
To identify effective strategies for marketing pharmacist-provided medication therapy management (MTM) services to patients in a self-insured employer setting.
Qualitative study.
University of Pittsburgh during March through May 2008.
26 university employees taking at least one chronic medication.
Three focus group sessions were conducted using a semistructured topic guide to facilitate the discussion.
Employees' perceived medication-related needs, perceived benefits of pharmacist-provided MTM, potential barriers for employee participation in MTM, and effective strategies for marketing MTM.
Participants reported concerns with timing of doses, medication costs, access, and ensuring adherence. Participants generally felt positively toward pharmacists; however, the level of reported patient contact with pharmacists varied among participants. Some participants questioned pharmacists' education and qualifications for this enhanced role in patient care. Perceived benefits of MTM noted by participants included the opportunity to obtain personalized information about their medications and the potential for improved communication among their health providers. Barriers to patient participation were out-of-pocket costs and lack of time for MTM visits. Participants suggested use of alternative words to describe MTM and marketing approaches that involve personal contact.
Pharmacists should emphasize parts of MTM that patients feel are most beneficial (i.e., provision of a personal medication record) and use patient-friendly language to describe MTM when marketing their practice. Patients will need greater exposure to the concept of MTM and the pharmacists' role in order to correctly describe and assign value to this type of pharmacist patient care practice.
确定在自我保险雇主环境中向患者营销药剂师提供的药物治疗管理(MTM)服务的有效策略。
定性研究。
2008 年 3 月至 5 月期间的匹兹堡大学。
26 名至少服用一种慢性病药物的大学员工。
使用半结构化主题指南进行了三次焦点小组会议,以促进讨论。
员工对药物相关需求的感知、对药剂师提供的 MTM 的感知益处、员工参与 MTM 的潜在障碍以及营销 MTM 的有效策略。
参与者报告了对剂量时间、药物费用、获取途径和确保用药依从性的关注。参与者普遍对药剂师持积极态度;然而,参与者对患者与药剂师接触程度的报告有所不同。一些参与者质疑药剂师在患者护理方面的教育和资格是否适合这一增强角色。参与者注意到 MTM 的益处包括获得有关其药物的个性化信息的机会以及改善其医疗服务提供者之间沟通的潜力。患者参与的障碍是自付费用和缺乏 MTM 访问时间。参与者建议使用替代词语来描述 MTM,并采用涉及个人联系的营销方法。
药剂师应强调 MTM 的患者认为最有益的部分(即提供个人用药记录),并在营销实践时使用患者友好的语言来描述 MTM。患者需要更多地接触 MTM 的概念和药剂师在这种类型的药剂师患者护理实践中的角色,以便正确描述和赋予这种护理实践价值。