College of Pharmacy, Ohio State University, Columbus, OH, USA.
J Am Pharm Assoc (2003). 2009 Nov-Dec;49(6):787-91. doi: 10.1331/JAPhA.2009.08029.
To assess grocery store patrons' perceptions of a comprehensive medication review (CMR) compared with traditional prescription medication counseling.
Self-administered survey.
Eight central Ohio grocery stores during January through April 2007.
Grocery store patrons.
Survey events.
Responses to survey items about CMRs and prescription medication counseling indicated (1) who study participants would expect to deliver each program, (2) where they would expect services to be offered, and (3) what they would expect to be included or discussed.
Predefined response options were provided for each question. The majority of the 214 study participants associated physicians or pharmacists with a CMR. CMRs were thought to be provided in medical offices or pharmacies. Only 3 of 24 qualifiers were statistically significantly different when comparing CMRs and prescription medication counseling (inclusion of health and wellness screenings [55% vs. 43%, P = 0.015], discussion about any of the patients' medications being the same [45% vs. 56%, P = 0.026] and "other" [6% vs. 12%, P = 0.021]).
Patients may not recognize pharmacists as primary providers of CMRs and may not see a clear distinction between a CMR and prescription medication counseling. More research is needed in this area to further solidify the results. Pharmacists need to market themselves as willing and capable individuals of providing CMRs. Additionally, pharmacists should highlight key differences between a CMR and prescription medication counseling so that patients understand the value of a CMR.
评估杂货店顾客对全面药物审查(CMR)与传统处方药物咨询的看法。
自我管理调查。
2007 年 1 月至 4 月期间,俄亥俄州中部的 8 家杂货店。
杂货店顾客。
调查事件。
对 CMR 和处方药物咨询的调查项目的回应表明(1)研究参与者期望谁来提供每个项目,(2)他们期望在哪里提供服务,以及(3)他们期望包括或讨论哪些内容。
为每个问题提供了预定义的回复选项。214 名研究参与者中的大多数人将医生或药剂师与 CMR 联系在一起。CMR 被认为是在医疗办公室或药店提供的。在比较 CMR 和处方药物咨询时,只有 24 个限定符中的 3 个具有统计学意义上的差异(健康和保健筛查的纳入[55%对 43%,P=0.015],讨论任何患者的药物相同[45%对 56%,P=0.026]和“其他”[6%对 12%,P=0.021])。
患者可能没有认识到药剂师是 CMR 的主要提供者,也可能没有看到 CMR 和处方药物咨询之间的明显区别。在这一领域需要进行更多的研究,以进一步巩固结果。药剂师需要将自己定位为愿意并有能力提供 CMR 的人。此外,药剂师应突出 CMR 和处方药物咨询之间的关键区别,以便患者了解 CMR 的价值。