Department of Philosophy and Social Sciences, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus 9, 44307 Kaunas, Lithuania.
Medicina (Kaunas). 2010;46(10):686-92.
The main objective of this study was to analyze pharmacy specialists' attitudes toward the quality of pharmaceutical services at Lithuanian community pharmacies.
Between April and June 2009, a total of 471 Lithuanian community pharmacy specialists completed a questionnaire designed to evaluate their attitudes toward the quality of pharmaceutical services at community pharmacies. The main dimensions of pharmaceutical service quality were extracted by principal component analysis.
Two main dimensions of pharmaceutical service quality were extracted: pharmacotherapeutic aspects (provision of information about drug therapy, possible side effects, health promotion, the amount of time spent with a patient, and the ascertainment that a patient understood the provided information) and socioeconomic aspects (considering patient's needs and financial capabilities, making a patient confident with the services provided). Pharmacy specialists evaluated the quality of both dimensions positively, but the quality of the first dimension was rated significantly worse than that of the second dimension. The attitudes of pharmacy specialists working at independent pharmacies were more positive toward pharmacotherapeutic aspects as compared to the specialists working at chain or state pharmacies. Pharmacotherapeutic aspects were rated better by pharmacy specialists, aged ≥ 55 years, than those younger than 45 years. Moreover, the attitudes of 45-54-year-old pharmacy specialists toward the socioeconomic aspects were more positive as compared with those of 35-44-year olds. Pharmacists rated the socioeconomic aspects of pharmaceutical service quality worse as compared with pharmacy technicians. The attitudes of pharmacy specialists working at pharmacies with 6-9 specialists were more negative toward pharmacotherapeutic aspects than those of the pharmacies with 1-2 specialists. Pharmacy specialists working at pharmacies with ≥ 10 specialists reported lower scores of socioeconomic aspects as compared to those working at pharmacies with fewer specialists. Men evaluated both pharmacotherapeutic and socioeconomic aspects worse than women. The evaluation of pharmaceutical service quality did not differ by pharmacy location.
Two dimensions of pharmaceutical service quality were determined. According to Lithuanian pharmacy specialists, the quality of pharmacotherapeutic aspects at community pharmacies was worse than that of socioeconomic aspects. The evaluation of the quality of pharmaceutical service significantly differed according to the specialists' sex, age, qualification, and type and size of pharmacies.
本研究的主要目的是分析立陶宛社区药店药剂师对药店药学服务质量的态度。
2009 年 4 月至 6 月，共 471 名立陶宛社区药店药剂师完成了一份旨在评估他们对社区药店药学服务质量态度的问卷。通过主成分分析提取药学服务质量的主要维度。
提取出药学服务质量的两个主要维度：药物治疗方面（提供药物治疗信息、可能的副作用、促进健康、与患者相处的时间、确定患者理解提供的信息）和社会经济方面（考虑患者的需求和经济能力，使患者对所提供的服务有信心）。药剂师对这两个维度的服务质量评价均为正面，但第一维度的服务质量明显差于第二维度。与在连锁或国有药店工作的药剂师相比，在独立药店工作的药剂师对药物治疗方面的态度更为积极。年龄≥55 岁的药剂师对药物治疗方面的评价优于年龄<45 岁的药剂师。此外，45-54 岁的药剂师对社会经济方面的态度比 35-44 岁的药剂师更为积极。药剂师对药学服务质量的社会经济方面的评价比药剂技术员差。有 6-9 名药剂师的药店的药剂师对药物治疗方面的态度比只有 1-2 名药剂师的药店更为消极。有≥10 名药剂师的药店的药剂师报告的社会经济方面的得分低于拥有较少药剂师的药店。男性对药物治疗和社会经济方面的评价均差于女性。药学服务质量的评估与药店的位置无关。
确定了药学服务质量的两个维度。根据立陶宛药剂师的说法，社区药店药物治疗方面的服务质量比社会经济方面的服务质量差。药学服务质量的评估根据药剂师的性别、年龄、资格、以及药店的类型和规模有显著差异。
