Department of Pharmacy: Clinical and Administrative Sciences, University of Oklahoma College of Pharmacy, 4502 E. 41st Street, Suite 2H26, Tulsa, OK 74135-2512, USA.
Res Social Adm Pharm. 2013 Jan-Feb;9(1):129-36. doi: 10.1016/j.sapharm.2012.04.002. Epub 2012 Jun 12.
There have been many studies demonstrating patients' willingness to pay for medication therapy management services provided by pharmacists. There are few studies, however, evaluating the possible provision of a weight management service in the community pharmacy setting.
The objectives were to (1) determine patients' knowledge of obesity and its resultant health risks, (2) determine patients' beliefs about obesity, (3) determine interest in pharmacist-delivered weight management services, and (4) identify factors associated with knowledge, beliefs, and interest in obesity and/or weight management services.
One thousand patients were selected from 5 community pharmacies under a single chain located within a large metropolitan area to receive a mail survey. Survey items assessed patients' knowledge of obesity and the health risks associated with it by using the Obesity Risks Knowledge Scale and the Obesity Beliefs Scale. Additional survey questions were added to measure patients' willingness to pay for a pharmacist-managed weight management clinic. Descriptive statistics and linear regression models were used in analysis of the data.
Nearly two-thirds (62%) of respondents were classified as overweight or obese based on self-reported height and weight. Most of the respondents demonstrated an average level knowledge regarding the health risks associated with obesity. Attitudes toward obesity were commensurate with prevailing knowledge. Only a small proportion (13%) of respondents were willing to pay out of pocket for a pharmacist-delivered weight management service. Very little variance in knowledge, beliefs, or interest in pharmacist-delivered weight management services were identified.
Despite the fact that patients are aware of the health risks associated with obesity and believe it is healthier to maintain ideal body weight, most are not doing so. Additionally, most patients are not willing to pay for pharmacist-delivered weight management services. The findings can begin to assist pharmacists in developing strategies for implementation of weight management services.
有许多研究表明患者愿意为药剂师提供的药物治疗管理服务付费。然而，评估社区药房中提供体重管理服务的可能性的研究很少。
本研究的目的是：（1）确定患者对肥胖及其相关健康风险的认知；（2）确定患者对肥胖的信念；（3）确定对药剂师提供的体重管理服务的兴趣；（4）确定与肥胖和/或体重管理服务的知识、信念和兴趣相关的因素。
从一个大型都会区的单一连锁的 5 家社区药店中选择了 1000 名患者进行邮寄调查。调查项目使用肥胖风险知识量表和肥胖信念量表评估患者对肥胖及其相关健康风险的认知。此外，还增加了一些调查问题来衡量患者对药剂师管理的体重管理诊所的付费意愿。数据分析采用描述性统计和线性回归模型。
近三分之二（62%）的受访者根据自我报告的身高和体重被归类为超重或肥胖。大多数受访者对与肥胖相关的健康风险有平均水平的了解。对肥胖的态度与普遍的知识相符。只有一小部分（13%）的受访者愿意自掏腰包支付药剂师提供的体重管理服务费用。在知识、信念或对药剂师提供的体重管理服务的兴趣方面，差异很小。
尽管患者意识到肥胖相关的健康风险，并认为保持理想体重更健康，但大多数人并没有这样做。此外，大多数患者不愿意支付药剂师提供的体重管理服务费用。这些发现可以帮助药剂师开始制定实施体重管理服务的策略。
