Olenik Nicole L, Gonzalvo Jasmine D, Snyder Margie E, Nash Christy L, Smith Cory T
College of Pharmacy, Purdue University, West Lafayette, IN, USA.
College of Pharmacy, Purdue University, West Lafayette, IN, USA; Ambulatory Care, Eskenazi Health, Indianapolis, IN, USA.
Res Social Adm Pharm. 2015 Mar-Apr;11(2):241-52. doi: 10.1016/j.sapharm.2014.07.001. Epub 2014 Jul 15.
A paucity of studies exists that have assessed community pharmacy preferences of Spanish-speaking patients living in areas of the U.S. with rapidly growing Hispanic populations. The qualitative approach to this research affords a unique opportunity to further explore perceptions of the Spanish-speaking population.
To identify perceptions of Spanish-speaking patients living in the U.S. with a focus on the care provided in community pharmacies, as well as to determine their satisfaction with community pharmacies.
Participants were recruited after weekly Spanish-speaking church services for approximately one month. Qualitative, semi-structured individual interviews to identify perceived unmet patient care needs were conducted in Spanish and transcribed/translated verbatim. Qualitative thematic analysis was used to summarize findings. A written questionnaire was administered to collect patient satisfaction and demographic information, summarized using descriptive statistics.
Twelve interviews were conducted by the principal investigator. Primary themes included lack of insurance coupled with high medical care costs serving as a barrier for acquisition of health care, difficulty accessing timely and convenient primary care, perceived negative attitudes from pharmacy personnel, lack of Spanish-speaking health care providers, and the provision of verbal and written medication information in English.
The results of this study suggest a great need for health care providers, including pharmacists, to expand outreach services to the Spanish-speaking community. Some examples derived from the interview process include increasing marketing efforts of available services in the Spanish language, hiring Spanish-speaking personnel, and offering medical terminology education classes to Spanish-speaking patients.
在美国西班牙裔人口迅速增长的地区,针对讲西班牙语患者对社区药房偏好的评估研究较少。本研究采用定性方法,为进一步探索讲西班牙语人群的认知提供了独特机会。
确定居住在美国的讲西班牙语患者的认知,重点关注社区药房提供的护理,并确定他们对社区药房的满意度。
在每周一次的西班牙语教堂礼拜后招募参与者,持续约一个月。采用定性、半结构化的个人访谈,用西班牙语识别未满足的患者护理需求,并逐字转录/翻译。采用定性主题分析总结研究结果。发放书面问卷收集患者满意度和人口统计学信息,并用描述性统计进行总结。
首席研究员进行了12次访谈。主要主题包括缺乏保险以及高昂的医疗费用成为获得医疗保健的障碍、难以获得及时便捷的初级护理、感觉到药房工作人员态度消极、缺乏讲西班牙语的医疗服务提供者,以及用英语提供口头和书面用药信息。
本研究结果表明,包括药剂师在内的医疗服务提供者非常有必要向讲西班牙语的社区扩展外展服务。从访谈过程中得出的一些例子包括增加用西班牙语宣传现有服务的力度、雇佣讲西班牙语的工作人员,以及为讲西班牙语的患者提供医学术语教育课程。