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探索消费者对药房质量信息的理解和偏好。

Exploring consumer understanding and preferences for pharmacy quality information.

作者信息

Shiyanbola Olayinka O, Mort Jane R

机构信息

Division of Social and Administrative Sciences, University of Wisconsin-Madison . Madison, WI ( United States ).

Department of Pharmacy Practice, South Dakota State University . Brookings, SD ( United States ).

出版信息

Pharm Pract (Granada). 2014 Oct;12(4):468. doi: 10.4321/s1886-36552014000400004. Epub 2014 Mar 15.

DOI:10.4321/s1886-36552014000400004
PMID:25580169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4282764/
Abstract

OBJECTIVE

To describe consumer understanding of pharmacy quality measures and consumer preferences for pharmacy quality information.

METHODS

Semi-structured focus group design was combined with survey methods. Adults who filled prescription medications for self-reported chronic illnesses at community pharmacies discussed their understanding of Pharmacy Quality Alliance approved quality measures. Questions examined preference of pharmacy quality information rating systems (e.g. stars versus percentages) and desired data display/formats. During the focus group, participants completed a survey examining their understanding of each pharmacy quality measure. All focus group discussions were transcribed verbatim. Data were analyzed using thematic analysis and descriptive statistics.

RESULTS

Thirty-four individuals participated (mean age= 62.85; SD=16.05). Participants were unfamiliar with quality measures information and their level of understanding differed for each quality measure. Surveys indicated 94.1% understood "Drug-Drug Interactions" and "Helping Patients Get Needed Medications" better than other measures (e.g., 76.5% understood "Suboptimal Treatment of Hypertension in Patients with Diabetes"). Qualitative analysis indicated participants preferred an overall pharmacy rating for quick access and use. However, participants also wanted quality measures information displayed by health conditions. Participants favored comparison of their pharmacy to city data instead of state data. Most participants liked star ratings better than percentages, letter grades, or numerical ratings.

CONCLUSIONS

Individuals who have a chronic illness and regularly use community pharmacies are interested in pharmacy quality measures. However, specific quality measures were not understood by some participants. Participants had specific preferences for the display of pharmacy quality information which will be helpful in the design of appropriate quality report systems.

摘要

目的

描述消费者对药房质量指标的理解以及对药房质量信息的偏好。

方法

半结构化焦点小组设计与调查方法相结合。在社区药房为自我报告的慢性病填写处方药的成年人讨论了他们对药房质量联盟批准的质量指标的理解。问题涉及药房质量信息评级系统(如星级与百分比)的偏好以及所需的数据显示/格式。在焦点小组讨论期间,参与者完成了一项调查,以检查他们对每个药房质量指标的理解。所有焦点小组讨论均逐字记录。使用主题分析和描述性统计对数据进行分析。

结果

34人参与(平均年龄 = 62.85;标准差 = 16.05)。参与者对质量指标信息不熟悉,并且对每个质量指标的理解程度有所不同。调查表明,94.1%的人对“药物相互作用”和“帮助患者获得所需药物”的理解优于其他指标(例如,76.5%的人理解“糖尿病患者高血压的治疗不充分”)。定性分析表明,参与者更喜欢整体药房评级以便快速获取和使用。然而,参与者也希望按健康状况显示质量指标信息。参与者倾向于将他们的药房与城市数据而非州数据进行比较。大多数参与者更喜欢星级评级,而不是百分比、字母等级或数字评级。

结论

患有慢性病并经常使用社区药房的个人对药房质量指标感兴趣。然而,一些参与者并不理解特定的质量指标。参与者对药房质量信息的显示有特定偏好,这将有助于设计合适的质量报告系统。

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本文引用的文献

1
Advancing the use of community pharmacy quality measures: a qualitative study.推进社区药房质量措施的使用:一项定性研究。
J Am Pharm Assoc (2003). 2013 Jul-Aug;53(4):400-7. doi: 10.1331/JAPhA.2013.12160.
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What is quality anyway? Performance reports that clearly communicate to consumers the meaning of quality of care.质量到底是什么?绩效报告能向消费者清楚地传达护理质量的含义。
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Less is more in presenting quality information to consumers.向消费者提供高质量信息时,少即是多。
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Public reporting of provider performance: can its impact be made greater?医疗服务提供者绩效的公开报告:其影响能否更大?
Annu Rev Public Health. 2006;27:517-36. doi: 10.1146/annurev.publhealth.27.021405.102210.
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Hospital performance reports: impact on quality, market share, and reputation.医院绩效报告:对质量、市场份额和声誉的影响。
Health Aff (Millwood). 2005 Jul-Aug;24(4):1150-60. doi: 10.1377/hlthaff.24.4.1150.
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