Rodgers Ruth M, Gammie Shivaun M, Loo Ruey Leng, Corlett Sarah A, Krska Janet
Medway School of Pharmacy, The Universities of Greenwich and Kent, Chatham Maritime, UK.
Patient Prefer Adherence. 2016 Sep 9;10:1749-58. doi: 10.2147/PPA.S112931. eCollection 2016.
Services provided by community pharmacists designed to support people using medicines are increasing. In England, two national services exist: Medicine Use Reviews (MUR) and New Medicines Service (NMS). Very few studies have been conducted seeking views of the public, rather than service users, on willingness to use these services or expectations of these services, or determined whether views align with pharmacist perceptions.
To compare the perceptions of pharmacists and the general public on medicines-related services, particularly MUR and NMS services.
Two parallel surveys were conducted in one area of England: one involved the general public and was administered using a street survey, and the other was a postal survey of community pharmacists. Similar questionnaires were used, seeking views of services, awareness, reasons for using services, and perceived benefits.
Response rates were 47.2% (1,000/2,012 approached) for the public and 40.8% (341/836) for pharmacists. Few people had experienced a discussion in a private consultation room or were aware of the two formal services, although their willingness to use them was high. Pharmacists estimated time spent on service provision as 10 minutes for MUR and 12 minutes for NMS, which aligned with acceptability to both pharmacists and the public. Pharmacists underestimated the willingness of the public to wait for an informal discussion or to make appointments for formal services. Both pharmacists and the public had high expectations that services would be beneficial in terms of increasing knowledge and understanding, but public expectations and experiences of services helping to sort out problems fell well below pharmacists' perceptions. People who had experienced a pharmacy service had different perceptions of pharmacists.
Views differed regarding why people use services and key aspects of service delivery. For services to improve, the pharmacy profession needs a better awareness of what the public, especially those with potential to benefit from services, view as acceptable and desirable.
社区药剂师提供的旨在帮助人们用药的服务正在增加。在英格兰,有两项全国性服务:用药回顾(MUR)和新药服务(NMS)。很少有研究征求公众(而非服务使用者)对使用这些服务的意愿或对这些服务的期望,也没有确定公众的观点是否与药剂师的认知一致。
比较药剂师和普通公众对与药品相关服务的看法,特别是用药回顾和新药服务。
在英格兰的一个地区进行了两项平行调查:一项针对普通公众,采用街头调查的方式进行;另一项是对社区药剂师的邮寄调查。使用了类似的问卷,征求对服务的看法、知晓度、使用服务的原因以及感知到的益处。
公众的回复率为47.2%(1000/2012名被调查者),药剂师的回复率为40.8%(341/836)。很少有人在私人咨询室进行过讨论,也很少有人知晓这两项正式服务,尽管他们使用这些服务的意愿很高。药剂师估计提供用药回顾服务的时间为10分钟,新药服务为12分钟,这与药剂师和公众的可接受度相符。药剂师低估了公众等待非正式讨论或预约正式服务的意愿。药剂师和公众都高度期望这些服务在增加知识和理解方面有益,但公众对服务有助于解决问题的期望和体验远低于药剂师的认知。有过药房服务体验的人对药剂师有不同的看法。
对于人们使用服务的原因和服务提供的关键方面,看法存在差异。为了改进服务,药学专业需要更好地了解公众,特别是那些有可能从服务中受益的人,认为什么是可接受和期望的。