Tan Christine L, Gan Vincent B, Saleem Fahad, Hassali Mohamed A
Pharmaceutical Services Division (Pharmacy Practice & Development), Negeri Sembilan State Health Department, Ministry of Health Malaysia. Seremban ( Malaysia ).
Graduate School of Management, Universiti Putra Malaysia . Selangor ( Malaysia ).
Pharm Pract (Granada). 2016 Oct-Dec;14(4):850. doi: 10.18549/PharmPract.2016.04.850. Epub 2016 Dec 15.
Pharmacy value added services (PVAS) was introduced as a matter of public health policy by Malaysia's Ministry of Health to improve health outcomes through public healthcare services. For example, drive through pharmacy services is a major policy implementation of the Ministry. However, adoption rates are low and therefore hampering the achievement of national health policy goals.
Our objective is to explore the key determinants and mediators of successful implementation of new public pharmaceutical services by investigating the cognitive perspectives of patients' intentions to adopt with the Theory of Planned Behavior as the theoretical framework.
A two phase mixed methodology involving first a qualitative exploration and the second a quantitative phase was conducted in public health facilities in Negeri Sembilan, Malaysia. Multiple regression and mediation analysis were performed.
Subjective norms, perceived behavioural control, knowledge and expectations are found to be significant predictors of intentions to adopt PVAS. Knowledge and expectations are found to exert significant indirect effects on intentions.
Overall, we suggest that patient knowledge be enhanced through appropriate channels and expectations of service quality be met to increase intentions.
马来西亚卫生部将药房增值服务（PVAS）作为一项公共卫生政策引入，旨在通过公共医疗服务改善健康状况。例如，免下车药房服务是该部的一项主要政策举措。然而，采用率较低，因此阻碍了国家卫生政策目标的实现。
我们的目标是通过以计划行为理论为理论框架，调查患者采用新公共药品服务意图的认知观点，探索成功实施新公共药品服务的关键决定因素和中介因素。
在马来西亚森美兰州的公共卫生机构中进行了一个两阶段的混合方法，首先是定性探索阶段，其次是定量阶段。进行了多元回归和中介分析。
主观规范、感知行为控制、知识和期望被发现是采用PVAS意图的重要预测因素。知识和期望对意图产生显著的间接影响。
总体而言，我们建议通过适当渠道增强患者知识，并满足对服务质量的期望，以增加采用意图。
