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患者为社区药房认知药学服务付费的意愿。

Patients' willingness to pay for cognitive pharmacist services in community pharmacies.

作者信息

Lakić Dragana, Stević Ivana, Odalović Marina, Vezmar-Kovačević Sandra, Tadić Ivana

机构信息

Dragana Lakić, University of Belgrade - Faculty of Pharmacy, 450 Vojvode Stepe Street, 11221 Belgrade, Republic of Serbia,

出版信息

Croat Med J. 2017 Oct 31;58(5):364-371. doi: 10.3325/cmj.2017.58.364.

Abstract

AIM

To determine the general population willingness to pay for cognitive pharmacist service in community pharmacy, describe the behavior of participants regarding health care issues, and evaluate correlation between participants' sociodemographic characteristics or attitudes and their willingness to pay.

METHODS

A questionnaire-based survey was conducted among general population visiting community pharmacies. The participants were asked about receiving cognitive pharmacist services to identify and resolve potential medication therapy problems after the initiation of a new medicine to optimize health outcomes of the patients. A univariate and multivariate analysis were used to analyze associations between different variables and willingness to pay for pharmacy service.

RESULTS

Of 444 respondents, 167 (38%) reported that they were willing to pay for a medication management service provided in the community pharmacy. Univariate analysis showed significant association between the willingness to pay for pharmacist-provided service and respondents' socio-demographic factors, health-related characteristics, and behavior, dilemmas, or need for certain pharmacist-provided service. The logistic regression model was statistically significant (χ2=4.599, P<0.001).

CONCLUSIONS

The respondents expressed their willingness to pay for cognitive pharmacist services, which has not been fully recognized within the health care system. In future, pharmacists should focus on practical implementation of the service and models of funding.

摘要

目的

确定普通人群为社区药房认知药学服务付费的意愿,描述参与者在医疗保健问题上的行为,并评估参与者的社会人口统计学特征或态度与其付费意愿之间的相关性。

方法

对前往社区药房的普通人群进行问卷调查。询问参与者在开始使用新药后接受认知药学服务以识别和解决潜在药物治疗问题的情况,以优化患者的健康结局。采用单因素和多因素分析来分析不同变量与药房服务付费意愿之间的关联。

结果

在444名受访者中,167名(38%)报告他们愿意为社区药房提供的药物管理服务付费。单因素分析表明,为药剂师提供的服务付费的意愿与受访者的社会人口统计学因素、健康相关特征以及行为、困境或对某些药剂师提供服务的需求之间存在显著关联。逻辑回归模型具有统计学意义(χ2=4.599,P<0.001)。

结论

受访者表示愿意为认知药学服务付费,而这在医疗保健系统中尚未得到充分认识。未来,药剂师应专注于该服务的实际实施和资金模式。

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