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患者对药物治疗的态度和支付意愿:来自发展中国家的国际信息。

Patients' attitude and willingness to pay for pharmaceutical care: An international message from a developing country.

机构信息

Department of Clinical Pharmacy, School of Pharmacy, Zarqa University, Zarqa, Jordan.

Department of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, University of Jordan, Amman, 11942, Jordan; College of Pharmacy, Al Ain University of Science and Technology, Al Ain, United Arab Emirates.

出版信息

Res Social Adm Pharm. 2019 Sep;15(9):1177-1182. doi: 10.1016/j.sapharm.2018.10.002. Epub 2018 Oct 12.

Abstract

BACKGROUND

Since patients are essential partners in determining priorities and resource allocation in the healthcare system, considerable efforts have been made to shift the focus of pharmacy profession from drug dispensing to patient-oriented care. Accordingly, the assessment of patient-oriented care has become a prominent method to evaluate the quality of the healthcare services delivered and willingness to pay (WTP) to receive them.

OBJECTIVE(S): To determine patients' attitude towards pharmaceutical care services among general population in Jordan and their WTP for this service.

METHODS

A cross-sectional study was conducted in a teaching hospital in Jordan over a period of six months. A contingent valuation method was used, with closed-ended questions to elicit participants' attitudes and WTP for pharmaceutical care services.

RESULTS

A total of 223 participants were interviewed. Most of the participants showed a positive attitude towards pharmaceutical care services, with an average attitude score of 0.82 (±0.19). Almost 96.0% of participants believed that pharmacists must be committed to more counseling roles than dispensary activities. The majority of participants (194, 87.0%) expressed their interest in pharmacists checking their medications at least once per month. Most of the participants (212, (95.1%) believed that the pharmacist should be reimbursed for providing a pharmaceutical care service that would potentially reduce medication-related problems (MRPs) by 50%. Of these, 208 (93.3%) participants were willing to pay out of their pockets an average maximum amount of $3.95 (±4.23) for the pharmaceutical care services they may receive to reduce 50% of the risk of MRPs.

CONCLUSIONS

This study revealed that Jordanian people have a supportive attitude regarding pharmacists' abilities in providing pharmaceutical care services in addition to dispensing. Majority of participants in this study were willing to pay for pharmaceutical care services that would reduce the risk of MRPs.

摘要

背景

由于患者是确定医疗保健系统优先级和资源分配的重要伙伴,因此已经做出了相当大的努力,将药学专业的重点从药物配药转移到以患者为中心的护理。因此,评估以患者为中心的护理已成为评估所提供医疗保健服务质量和接受服务的意愿支付(WTP)的突出方法。

目的

确定约旦普通人群对药物治疗服务的态度以及他们对此服务的意愿支付(WTP)。

方法

在约旦的一所教学医院进行了一项横断面研究,为期六个月。使用了条件价值评估方法,使用封闭式问题来引出参与者对药物治疗服务的态度和 WTP。

结果

共采访了 223 名参与者。大多数参与者对药物治疗服务持积极态度,平均态度评分为 0.82(±0.19)。近 96.0%的参与者认为药剂师必须致力于比配药活动更多的咨询角色。大多数参与者(194 人,87.0%)表示有兴趣让药剂师至少每月检查一次他们的药物。大多数参与者(212 人,95.1%)认为药剂师应因提供可能减少 50%药物相关问题(MRP)的药物治疗服务而获得报酬。其中,208 名(93.3%)参与者愿意自掏腰包支付平均最高金额 3.95 美元(±4.23 美元),以获得可能减少 50%MRP 风险的药物治疗服务。

结论

这项研究表明,约旦人对药剂师在提供药物治疗服务方面的能力持支持态度,除了配药之外。这项研究的大多数参与者都愿意为可降低药物相关问题风险的药物治疗服务付费。

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