印度尼西亚糖尿病患者对改善药物管理的药师服务偏好：一项离散选择实验。
Preferences for pharmacist services to enhance medication management among people with diabetes in Indonesia: A discrete choice experiment.
机构信息
Department of Health Services Research (HSR), Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center (MUMC+), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands; Department of Clinical and Community Pharmacy, Center for Medicines Information and Pharmaceutical Care (CMIPC), Faculty of Pharmacy, University of Surabaya, 60293, Surabaya, East Java, Indonesia.
Department of Health Services Research (HSR), Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center (MUMC+), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands.
出版信息
Patient Educ Couns. 2021 Jul;104(7):1745-1755. doi: 10.1016/j.pec.2020.12.005. Epub 2020 Dec 16.
OBJECTIVES
To elicit patients' preferences for pharmacist services that can enhance medication management among people with diabetes in Indonesia.
METHODS
A discrete choice experiment (DCE) among 833 respondents with diabetes in 57 community health centers (CHCs) and three hospitals in Surabaya, Indonesia. Consultation was the baseline service. Four attributes of consultation and two attributes of additional services were used in the DCE profiles based on literature and expert opinion. The DCE choice sets generated were partially balanced and partially without overlap. Random effect logistic regression was used in the analysis.
RESULTS
Respondents preferred a shorter duration of consultation and flexible access to the pharmacist offering the consultation. A private consultation room and lower copayment (fee) for services were also preferred. Respondents with experience in getting medication information from pharmacists, preferred to make an appointment for the consultation. Total monthly income and experience with pharmacist services influenced preferences for copayments.
CONCLUSION
Differences in patients' preferences identified in the study provide information on pharmacist services that meet patients' expectations and contribute to improve medication management among people with diabetes.
PRACTICE IMPLICATION
This study provides insight into evaluating and designing pharmacist services in accordance with the preferences of people with diabetes in Indonesia.
目的
了解印度尼西亚糖尿病患者对可增强其药物管理的药师服务的偏好。
方法
在印度尼西亚泗水的 57 个社区卫生中心（CHC）和 3 家医院中，对 833 名糖尿病患者进行了离散选择实验（DCE）。咨询是基线服务。基于文献和专家意见，在 DCE 档案中使用了咨询的四个属性和两个附加服务属性。生成的 DCE 选择集部分平衡且部分没有重叠。分析采用随机效应逻辑回归。
结果
受访者更倾向于较短的咨询时间和灵活的获取提供咨询的药师的途径。私人咨询室和较低的服务共付额（费用）也受到青睐。有从药剂师处获取药物信息经验的受访者，更愿意预约咨询。月总收入和使用药剂师服务的经验影响对共付额的偏好。
结论
研究中确定的患者偏好差异为满足患者期望的药师服务提供了信息，并有助于改善糖尿病患者的药物管理。
实践意义
本研究深入了解了根据印度尼西亚糖尿病患者的偏好评估和设计药师服务。
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