Community Pharmacy, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Rue du Bugnon 44, 1011, Lausanne, Switzerland.
School of Pharmaceutical Sciences, University of Geneva, Rue Michel-Servet 1, 1211, Geneva 4, Switzerland.
BMC Health Serv Res. 2021 Mar 10;21(1):216. doi: 10.1186/s12913-021-06217-6.
Diabetes is one of the most important chronic diseases and affects 9% of the world's population. To support these people in the day-to-day management of their treatments, pharmacies can offer professional pharmacy services. These are defined as one or more actions organized or provided in a pharmacy to optimize the process of care, with the goal of improving health outcomes and the value of healthcare. Such services have to be tailored to the needs and interests of patients. This study aimed to evaluate interest in and use of pharmacy services among people with diabetes in the canton of Vaud, Switzerland.
This cross-sectional study analysed self-reported data from 790 people with diabetes included in the CoDiab-VD cohort. Questions focused on sociodemographic and economic characteristics, diabetes and its management, and interest in and use of pharmacy services related to (1) medication intake and adherence and (2) diabetes and general health. Descriptive analyses were first conducted. Logistic regression analyses were then performed for pharmacy services that were of interest to ≥50% of respondents.
The mean age of participants was 66 years, and the sample included more males (59%) than females. The pharmacy services that interested the most respondents were individual interview, pill boxes or weekly pill boxes, treatment plans, checks of all medications, first medical opinions from pharmacists and counselling on devices. Factors significantly associated with interest in pharmacy services were being older, having a lower self-efficacy score, taking more than three medications and having a positive opinion about pharmacists.
This study provides key information on interest in and use of pharmacy services among patients with diabetes in Switzerland; it should help pharmacists individualize their services for patients.
糖尿病是最重要的慢性病之一，影响了全球 9%的人口。为了帮助这些人日常管理治疗，药店可以提供专业的药学服务。这些服务被定义为在药店组织或提供的一项或多项行动，以优化护理流程，目标是改善健康结果和医疗保健的价值。此类服务必须根据患者的需求和兴趣进行定制。本研究旨在评估瑞士沃州糖尿病患者对药学服务的兴趣和使用情况。
这项横断面研究分析了 CoDiab-VD 队列中纳入的 790 名糖尿病患者的自我报告数据。问题集中在社会人口经济学特征、糖尿病及其管理以及对与（1）药物摄入和依从性以及（2）糖尿病和一般健康相关的药学服务的兴趣和使用情况。首先进行描述性分析。然后对感兴趣的≥50%受访者的药学服务进行逻辑回归分析。
参与者的平均年龄为 66 岁，样本中男性（59%）多于女性。最受受访者欢迎的药学服务是个别访谈、药盒或每周药盒、治疗计划、检查所有药物、药剂师的首次医疗意见和设备咨询。与对药学服务感兴趣显著相关的因素是年龄较大、自我效能评分较低、服用三种以上药物以及对药剂师的评价积极。
本研究提供了瑞士糖尿病患者对药学服务的兴趣和使用情况的关键信息；它应该有助于药剂师为患者提供个性化服务。
