COMMUNITY PHARMACIST ASSESSMENT OF THE MOTIVATIONS FOR PROVIDING PHARMACEUTICAL CARE ACROSS FOUR DOMAINS
Author(s)
Spruill WJ, Wade WE, Longe RL, Taylor TA, Burke SI, University of Georgia, Athens, GA, USA
OBJECTIVES: The provision of pharmaceutical care in the community pharmacy setting has the potential to improve patient outcomes while providing economic benefits to the pharmacist. This study attempts to anonymously measure the value of and reasons that a group of community pharmacists perform various pharmaceutical care services for ten disease states as measured in four separate value domains. METHODS: Sixty community pharmacists were mailed a questionnaire asking them to rank on a scale of 1 to 10 (1 = strongly disagree;l0 = strongly agree) reasons they would provide pharmaceutical care to a patient with one of ten diseases. Reasons were assessed in four separate domains: financial, psychosocial, humanistic, and professional. Lastly, these reasons for providing pharmaceutical care were evaluated by specific disease states. RESULTS: Thirty-eight pharmacists (63.3%) returned completed questionnaires. Strong agreement was seen across all domains with an average of all domain scores of 7.48 + 1.81. Individual domain scores ranked as psychosocial 7.97 +1.72, professional 7.56 + 1.68, financial 7.24 + 2.04, and humanistic 7.16 + 1.82. Rank order, by average domain score, of individual disease states was asthma, hypertension, diabetes, hypercholesterolemia, anticoagulation, PUD, GERD, CHF, prevention of complications of menopause, and flu vaccine administration. CONCLUSIONS: These community pharmacists indicated a strong obligation to provide various pharmaceutical care services across all domains measured. The psychosocial domain, which measured the benefit received by the patient from this service, ranked highest, followed by the professional domain, indicating that it was the pharmacist’s professional responsibility to provide this care. Next in order was the financial domain, which measured pharmacist reimbursement potential, followed by the humanistic domain, indicating a nonprofessional (i.e., compassionate) reason for providing care.
Conference/Value in Health Info
1999-05, ISPOR 1999, Arlington, VA, USA
Value in Health, Vol. 2, No. 3 (May/June 1999)
Code
PPO4
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Treatment Patterns and Guidelines
Disease
Multiple Diseases