RESUMEN
Background Sufficient patient medication knowledge is essential for appropriate use. The dispensing service provided in community pharmacies is one method that may be used to educate patients on their medications. Objective To compare the effectiveness of protocolized dispensing (following a dispensing protocol that includes standardized patient education), with the effectiveness of traditional dispensing (provision of medication without standardized patient education and information provided only if directly requested), for improving patient medication knowledge. Method Pre-post quasi-experimental study of patients or caregivers over 18 years of age requesting one or more medications for their own use or for others. The intervention consisted of using a protocolized process for dispensing medicines in a community pharmacy. The association between the dispensing effectiveness (patient medication knowledge pre and post dispensing) and predictor variables was studied using a multivariate binary logistical regression model. Results In total 661 participant medication requests were included in the study. Protocolized dispensing was more effective than traditional dispensing for improving medication knowledge (OR 2.390; 95 % CI 1.373-1.162). Conclusion As a means to improve patient medication knowledge it may be recommended that protocolized dispensing processes should be developed, evaluated and implemented with the ultimate aim of improving the appropriate use of medicines.
Asunto(s)
Servicios Comunitarios de Farmacia , Conocimiento de la Medicación por el Paciente/métodos , Farmacéuticos , Rol Profesional , Terapia Asistida por Computador/métodos , Adulto , Anciano , Servicios Comunitarios de Farmacia/tendencias , Femenino , Humanos , Masculino , Persona de Mediana Edad , Conocimiento de la Medicación por el Paciente/tendencias , Farmacéuticos/tendencias , Terapia Asistida por Computador/tendencias , Resultado del TratamientoRESUMEN
Objetivo: Valorar la satisfacción de los pacientes con el servicio de dispensación durante la realización del pilotaje del protocolo de dispensación en farmacia comunitaria. Material y métodos: Estudio observacional descriptivo transversal. Se midió la satisfacción con un cuestionario validado en farmacias comunitarias de las Provincias de Murcia y Málaga, España. El cuestionario auto administrado y anónimo midió dos áreas de satisfacción global del paciente: Referente al trato personal recibido y referente al servicio recibido. Resultados: De 60 farmacias participantes, se obtuvieron 335 cuestionarios, siendo válidos 329. El 71,2% de los pacientes se mostraron "muy satisfechos" respecto al trato del personal y respecto al servicio realizado se obtuvo un 59,1% "muy satisfecho". Discusión: El estudio refleja una gran aceptación y satisfacción de los pacientes con el servicio recibido, sin embargo, la mayoría de participantes son usuarios habituales de la farmacia, lo que puede sobreestimar los resultados obtenidos. Resultaría interesante valorar los cambios de satisfacción con el tiempo, siendo recomendable buscar nuevos enfoques que determinen las expectativas y preferencias de los pacientes, mostrando posibles causas de insatisfacción. Conclusión: La satisfacción de los pacientes con el trato personal y el servicio de dispensación recibido resultó muy elevada(AU)
Aim: To assess patient satisfaction with the service of dispensing during the pilot implementation of the protocol in community pharmacy dispensing. Methods: Made in community pharmacies of Murcia and Malaga provinces in Spain. Satisfaction was measured with a validated 10-item questionnaire, structured, multidimensional, with Likert scale of five continuous categories. The validated questionnaire measures two areas of overall patient satisfaction: 1. Concerning the personal treatment received. 2 .- Regarding the service received. Results: Of 60 participating community pharmacies, we obtained 335 questionnaires, from which 329 were valid. The results obtained were 71.2% very satisfied about the treatment of staff and a 59.1% very satisfied with the dispensation service. Discussion: The study shows a wide acceptance of patient satisfaction with the service, although mostly are frequent patients of participating pharmacies, which may overestimate the results. It would be interesting to evaluate changes in satisfaction over time and it is recommended to explore new approaches to determine the expectations and preferences of patients, showing possible causes of dissatisfaction. Further studies should be conducted in the future. Conclusions: The satisfaction of personal treatment received and the dispensing service was very high(AU)