Preferences for the delivery of community pharmacy services to help manage chronic conditions

Whitty, Jennifer A., Kendall, Elizabeth, Sav, Adem, Kelly, Fiona, McMillan, Sara S., King, Michelle A. and Wheeler, Amanda J. (2015) Preferences for the delivery of community pharmacy services to help manage chronic conditions. Research in Social and Administrative Pharmacy, 11 2: 197-215. doi:10.1016/j.sapharm.2014.06.007

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Author Whitty, Jennifer A.
Kendall, Elizabeth
Sav, Adem
Kelly, Fiona
McMillan, Sara S.
King, Michelle A.
Wheeler, Amanda J.
Title Preferences for the delivery of community pharmacy services to help manage chronic conditions
Journal name Research in Social and Administrative Pharmacy   Check publisher's open access policy
ISSN 1551-7411
Publication date 2015-03-01
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.sapharm.2014.06.007
Open Access Status Not Open Access
Volume 11
Issue 2
Start page 197
End page 215
Total pages 19
Place of publication Philadelphia PA, United States
Publisher Elsevier
Language eng
Formatted abstract
Background: To optimize positive outcomes, the design of new pharmacy services should consider the preferences of consumers with chronic condition(s) and their carers. Objectives: (i) To evaluate the relative importance of community pharmacy service characteristics, from the perspective of consumers with chronic condition(s) and carers; (ii) To compare consumer and carer preferences to health professional beliefs about ideal service characteristics for consumers.

Method: A discrete choice experiment was completed by consumers with chronic condition(s) and/or carers (n = 602) and health professionals (n = 297), recruited from four regions in Australia. Participants were each randomized to one survey version containing four (from a total 72) different choices between two new pharmacy services. Consumer and carer participants were also given an 'opt out' alternative of current service. Each service was described using six attributes related to pharmacy service characteristics: continued medicines supply, continuity and coordinated care, location, medication management, education and information, and cost.

Results: Consumers and carers placed highest priority on continued medicines supply by a pharmacist for regular and symptom flare up medicines (100 priority points), a pharmacy located within a 'one-stop' health center (61 points) and home delivery of medicines (52 points). Although continued medicines supply was most important for consumers and carers, pharmacy location was perceived by health professionals to be the most important characteristic for consumers. Participants were less inclined to choose new services if their current pharmacy offered high quality services that were person-centered, easy to access and responsive to their needs. Younger, more highly educated and employed participants, and those with established condition(s) were more likely to choose new services.

Conclusions: Person-centered care is a fundamental tenet for pharmacy services. The provision of continued medicines supply (e.g. through pharmacist prescribing), convenient and coordinated care delivered through a one stop health centre, and home delivery of medicines, should be prioritized when planning pharmacy services to best assist consumers to manage chronic conditions.
Keyword Consumer preferences
Chronic disease
Community pharmacy services
Person-centered care
Pharmaceutical economics
Discrete choice experiment
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online ahead of print 15 July 2014

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Pharmacy Publications
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Citation counts: TR Web of Science Citation Count  Cited 12 times in Thomson Reuters Web of Science Article | Citations
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