Factors Affecting Pharmaceutical Care Implementation by Community Pharmacist: A Discrete Choice Experiment

https://doi.org/10.22146/jmpf.38804

Nia Kurnia Sholihat(1*), Masita Wulandari Suryoputri(2), Ade Martinus(3)

(1) Universitas Jenderal Soedirman
(2) Universitas Jenderal Soedirman
(3) Universitas Jenderal Soedirman
(*) Corresponding Author

Abstract


Even though pharmaceutical care has been proven increasing patients’ quality of life, pharmacists still have barriers to implement it. Our study aims to examine factors affecting pharmacists in the community to implement pharmaceutical care using a Discrete Choice Experiment (DCE). The study was a cross-sectional study. A structured DCE questionnaire was administered to 90 community pharmacists in Banyumas district, Indonesia. Respondents were chosen using a simple random sampling method. According to the literature review and expert opinions, the following six attributes were selected: pharmacists’ confidence; willingness to implement pharmaceutical care; communication skill; knowledge and professional skill; availability of time; and availability of space in pharmacy. Eighteen choice sets were developed. Each choice sets comprised of two scenarios. Respondents were asked to choose the scenario they preferred the most. Data were analyzed using multinomial logit model. Of 90 questionnaires distributed, 67 were analyzed. Based on multinomial logit, all attributes had a significant effect on pharmacists’ preferences to implement pharmaceutical care. The findings suggested that pharmacist association should train their member to increase professional skills, as well as the management of pharmacy should provide enough space to perform pharmaceutical care.

Keywords


pharmaceutical care, community pharmacist, Banyumas district, discrete choice experiment

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References

1. Anonymous. Government Regulation Republic of Indonesia No. 51 of 2009 about Pharmaceutical Work. Jakarta2009.

2. Anonymous. Regulation of Minister of Health Republic of Indonesia No. 35 of 2014 about Standard of Pharmaceutical Care in Community Pharmacy. Jakarta2014.

3. Hepler CD, Strand LM. Opportunities and Responsibilities in Pharmaceutical Care. American Journal of Hospital Pharmacy. 1990;47:533-542.

4. Cordina M, Safta V, Ciobanu A, Sautenkova N. An assessment of community pharmacists' attitudes towards of professional practice in the Republic of Moldova. Pharmacy Practice. 2008;6:1 - 8.

5. Petkova VB. Pharmaceutical care for asthma patients: a community pharmacy-based pilot project. Allergy Asthma Proc. Jan-Feb 2008;29(1):55-61.

6. Schulz M, Verheyen F, Muhlig S, et al. Pharmaceutical care services for asthma patients: a controlled intervention study. J Clin Pharmacol. Jun 2001;41(6):668-676.

7. Hoffmann S, Batz MB, Morris JG, Jr. Annual cost of illness and quality-adjusted life year losses in the United States due to 14 foodborne pathogens. Journal of food protection. Jul 2012;75(7):1292-1302.

8. Robinson JD, Segal R, Lopez LM, Doty RE. Impact of a pharmaceutical care intervention on blood pressure control in a chain pharmacy practice. Ann Pharmacother. Jan 2010;44(1):88-96.

9. Sturgess IK, McElnay JC, Hughes CM, Crealey G. Community pharmacy based provision of pharmaceutical care to older patients. Pharm World Sci. Oct 2003;25(5):218-226.

10. AbuRuz S, Al‐Ghazawi M, Snyder A. Pharmaceutical care in a community‐based practice setting in Jordan: where are we now with our attitudes and perceived barriers? International Journal of Pharmacy Practice. 2012;20(2):71-79.

11. Ibrahim A, Scott J. Community pharmacists in Khartoum State, Sudan: their current roles and perspectives on pharmaceutical care implementation. International journal of clinical pharmacy. 2013;35(2):236-243.

12. Oparah AC, Eferakeya AE. Attitudes of Nigerian pharmacists towards pharmaceutical care. Pharmacy World and Science. 2005;27(3):208-214.

13. Dunlop JA, Shaw JP. Community pharmacists' perspectives on pharmaceutical care implementation in New Zealand. Pharmacy World and Science. 2002;24(6):224-230.

14. Krska J, Veitch G. Perceived factors influencing the development of primary care‐based pharmaceutical care in Scotland. International Journal of Pharmacy Practice. 2001;9(4):243-252.

15. Mil J, Boer W, Tromp T. European barriers to the implementation of pharmaceutical care. International Journal of Pharmacy Practice. 2001;9(3):163-168.

16. Herbert KE, Urmie JM, Newland BA, Farris KB. Prediction of pharmacist intention to provide Medicare medication therapy management services using the theory of planned behavior. Research in Social and Administrative Pharmacy. 2006;2(3):299-314.

17. Montgomery AT, Kälvemark-Sporrong S, Henning M, Tully MP, Kettis-Lindblad Å. Implementation of a pharmaceutical care service: prescriptionists’, pharmacists’ and doctors’ views. Pharmacy World & Science. 2007;29(6):593-602.

18. Cates ME, Burton AR, Woolley TW. Attitudes of Pharmacists Toward Mental Illness and Providing Pharmaceutical Care to the Mentally III. Annals of Pharmacotherapy. 2005;39(9):1450-1455.

19. Rossing C, Hansen EH, Traulsen JM, Krass I. Actual and perceived provision of pharmaceutical care in Danish community pharmacies: the pharmacists’ opinions. Pharmacy World and Science. 2005;27(3):175-181.

20. Aryunadi YF. Evaluasi Pelaksanaan Standar Pelayanan Kefarmasian di Apotek di Kabupaten Banyumas [Skripsi]. Purwokerto: Jurusan Farmasi, Universitas Jenderal Soedirman; 2014.

21. Bahri S. Perbandingan Total Waktu Pelaksanaan Pekerjaan Keprofesian dan Pekerjaan Non-Keprofesian Apoteker di Kota Purwokerto [Skripsi]. Purwokerto: Jurusan Farmasi Universitas Jenderal Soedirman; 2015.

22. Payne K, Elliott R. Using discrete choice experiments to value preferences for pharmacy services. International Journal of Pharmacy Practice. 2005;13(1):9-20.

23. Ryan M, Farrar S. Using conjoint analysis to elicit preferences for health care. BMJ. Jun 3 2000;320(7248):1530-1533.

24. Ryan M, Gerard K, Amaya-Amaya M. Using Discrete Choice Experiments to Value Health and Health Care. Vol vol. 11. Dordrecht, The Netherlands: Springer; 2008.

25. Hall J, Kenny P, King M, Louviere J, Viney R, Yeoh A. Using stated preference discrete choice modelling to evaluate the introduction of varicella vaccination. Health Economics. 2002;11(5):457-465.

26. Naik-Panvelkar P, Armour C, Rose JM, Saini B. Patient preferences for community pharmacy asthma services: a discrete choice experiment. Pharmacoeconomics. Oct 1 2012;30(10):961-976.

27. Ryan M, Gerard K. Using discrete choice experiments to value health care programmes: current practice and future research reflections. Applied Health Economics and Health Policy. 2003;2(1):55-64.

28. Hahn GJ, Shapiro SS. A catalog and computer program for the design and analysis of orthogonal symmetric and asymmetric fractional factorial experiments. Schenectady, New York: General Electric, Research and Development Center; 1966.

29. Porteous T, Ryan M, Bond CM, Hannaford P. Preferences for self-care or professional advice for minor illness: a discrete choice experiment. British Journal of General Practice. December 1, 2006 2006;56(533):911-917.

30. Lancsar E, Louviere J. Conducting Discrete Choice Experiments to Inform Healthcare Decision Making. PharmacoEconomics. 2008/08/01 2008;26(8):661-677.

31. Farris KB, Schopflocher DP. Between intention and behavior: an application of community pharmacists' assessment of pharmaceutical care. Social science & medicine. 1999;49(1):55-66.



DOI: https://doi.org/10.22146/jmpf.38804

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