Factors affecting community pharmacists’ intention to provide medication management program and disease screening in Bangkok

Payungjit Kangwol, Puree Anantachoti

Abstract


Objectives: To determine factors affecting community pharmacists’ intention to provide medication management program (MMP) and disease screening (DS) based on diffusion of innovations theory.

Methods: A cross-sectional study using self-administered mail survey was conducted in Bangkok. The study assessed knowledge, intention to provide each service and indentified factors affecting community pharmacists’ intention to provide MMP and DS. Community pharmacists were requested to complete the questionnaire. The four point Likert’s scale was applied to measure agreement level.

Key findings: The respondents reported knowing DS (59.48%) more than MMP (19.17%) and had intention to provide DS (27.60%) and MMP (24.10%) within one year. Multivariate analysis indicated that compatibility with pharmacy profession framework, compatibility with routine work procedures, observability and pharmacy readiness had positive effects on intention to provide MMP while complexity had a negative effect on intention to provide MMP. Only compatibility with pharmacy profession framework had statistically significant effect on intention to provide MMP (OR=2.995, 95% CI=1.034-8.671). Compatibility with pharmacy profession framework, compatibility with routine work procedures and observability had positive effects on intention to provide DS while complexity and pharmacy readiness had negative effects on intention to provide DS. Only complexity had statistically significant effect on intention to provide DS (OR=0.328, 95% CI=0.111-0.968).

Conclusions: In this study, compatibility with pharmacy profession framework was key characteristic of MMP and complexity was key characteristic of DS which affected community pharmacists’ intention to provide services. Strategies designed to influence community pharmacists’ intention to provide MMP and DS by include these dominant characteristics of MMP and DS should be implemented. The service model for MMP must be most compatible with professional pharmacy act and not redundant with other healthcare professional roles. The service model for DS must be less complex particularly knowledge and skills requirement, and must be designed to simplify documentation process. NHSO should provide supporting tools such as IT infrastructure and building the capacity of pharmacy readiness. The formal business model of both services and the remunerated roles of community pharmacists must be developed as tools for sustainable practice of community pharmacy profession.

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References


Community Pharmacy Section. International Pharmaceutical Federation (FIP). Available from: https://www.fip.org/community_pharmacy.

Blalock, S.J., et al., The Effect of Community Pharmacy–Based Interventions on Patient Health Outcomes A Systematic Review. Med Care Res Rev, 2013. 70(3): p. 235-266.

Isetts, B.J., et al., Clinical and economic outcomes of medication therapy management services: the Minnesota experience. J Am Pharm Assoc, 2008. 48(2): p. 203-214.

Todd, A., et al., Community pharmacy interventions for public health priorities: protocol for a systematic review of community pharmacy-delivered smoking, alcohol and weight management interventions. Syst. Rev., 2014. 3(1): p. 93.

Laliberté, M.-C., et al., Ideal and actual involvement of community pharmacists in health promotion and prevention: a cross-sectional study in Quebec, Canada. BMC Public Health, 2012. 12(1): p. 1.

McMillan, S.S., et al., Community pharmacy in Australia: a health hub destination of the future. Res Social Adm Pharm, 2013. 9(6): p. 863-875.

The Office of Advancement Pharmacy Project. Research summary report : Community pharmacy in health insurance system (2001-2009). Food Drug and Administratoin, Ministry of Public Health: Nonthaburi.

Tunpichart, S., et al., Chronic care model for diabetics by pharmacist home health in Bangkok Metropolitan: A community based study. Int. J. Med. Med. Sci, 2012. 4(4): p. 90-96.

Health promotion services project in accredited community pharmacy in Bangkok. The Community Pharmacy Association (Thailand). Available from: http://www.pharcpa.com/cpaproject.html.

NHSO set a target of 700 accredited community pharmacies for disease screening, medicines management and smoking cessation. Manager online; Available from: http://www.manager.co.th/QOL/ViewNews.aspx?NewsID=9580000126842.

Kangwol, P. and P. Anantachoti, Consumers’, physicians’ and community pharmacists’ opinions toward the extended patient-oriented services in Bangkok. 2016, Faculty of Pharmaceutical Sciences,Chulalongkorn University.

Teeter, B.S., et al., Adoption of a biometric screening service in community pharmacies: A qualitative study. J Am Pharm Assoc, 2014. 54(3): p. 258-266.

Westrick, S.C. and J.K. Mount, Impact of perceived innovation characteristics on adoption of pharmacy‐based in‐house immunization services. Int J Pharm Pract, 2009. 17(1): p. 39-46.

Pronk, M.C., et al., Patient oriented activities in Dutch community pharmacy: diffusion of innovations. Pharm World Sci, 2002. 24(4): p. 154-161.

Makowsky, M.J., et al., Factors influencing pharmacists’ adoption of prescribing: qualitative application of the diffusion of innovations theory. Implement Sci, 2013. 8(1): p. 109.

Roberts, A.S., et al., Practice change in community pharmacy: quantification of facilitators. Ann Pharmacother, 2008. 42(6): p. 861-868.

Latif, A., et al., Examination of England’s New Medicine Service (NMS) of complex health care interventions in community pharmacy. Res Social Adm Pharm, 2015.

Rogers, E.M., Diffusion of Innovations. 3 ed. 1983: The Free Press. A Division of Macmillan Publishing Co., Inc.

Greenhalgh, T., et al., Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations. Milbank Q, 2004. 82( 4): p. 581-629.

Bureau of Drug Control. List of community pharmacies in Bangkok. November 2015; Available from: http://drug.fda.moph.go.th/zone_search/ky1.asp.

Faul, F., et al., Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behav Res Methods, 2009. 41(4): p. 1149-1160.

Parinyarux, P. and P. Suwannaprom, Attitudes and Stage of Change Towards Participation to the Community Pharmacy Development and Accreditation Project of Pharmacist Drug Store Owners in Muang District, Chiang Mai Province. Thai Pharm Health Sci J, 2014. 9(4): p. 164–169.

Plianbangchang, P. and D. Hongsamut, Drugstore owners' opinion on drugstore standard of the Pharmacy council: A nation-wide survey. Journal of Health Science, 2006. 15(1): p. 111-122.

Pankratz, M., D. Hallfors, and H. Cho, Measuring perceptions of innovation adoption: the diffusion of a federal drug prevention policy. Health Educ Res, 2002. 17(3): p. 315-326.

Sullivan, G.M. and R. Feinn, Using effect size-or why the P value is not enough. J Grad Med Educ, 2012. 4(3): p. 279-282.


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