Skip to main content
Top
Published in: BMC Health Services Research 1/2019

Open Access 01-12-2019 | Research article

A new model for pharmacies? Insights from a quantitative study regarding the public’s perceptions

Authors: Verónica Policarpo, Sónia Romano, João H. C. António, Tânia Sofia Correia, Suzete Costa

Published in: BMC Health Services Research | Issue 1/2019

Login to get access

Abstract

Background

Worldwide community pharmacies are shifting their role in the healthcare system from simple medication dispensers to health care providers. High levels of satisfaction with pharmacy services were found in previous studies. This study has two main goals. The primary goal is to describe the levels of satisfaction and knowledge regarding pharmacy services in Portugal. The secondary goal is to explore the perceptions and the utilisation of pharmacy services by the Portuguese. This statement includes exploring the impact of a set of variables on both perceptions and uses of pharmacies in regard to services that are currently offered as well as to new services that may be provided in the future.

Methods

A face-to-face survey of closed-ended questions was applied to a nationwide representative sample of the Portuguese population in September 2015. The sample was weighted based on population distribution across regions, habitat, age and gender. Data analysis comprises descriptive statistics and Multiple Correspondence Analysis to explore different typologies of respondent’s orientation toward community pharmacy.

Results

A total of 1114 interviews comprised the study. Of the respondents, 36% used the pharmacy as a first resource when seeking to treat a minor ailment, and 54% reported that they use the pharmacy as a first resource when seeking answers about medicines. Of those who visited their pharmacy at least once in the previous year, 94% were either globally satisfied or very satisfied. The level of acknowledgement of pharmacy services’ was also high among the Portuguese. Of the participants, 29% considered there could be more services available in pharmacies that are currently provided by other health care facilities. The construction of a typology of orientations towards community pharmacy practice resulted in three outcome groups: “Motivated” (63%), those with a connection to a pharmacy; “Settled” (23%), mainly those who had a pharmacy nearby; and “Demobilised” (14%), those who are weakly tied to a pharmacy.

Conclusions

The vast majority of the Portuguese population has a strong positive attitude towards their community pharmacy, as expressed by the high levels of satisfaction with, and positive evaluation of, the pharmacy’s services.
Appendix
Available only for authorised users
Literature
1.
go back to reference Mossialos E, Courtin E, Naci H, Benrimoj S, Bouvy M, Farris K, et al. From “retailers” to health care providers: transforming the role of community pharmacists in chronic disease management. Health Policy (New York). 2015;119(5):628–39.CrossRef Mossialos E, Courtin E, Naci H, Benrimoj S, Bouvy M, Farris K, et al. From “retailers” to health care providers: transforming the role of community pharmacists in chronic disease management. Health Policy (New York). 2015;119(5):628–39.CrossRef
2.
go back to reference WHO. Regional Office for Europe. European action plan for strengthening public health capacities and services. Copenhagen: Regional Office for Europe. World Health Organization; 2012. WHO. Regional Office for Europe. European action plan for strengthening public health capacities and services. Copenhagen: Regional Office for Europe. World Health Organization; 2012.
3.
go back to reference WHO. Regional Office for Europe. Governance for health in the 21st century: a study conducted for the WHO regional Office for Europe. World Health Organization. Regional director for Europe, editor. Copenhagen: Regional Director for Europe. World Health Organization; 2011. WHO. Regional Office for Europe. Governance for health in the 21st century: a study conducted for the WHO regional Office for Europe. World Health Organization. Regional director for Europe, editor. Copenhagen: Regional Director for Europe. World Health Organization; 2011.
5.
go back to reference Barros P, Machado S, Portugal SJ. Health system review. Health Syst Transit. 2011;13(4):1–156.PubMed Barros P, Machado S, Portugal SJ. Health system review. Health Syst Transit. 2011;13(4):1–156.PubMed
6.
go back to reference Gomes M, Queirós S, Romano S, Mendes Z, Duarte P. Dinâmica e Concorrência Regulada do Mercado das Farmácias em Portugal. Rev Port Farm. 2017;9:197–208. Gomes M, Queirós S, Romano S, Mendes Z, Duarte P. Dinâmica e Concorrência Regulada do Mercado das Farmácias em Portugal. Rev Port Farm. 2017;9:197–208.
7.
go back to reference Antão AA, Grenha CM. Sustentabilidade da Dispensa de Medicamentos em Portugal, 2015, 2016 e Projeções 2017. Universidade de Aveiro e Oliveira: Reis & Associados, SROC, Lda; 2018. Antão AA, Grenha CM. Sustentabilidade da Dispensa de Medicamentos em Portugal, 2015, 2016 e Projeções 2017. Universidade de Aveiro e Oliveira: Reis & Associados, SROC, Lda; 2018.
8.
go back to reference Martins L, Queirós S. Competition among pharmacies and the typology of services delivered: the Portuguese case. Health Policy (New York). 2015;119(5):640–7.CrossRef Martins L, Queirós S. Competition among pharmacies and the typology of services delivered: the Portuguese case. Health Policy (New York). 2015;119(5):640–7.CrossRef
9.
go back to reference Costa S, Santos C, Silveira J. Community pharmacy Services in Portugal. Ann Pharmacother. 2006;40(12):2228–34.CrossRef Costa S, Santos C, Silveira J. Community pharmacy Services in Portugal. Ann Pharmacother. 2006;40(12):2228–34.CrossRef
12.
go back to reference Eades CE, Ferguson JS, O ‘carroll RE. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC Public Health. 2011;11:582.CrossRef Eades CE, Ferguson JS, O ‘carroll RE. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC Public Health. 2011;11:582.CrossRef
13.
go back to reference Naik Panvelkar P, Saini B, Armour C. Measurement of patient satisfaction with community pharmacy services: a review. Pharm World Sci. 2009;31(5):525–37.CrossRef Naik Panvelkar P, Saini B, Armour C. Measurement of patient satisfaction with community pharmacy services: a review. Pharm World Sci. 2009;31(5):525–37.CrossRef
14.
go back to reference Nunes B, Baptista I, Contreiras T, Falcão JM. In: Centro de Estudo de Farmacoepidemiologia da Associação Nacional das Farmácias, editor. Estudo Nacional de Satisfação dos Utentes com as Farmácias. Lisboa: Farmácia Portuguesa; 2001. p. 64. Nunes B, Baptista I, Contreiras T, Falcão JM. In: Centro de Estudo de Farmacoepidemiologia da Associação Nacional das Farmácias, editor. Estudo Nacional de Satisfação dos Utentes com as Farmácias. Lisboa: Farmácia Portuguesa; 2001. p. 64.
16.
go back to reference Lynas K. Professionals you can trust: pharmacists top the list again in Ipsos Reid survey. Can Pharm J (Ott). 2012;145(2):55. Lynas K. Professionals you can trust: pharmacists top the list again in Ipsos Reid survey. Can Pharm J (Ott). 2012;145(2):55.
17.
go back to reference Duarte A, Nunes F, Martins L. In: GEST -IN/ISCTE, editor. Responsabilidade social no sector das farmácias em Portugal. Lisboa: Ordem dos Farmacêuticos; 2007. Duarte A, Nunes F, Martins L. In: GEST -IN/ISCTE, editor. Responsabilidade social no sector das farmácias em Portugal. Lisboa: Ordem dos Farmacêuticos; 2007.
18.
go back to reference Cavaco A, Dias J, Bates I. Consumers’ perceptions of community pharmacy in Portugal: a qualitative exploratory study. Pharm World Sci. 2005;27:54–60.CrossRef Cavaco A, Dias J, Bates I. Consumers’ perceptions of community pharmacy in Portugal: a qualitative exploratory study. Pharm World Sci. 2005;27:54–60.CrossRef
19.
go back to reference Mehralian G, Rangchian M, Rasekh HR. Client priorities and satisfaction with community pharmacies: the situation in Tehran. Int J Clin Pharm. 2014;36(4):707–15.CrossRef Mehralian G, Rangchian M, Rasekh HR. Client priorities and satisfaction with community pharmacies: the situation in Tehran. Int J Clin Pharm. 2014;36(4):707–15.CrossRef
21.
go back to reference Zhang X-H, Jin J, Ngorsuraches S, Li S-C. Development and validation of a scale to measure patients’ trust in pharmacists in Singapore. Patient Prefer Adherence. 2009;3(3):1–7.PubMedPubMedCentral Zhang X-H, Jin J, Ngorsuraches S, Li S-C. Development and validation of a scale to measure patients’ trust in pharmacists in Singapore. Patient Prefer Adherence. 2009;3(3):1–7.PubMedPubMedCentral
23.
go back to reference Mey A, Knox K, Kelly F, Davey AK, Fowler J, Hattingh L, et al. Trust and safe spaces: mental health Consumers’ and Carers’ relationships with community pharmacy staff. Patient - Patient-Centered Outcomes Res. 2013;6(4):281–9.CrossRef Mey A, Knox K, Kelly F, Davey AK, Fowler J, Hattingh L, et al. Trust and safe spaces: mental health Consumers’ and Carers’ relationships with community pharmacy staff. Patient - Patient-Centered Outcomes Res. 2013;6(4):281–9.CrossRef
26.
go back to reference Villako P, Raal A. A survey of Estonian consumer expectations from the pharmacy service and a comparison with the opinions of pharmacists. Pharm World Sci. 2007;29(5):546–50.CrossRef Villako P, Raal A. A survey of Estonian consumer expectations from the pharmacy service and a comparison with the opinions of pharmacists. Pharm World Sci. 2007;29(5):546–50.CrossRef
27.
go back to reference Lee S, Godwin OP, Kim K, Lee E, Watson M, Hannaford P. Predictive factors of patient satisfaction with pharmacy Services in South Korea: a cross-sectional study of National Level Data. Lam WWT, editor. PLoS One. 2015;10(11):e0142269.CrossRef Lee S, Godwin OP, Kim K, Lee E, Watson M, Hannaford P. Predictive factors of patient satisfaction with pharmacy Services in South Korea: a cross-sectional study of National Level Data. Lam WWT, editor. PLoS One. 2015;10(11):e0142269.CrossRef
28.
go back to reference Martins SF, Foppe van Mil JW, da Costa FA. The organizational framework of community pharmacies in Europe. Int J Clin Pharm. 2015;37(5):896–905.CrossRef Martins SF, Foppe van Mil JW, da Costa FA. The organizational framework of community pharmacies in Europe. Int J Clin Pharm. 2015;37(5):896–905.CrossRef
29.
go back to reference Nunes FG, Anderson JE, Martins LM. Patient reactions to community pharmacies’ roles: evidence from the Portuguese market. Health Expect. 2015;18(6):2853–64.CrossRef Nunes FG, Anderson JE, Martins LM. Patient reactions to community pharmacies’ roles: evidence from the Portuguese market. Health Expect. 2015;18(6):2853–64.CrossRef
30.
go back to reference Saramunee K, Krska J, Mackridge A, Richards J, Suttajit S, Phillips-Howard P. General public’s views on pharmacy public health services: current situation and opportunities in the future. Public Health. 2015;129(6):705–15.CrossRef Saramunee K, Krska J, Mackridge A, Richards J, Suttajit S, Phillips-Howard P. General public’s views on pharmacy public health services: current situation and opportunities in the future. Public Health. 2015;129(6):705–15.CrossRef
31.
go back to reference Siddiqua A, Kareem Abdul W, Ayan S, Al Azm L, Ali S. Antecedents of patients’ trust in pharmacists: empirical investigation in the United Arab Emirates. Int J Pharm Pract. 2017;26(1):63–72. Siddiqua A, Kareem Abdul W, Ayan S, Al Azm L, Ali S. Antecedents of patients’ trust in pharmacists: empirical investigation in the United Arab Emirates. Int J Pharm Pract. 2017;26(1):63–72.
32.
go back to reference Paddison C, Pachana NA. Health and demographic determinants of satisfaction with pharmacy services in older adults. New Zeal J Psycology. 1999;28(2):133–6. Paddison C, Pachana NA. Health and demographic determinants of satisfaction with pharmacy services in older adults. New Zeal J Psycology. 1999;28(2):133–6.
33.
go back to reference Whitty JA, Kendall E, Sav A, Kelly F, McMillan SS, King MA, et al. Preferences for the delivery of community pharmacy services to help manage chronic conditions. Res Soc Adm Pharm. 2015;11(2):197–215.CrossRef Whitty JA, Kendall E, Sav A, Kelly F, McMillan SS, King MA, et al. Preferences for the delivery of community pharmacy services to help manage chronic conditions. Res Soc Adm Pharm. 2015;11(2):197–215.CrossRef
34.
go back to reference Félix J, Ferreira D, Afonso-Silva M, Gomes MV, Ferreira C, Vandewalle B, et al. Social and economic value of Portuguese community pharmacies in health care. BMC Health Serv Res. 2017;17(1):606.CrossRef Félix J, Ferreira D, Afonso-Silva M, Gomes MV, Ferreira C, Vandewalle B, et al. Social and economic value of Portuguese community pharmacies in health care. BMC Health Serv Res. 2017;17(1):606.CrossRef
35.
go back to reference Miranda I, Costa FA. Willingness to pay (vontade para pagar) por um serviço de preparação individualizada da medicação (PIM). Rev Port Farmacoter. 2014;6(3):3–12. Miranda I, Costa FA. Willingness to pay (vontade para pagar) por um serviço de preparação individualizada da medicação (PIM). Rev Port Farmacoter. 2014;6(3):3–12.
36.
go back to reference Suh D-C. Consumers’ Willingness to pay for pharmacy services that reduce risk of medication-related problems. J Am Pharm Assoc. 2000;40(6):818–27. Suh D-C. Consumers’ Willingness to pay for pharmacy services that reduce risk of medication-related problems. J Am Pharm Assoc. 2000;40(6):818–27.
37.
go back to reference Hanna A, White L, Yanamandram V. Patients’ willingness to pay for diabetes disease state management services in Australian community pharmacies. Int J Pharm Healthc Mark. 2010;4(4):339–54.CrossRef Hanna A, White L, Yanamandram V. Patients’ willingness to pay for diabetes disease state management services in Australian community pharmacies. Int J Pharm Healthc Mark. 2010;4(4):339–54.CrossRef
38.
go back to reference Murphy PA, Frazee SG, Cantlin JP, Cohen E, Rosan JR, Harshburger DE. Pharmacy provision of influenza vaccinations in medically underserved communities. J Am Pharm Assoc. 2012;52(1):67–70.CrossRef Murphy PA, Frazee SG, Cantlin JP, Cohen E, Rosan JR, Harshburger DE. Pharmacy provision of influenza vaccinations in medically underserved communities. J Am Pharm Assoc. 2012;52(1):67–70.CrossRef
39.
go back to reference Latif A, Waring J, Watmough D, Barber N, Chuter A, Davies J, et al. Examination of England’s new medicine service (NMS) of complex health care interventions in community pharmacy. Res Social Adm Pharm. 2016;12(6):966–89.CrossRef Latif A, Waring J, Watmough D, Barber N, Chuter A, Davies J, et al. Examination of England’s new medicine service (NMS) of complex health care interventions in community pharmacy. Res Social Adm Pharm. 2016;12(6):966–89.CrossRef
40.
go back to reference OECD/EU. Health at a Glance. Europe 2016 - state of health in the EU cycle. Paris: OECD Publishing; 2016. p. 210. OECD/EU. Health at a Glance. Europe 2016 - state of health in the EU cycle. Paris: OECD Publishing; 2016. p. 210.
Metadata
Title
A new model for pharmacies? Insights from a quantitative study regarding the public’s perceptions
Authors
Verónica Policarpo
Sónia Romano
João H. C. António
Tânia Sofia Correia
Suzete Costa
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-019-3987-3

Other articles of this Issue 1/2019

BMC Health Services Research 1/2019 Go to the issue