PUBLIC HEALTH PROTECTION AS A PROFESSIONAL FUNCTION OF A PHARMACIST − ANALYSIS OF EXPECTATIONS AND PREFERENCES OF PHARMACEUTICAL SERVICES CONSUMERS

I. A. Kirshcina, A. Karimova, A. Soloninina
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Abstract

Implementation of state problems in the field of public health protection is impossible without the participation of phar- maceutical specialists, which requires a comprehensive assessment of existing practices in the field of health and social work from the consumers’ view. The purpose of the research is to study the expectations, preferences and consumers satisfaction with the level of participation of pharmacists in maintaining and improving the public health. Materials and methods. The assessment of consumer expectations and preferences was based on the analysis of the survey results using standard methods of statistical analysis (two-sample student test, nonparametric Mann-Whitney test with a significance level of p<0.05, Friedman’s rank analysis of variance) in the software products Statistica 10 and Microsoft Excel. Results. Analysis of consumer expectations and their satisfaction regarding the participation of pharmacists in public health has allowed to define the portrait of the most competent and at the same time demanding visitor pharmacies. It’s a woman 36-50 years old with higher education that has got children up to 18 years and/or older relatives (friends), and/or with chronic diseases and receiving multiple medications on a regular basis. With increasing age, the number of chronic diseases and, consequently, the number of necessary medications, consumer expectations are also increase. The public reaction to the participation of pharmacists in public health protection is mostly positive, however the pharmaceutical specialist is more widely perceived in society as an expert on medicines, rather than on healthcare in general. For all consumers of pharmaceutical services, the most significant characteristic is the level of pharmacists’ professional compe- tence. Regular consumers of pharmacy services express a higher willingness to follow the pharmacists’ recommendations to pre- serve and promote health (such as healthy diet, physical activity, solving problems associated with quitting smoking). At the same time, consumers without any health problems are less motivated to receive health-saving recommendations from a pharmacist. Conclusion: The modern society is aware of the significant role of pharmacists in the implementation of health-saving technologies, although the range of their professional tasks rarely goes further than the sphere of medicines supply. This fact requires the phar- macy manager to focus on monitoring the compliance of specialists ‘ competencies with consumer expectations. The greatest interest in receiving health-saving recommendations from pharmacists is shown by older patients having chronic dis- eases and taking medicines on a regular basis, while the involvement of other categories of pharmacy’s visitors in preventive con- sultations remains low. This circumstance indicates the potential for strengthening the preventive component of pharmaceutical counseling, which will allow visitors to form a deeper understanding of pharmacists as full participants in the healthcare system.
作为药剂师的专业职能的公共卫生保护——对药学服务消费者的期望和偏好的分析
如果没有医药专家的参与,就不可能执行公共卫生保护领域的国家问题,这就需要从消费者的角度对卫生和社会工作领域的现有做法进行全面评估。本研究的目的是研究消费者对药师参与维护和改善公共卫生水平的期望、偏好和满意度。材料和方法。消费者期望和偏好的评估基于使用统计分析的标准方法(双样本学生检验,显著性水平p<0.05的非参数Mann-Whitney检验,弗里德曼方差秩分析)在软件产品Statistica 10和Microsoft Excel中对调查结果进行分析。结果。通过分析消费者对药剂师参与公共卫生工作的期望和满意度,可以确定最有能力同时又要求最高的来访药房的概况。这是指年龄在36-50岁之间,受过高等教育,有18岁以下的孩子和/或年长的亲戚(朋友),和/或患有慢性疾病并定期接受多种药物治疗的女性。随着年龄的增长,慢性病的数量增加,因此,必要药物的数量也在增加,消费者的期望也在增加。公众对药剂师参与公共卫生保护的反应大多是积极的,然而,社会上更广泛地认为制药专家是药物方面的专家,而不是一般保健方面的专家。对于所有的药学服务消费者来说,最显著的特征是药师的专业能力水平。经常使用药房服务的消费者表示更愿意遵循药剂师的建议来预防和促进健康(如健康饮食、体育活动、解决与戒烟有关的问题)。与此同时,没有任何健康问题的消费者不太愿意接受药剂师的健康建议。结论:现代社会意识到药剂师在实施拯救健康技术方面的重要作用,尽管他们的专业任务范围很少超出药品供应领域。这一事实要求药房经理集中精力监测专家的能力是否符合消费者的期望。患有慢性疾病并定期服药的老年患者对接受药剂师的保健建议最感兴趣,而其他类别的药房访客参与预防性咨询的比例仍然很低。这种情况表明,加强药物咨询的预防成分的潜力,这将使参观者形成一个更深入的了解药剂师作为充分参与医疗保健系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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