Impact of pharmacy care services on patients’ perceptions of health care quality for diabetes
| Autor: | Angela M. Pacholski, David P. Nau |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Pharmacology (nursing) Pharmacy Patient satisfaction Patient Education as Topic Ambulatory care Surveys and Questionnaires Health care Medication therapy management Diabetes Mellitus Humans Hypoglycemic Agents Medicine Quality of Health Care Glycated Hemoglobin Pharmacology business.industry Information quality Professional-Patient Relations Middle Aged Clinical pharmacy Pharmaceutical care Patient Satisfaction Pharmaceutical Services Family medicine Female Perception business Health care quality |
| Zdroj: | Journal of the American Pharmacists Association. 47:358-365 |
| ISSN: | 1544-3191 |
| DOI: | 10.1331/japha.2007.06104 |
| Popis: | Objectives To (1) construct and evaluate a measure of patients' perceptions of the quality of diabetes care and (2) determine the impact of pharmacy care services (PCSs) on patients' perceptions of the quality of their diabetes care while controlling for patient-related factors. Design Two-phased study using a single-group, pretest–posttest design. Setting Community pharmacies that provided PCSs to diabetic patients as part of the Patient Self-Management Program for Diabetes in North Carolina, Georgia, Ohio, and Wisconsin. Participants 218 patients with diabetes covered by self-insured employers' health plans. Interventions Pharmacist-provided care services using scheduled consultations, clinical goal setting, monitoring, and collaborative drug therapy management with physicians and referrals to diabetes educators. Main outcomes measures Changes in patients' perceptions of quality measured by a self-administered questionnaire that included a six-item scale of information quality, a five-item scale of provider quality, and a one-item overall rating of care. Results The assessment of the baseline data (Phase I) demonstrated that the measures of perceived quality possessed acceptable psychometric properties. After PCSs were implemented (Phase II), the scores for the information scale improved significantly (paired t = 7.64, P t = 6.30, P t = 5.54, P 7lt;0.01). In multivariate analyses, the improvement in perceived quality was not explained by the change in glycosylated hemoglobin when controlling for age, gender, race/ethnicity, and baseline quality perceptions. Conclusion PCSs enhanced patients' perceived quality of their diabetes care. The improvement in perceived quality was not explained by the change in glycemic control, which suggests that nonclinical factors in care are important to patients' evaluations of quality. |
| Databáze: | OpenAIRE |
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