Assessment of communication barriers in community pharmacies

被引:15
作者
Paluck, EC [1 ]
Green, LW
Frankish, CJ
Fielding, DW
Haverkamp, B
机构
[1] Regina QuAppelle Hlth Reg, Regina, SK, Canada
[2] US Dept HHS, Ctr Dis Control & Prevent, Washington, DC 20201 USA
[3] Univ British Columbia, Vancouver, BC V5Z 1M9, Canada
关键词
patient-provider communication; pharmacist services; PRECEDE-PROCEED model;
D O I
10.1177/0163278703258104
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This study identified previously reported facilitators and barriers to pharmacist-client communication and then evaluated their impact on the observed communication behaviors of pharmacists. Pharmacists (n = 100) completed a seven-page questionnaire collecting information on 11 variables that had been organized according to the Policy, Regulatory and Organizational Constructs in Educational and Ecological Development (PROCEDE) model as predisposing, enabling, or reinforcing of pharmacist communication with their clients. Demographic variables also were included. "Communication quality" served as the study's dependent variable, whereas pharmacist responses served as the independent variables. Communication quality scores for each pharmacist were obtained front the analysis of 765 audiorecordings of verbal exchanges occurring between the study pharmacists and their consenting clients during 4-hour, on-site observation periods. Four of the variables examined in the study were found to share a unique relationship with communication quality (Pharmacists' attitude, Year of graduation, adherence expectations, and outcome expectations). Hierarchical multiple regression analysis revealed that the variables measured in the questionnaire accounted for 23% of the variance in communication quality scores. Plausible explanations for why the study was unable to capture more of the variance in its proposed relationships and future areas for research are provided.
引用
收藏
页码:380 / 403
页数:24
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