1.Empirical Study on Influencing Factors for Evaluation of Medical Service and Intention to Revisit of Patient Perspective in Community Pharmacies
Susumu Sashima ; Hidehiko Sakurai ; Yousuke Sato ; Takuya Wagatsuma ; Yukitoshi Hayase
Japanese Journal of Drug Informatics 2017;18(4):251-260
Objective: As a “family pharmacy and pharmacist,” high-quality medical service is demanded. Many patient satisfaction investigations are performed to evaluate community pharmacies, but it has been impossible until now to do so using an improvement index of the medical quality. Therefore, I investigated the influence and evaluation structure of two evaluation concepts regarding quality of medical service and patient satisfaction and intention to use again, which becomes the important key as a “family” pharmacy.
Methods: I used anonymous patient survey data gathered for the purpose of duties improvement in July 2009. I subjected the responses to factor and covariance structure analyses.
Results: Dates for four dimensions were obtained for factor analysis. As a whole, covariance structure analysis showed that, in terms of privacy and only for service quality, entertainment primarily influenced satisfaction. The ingestion instruction had a big effect on both sides. General satisfaction was also substantially influenced by service quality. The difference in influence degree was confirmed at each parameter.
Conclusion: It was found that not only satisfaction but also quality of service were equally demanded in community pharmacies. It is necessary to increase these because most are influenced by ingestion instruction as a factor in service quality. However, future investigation is necessary to clarify the detailed ingestion instruction contents.
2.An Investigation on Evaluation Structure of the Patient for Ingestion Instruction in Community Pharmacies
Susumu Sashima ; Hidehiko Sakurai ; Takuya Wagatsuma ; Yousuke Sato ; Yukitoshi Hayase
Japanese Journal of Drug Informatics 2015;17(3):118-124
Objective: Many studies on patient satisfaction are conducted in community pharmacies. In contrast, the present study assess the community pharmacy function and to the best of our knowledge, appears to be the first to evaluate the professional functions of pharmacists.
Methods: In September 2010, in 1 week, we conducted a survey that focused on pharmacists’ professional abilities. I subjected the responses to factor analysis and covariance structure analysis.
Results: We obtained 2,506 effective responses (appropriately completed and returned questionnaires) of the 4,633 questionnaires originally distributed. Data of seven dimensions were obtained for factor analysis. In all, the various information provision services rendered by a pharmacist were not significant. According to the covariance structure analysis, “safety” (a pharmaceutical management item) and “responsiveness” (a complimentary element) were significant factors. Differences in the degree of influence were confirmed for each parameter in the analysis, depending on the parameter. In addition, the information provision services were significant during the acute period.
Conclusion: Because the information provision services were not significant, the influence of “asymmetric information” warrant further analysis according to the specialty. I believe that it is necessary to examine asymmetric information in greater detail in the future. In addition, I think that an interventional study that is based on these results is also necessary.
3.Study on Evaluation of Efficiencies for Drug information by Video and Paper Media in Community Pharmacies
Susumu SASHIMA ; Yurika ASAI ; Keiko KISHIMOTO ; Hidehiko SAKURAI
Japanese Journal of Drug Informatics 2021;22(4):207-213
Objective: While pharmacies focus on interpersonal work, patients need to process a lot of information. Therefore, it is important for the pharmacy to provide information according to the situation. This study was conducted for the purpose of providing a video and paper media, and clarifying that it is useful to provide information in various mediums about the method of administering the powdered medicine, which requires an understanding of the operation.Method: Conducted a survey for those who brought prescriptions for infants from March 2016 to about a year and a half. We compared and verified the understanding of the medication method for infants between the paper medium group and the moving image medium group.Results: Differences in the background between the two media use groups were clarified, and path analysis confirmed differences in the factors that affect the reliable administration of each medium to infants. It was revealed that the evaluation of moving image media was higher than the comparison between the groups in terms of usability. Although there was no difference in the ability to use the medium at his own pace, the moving images were significantly higher in understanding the motion.Discussion: There is a limit to the understanding of motions with a single explanation at the pharmacy counter. It was confirmed in this study that information provision using a medium that can be used depending on the situation of the patient is useful as a complementary role in medication instruction. Providing information while appropriately combining information provision in various media is thought to reduce the burden on patients and contribute to improved adherence.