Attitudes of Finnish Community Pharmacists Toward Concordance

Annals of Pharmacotherapy - Tập 38 Số 11 - Trang 1946-1953 - 2004
Heli Kansanaho1, Inka Puumalainen2, Maaret Varunki3, Marja Airaksinen4, Parisa Aslani5
1Heli M Kansanaho LicPharm, Acting Senior Lecturer, Faculty of Pharmacy, Division of Social Pharmacy, University of Helsinki, Helsinki, Finland
2Inka I Puumalainen MSc Pharm, Researcher, Division of Social Pharmacy, University of Kuopio, Kuopio, Finland
3Maaret M Varunki MSc Pharm, Researcher, Division of Social Pharmacy, University of Kuopio
4Marja SA Airaksinen PhD, Professor, Division of Social Pharma cy, University of Helsinki
5Parisa Aslani PhD, Lecturer in Pharmacy Practice, Associate Dean (Undergraduate), Faculty of Pharmacy, University of Sydney, Sydney, Australia

Tóm tắt

BACKGROUND Concordance is a new model of interaction between healthcare professionals and patients. The work of pharmacists and patients in the consultation is a negotiation between equals, and the aim is therapeutic alliance between them. OBJECTIVE To assess Finnish community pharmacists’ attitudes toward concordance and its perceived impact on pharmacist–patient consultations during a 4-year Finnish project (TIPPA Project 2000–2003) aimed at promoting patient counseling. METHODS A survey of a random sample of 734 community pharmacists in Finland was conducted in 2002. The questionnaire included an attitudinal scale and 2 open-ended questions on the impact of the TIPPA Project on patient counseling. Attitudes toward concordance were measured using a modified version of the LATCon scale. The construct validity and internal consistency of the scale were evaluated using factor analysis and Cronbach's α. Mean summative factor scores (MSS) and 95% confidence intervals were calculated for each factor. The responses to the open-ended questions were content analyzed. RESULTS A response rate of 51% (n = 376) was obtained. Almost 80% of the respondents strongly agreed that the highest priority in patient counseling was to establish a therapeutic alliance between the pharmacist and patient. Factor analysis of the attitudinal scale yielded 3 primary factors explaining 37.6% of the variance, interpreted as respecting patients’ beliefs (α = 0.60; MSS = 1.90; 95% CI 2.25 to 2.40), establishing a therapeutic alliance (α = 0.65; MSS = 1.36; 95% CI 1.31 to 1.40), and sensitivity to patients’ reactions (α = 0.66; MSS = 2.33; 95% CI 1.83 to 1.96). Results of the open-ended questions indicated that the TIPPA Project had a positive impact on pharmacists’ attitudes toward concordance. CONCLUSIONS Respondents to our survey were supportive of concordance. The TIPPA Project elicited a positive impact on pharmacists’ attitudes toward counseling. Pharmacist education through programs such as TIPPA can aid in the implementation of a concordance-based counseling practice.

Từ khóa


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Thông tin
Thông tin xuất bản

Annals of Pharmacotherapy

Tập 38 Số 11

1946-1953

Thông tin tác giả