Unlocking the value: Communicating the value of the pharmacist to the patient
Keywords:Pharmacy Services, Value, Students, Pharmacy, Clinical Counselling, Customer Service
Objective: To evaluate student pharmacists’ perspectives of the value that they provide to their patients.
Methods: Third year (P3) professional pharmacy students were required to complete an educational workshop programme integrated into the Professional Practice Skills Laboratory. Prior to, and after the completion of the audio- visual teaching, an Institutional Review Board approved, anonymous, voluntary paper-based survey was distributed to all students. These surveys were intended to assess the perceptions of pharmacy students towards the value of the services they provide. The authors examined student opinions regarding the services most important to their patients, as well as their response to the contents of the workshop. The post-workshop survey also evaluated the impact of the exercise on the students’ ability to have gained new insights on addressing the issues they might have in communicating their value and their ideas regarding the ideal patient attitude to the services provided by the pharmacist. The survey was analysed descriptively.
Results: Four hundred and seventy-seven students completed the survey. In the baseline survey, 37% of the students believed that providing accurate clinical information was the most critical service they provided to the patients, with 50% of the students highlighting cost and insurance questions as the most frustrating aspect of their daily routine. The educational workshop was generally well received with 66% of the students strongly agreeing that the speaker met the goals. In the post-workshop survey, 77.7% of the students reported being better equipped to communicate their value to patients by moving the conversation from other issues to the clinical aspects of care. In the baseline survey, 30.2% of the students indicated that clinical information and accurate dispensing were the most important services to the patients. As a result of the exercise, a higher proportion of students (66%) in the post-workshop survey wanted this to be the most valuable service according to the patients.
Conclusions: Clinical aspects of care were of most value according to the pharmacy students. As a result of the educational workshop, students gained a new perspective to shift the conversations with the patients to these aspects. The workshop demonstrated a positive impact on student perceptions of ideal patient attitude towards the role of the pharmacists.
Abrons, J.P., & Smith, M. (2011). Patient-centered medical homes: primer for pharmacists. J Am Pharm Assoc 2003, 51(3), e38-48; quiz e49-50. doi:10.1331/ JAPhA.2011.11524
Al Hamarneh, Y.N., Rosenthal, M., McElnay, J.C., & Tsuyuki, R.T. (2012). Pharmacists' perceptions of their practice: A comparison between Alberta and Northern Ireland. Int J Pharm Pract, 20(1), 57-64. doi:10.1111/j. 2042-7174.2011.00163.x
Alghurair, S.A., Simpson, S.H., & Guirguis, L.M. (2012). What elements of the patient-pharmacist relationship are associated with patient satisfaction? Patient Prefer Adherence, 6, 663-676. doi:10.2147/PPA.S35688
Altilio, J.V. (2009). The pharmacist's obligations to patients: dependent or independent of the physician's obligations? J Law Med Ethics, 37(2), 358-368. doi: 10.1111/j.1748-720X.2009.00379.x
Arif, S., Cryder, B., Mazan, J., Quinones-Boex, A., & Cyganska, A. (2017). Using Patient Case Video Vignettes to Improve Students' Understanding of Cross-cultural Communication. Am J Pharm Educ, 81(3), 56. doi: 10.5688/ajpe81356
Arthur Anderson LLP. (1999). Pharmacy cost and productivity study. Available at: http://www.nacds.org/ user-assets/PD_Ffiles/arthur_andersen.PDF. Accessed 23 September, 2017
Assa-Eley, M., & Kimberlin, C.L. (2005). Using interpersonal perception to characterize pharmacists' and patients' perceptions of the benefits of pharmaceutical care. Health Commun, 17(1), 41-56. doi:10.1207/ s15327027hc1701_3
Blouin, R.A., & Adams, M.L. (2017). The Role of the Pharmacist in Health Care: Expanding and Evolving. N C Med J, 78(3), 165-167. doi:10.18043/ncm.78.3.165
Cadogan, C.A., Ryan, C., & Hughes, C.M. (2016). Appropriate Polypharmacy and Medicine Safety: When Many is not Too Many. Drug Saf, 39(2), 109-116. doi: 10.1007/s40264-015-0378-5
Carlisle, A., Jacobson, K.L., Di Francesco, L., & Parker, R.M. (2011). Practical strategies to improve communication with patients. P T, 36(9), 576-589
Centre for Health Workforce Studies. (2006). The Impact of the aging population on the health workforce in the United States: Summary of key findings. School of Public Health, University at Albany (online). Available at:https://www.albany.edu/news/pdf_files/impact_ of_aging_excerpt.pdf.
Accessed 23 September, 2017
Centers for Medicare and Medicaid Services. (2018). National Health Expenditures 2017 Highlights. Available at: https://www.cms.gov/Research-Statistics-Data-and- Systems/Statistics-Trends-and-Reports/NationalHealth ExpendData/index.html. Accessed 31 December, 2018
Chisholm-Burns, M.A., Spivey, C.A., Jaeger, M.C., Williams, J., & George, C. (2017). Development of an Instrument to Measure Student Attitudes Concerning Pharmaceutical Care, Am J Pharm Educ, 81(4), doi: 10.5688/ajpe81465
Cowper, P.A., DeLong, E.R., Whellan, D.J., Allen LaPointe, N.M., & Califf, R.M. (2004). Economic effects of beta-blocker therapy in patients with heart failure. Am J Med, 116(2), 104-111
Dieleman, J.L., Baral, R., Birger, M., Bui, A.L., Bulchis, A., Chapin, A., et al. (2016). US Spending on Personal Health Care and Public Health, 1996-2013. JAMA, 316(24), 2627-2646. doi:10.1001/jama.2016.16885
El Hajj, M.S., Hammad, A.S., & Afifi, H.M. (2014). Pharmacy students' attitudes toward pharmaceutical care in Qatar. Ther Clin Risk Manag, 10, 121-129. doi: 10.2147/TCRM.S56982
Ernst, F.R., & Grizzle, A.J. (2001). Drug-related morbidity and mortality: updating the cost-of-illness model. J Am Pharm Assoc (Wash), 41(2), 192-199
Farley, J.F., Ferreri, S.P., Easter, J.C., & McClurg, M.R. (2017). The North Carolina Experiment: Active Research in the Development and Assessment of New Practice Models. N C Med J, 78(3), 186-190. doi:10.18043/ncm. 78.3.186
Johnson, J.A., Simpson, S.H., Toth, E.L., & Majumdar, S.R. (2005). Reduced cardiovascular morbidity and mortality associated with metformin use in subjects with Type 2 diabetes. Diabet Med, 22(4), 497-502. doi: 10.1111/j.1464-5491.2005.01448.x
Loewen, P., Merrett, F., & Lemos, J.D. (2010). Pharmacists' perceptions of the impact of care they provide. Pharm Pract (Granada), 8(2), 89-95
Long, G. (2006). The impact of antihypertensive drugs on the number and risk of death, stroke and myocardial infarction in the United States, National Bureau of Economic Research, Working Paper No. 12096
MacDonnell, C.P., Derreza, A.J., Lavin, M.D., Cohen, S. A. & Cohen, L. (2011). Impact of an Interdisciplinary Practice Laboratory on Pharmacy and Nursing Students' Perceptions of Health Care Roles. International Journal of Pharmacy Education and Practice, 7(1). doi:10.5688/ ajpe768154
MacDonnell, C.P., Rege, S.V., Misto, K., Dollase, R., & George, P. (2012). An introductory interprofessional exercise for healthcare students. Am J Pharm Educ, 76(8), 154. doi:10.5688/ajpe768154
Mehta, B., Shah, B., & Zlott, D. (2007). Demonstrating pharmacists' value: this is the time and tide to work together. J Am Pharm Assoc (2003), 47(1), 12-4, 16-7
Mesquita, A.R., Lyra, D.P. Jr., Brito, G.C., Balisa-Rocha, B.J., Aguiar, P.M., & de Almeida Neto, A.C. (2010). Developing communication skills in pharmacy: a systematic review of the use of simulated patient methods. Patient Educ Couns, 78(2), 143-148. doi: 10.1016/j.pec.2009.07.012
Moczygemba, L.R., Goode, J.V., Silvester, J.A., & Matzke, G.R. (2012). Pharmacy practice in Virginia in 2011. Ann Pharmacother, 46(4), S13-26. doi:10.1345/ aph.1Q802
Morgan, S., & Kennedy, J. (2010). Prescription drug accessibility and affordability in the United States and abroad. Issue Brief (Commonw Fund), 89, 1-12
Patterson, B.J., Doucette, W.R., Urmie, J.M., & McDonough, R.P. (2013). Exploring relationships among pharmacy service use, patronage motives, and patient satisfaction. J Am Pharm Assoc (2003), 53(4), 382-389. doi:10.1331/JAPhA.2013.12100
Rosenthal M.M., Austin, Z., & Tsuyuki, R.T. (2010). Are pharmacists the ultimate barrier to pharmacy practice change? Can Pharm J (Ott), 143(6), 317-319. doi: 10.1177/1715163516672832
Rosenthal, M.M., Breault, R.R., Austin, Z., & Tsuyuki, R.T. (2011). Pharmacists' self-perception of their professional role: insights into community pharmacy culture. J Am Pharm Assoc (2003), 51(3), 363-367. doi: 10.1331/JAPhA.2011.10034
Schindel, T.J., Yuksel, N., Breault, R., Daniels, J., Varnhagen, S., & Hughes, C.A. (2017). Perceptions of pharmacists' roles in the era of expanding scopes of practice. Res Social Adm Pharm, 13(1), 148-161. doi: 10.1016/j.sapharm.2016.02.007
Smith, M., Bates, D.W., Bodenheimer, T., & Cleary, P.D. (2010). Why pharmacists belong in the medical home. Health Aff (Millwood), 29(5), 906-913. doi:10.1377/ hlthaff.2010.0209