Patient satisfaction with medication therapy adherence clinic services in a district hospital: a cross-sectional study

Main Article Content

Keywords

Patient Satisfaction, Pharmaceutical Services, Pharmacists, Diabetes Mellitus, Ambulatory Care, Ambulatory Care Facilities, Outpatients, Race Factors, Age Factors, Sex Factors, Multivariate Analysis, Cross-Sectional Studies, Malaysia

Abstract

Background: Patient satisfaction is one of the essential indicators for assessing the quality of healthcare services being delivered, including pharmacy ambulatory care service, as it determines the practicability and sustainability of the service provided. As such, pharmaceutical care services provided during medication therapy adherence clinic (MTAC) sessions need to be assessed to maximise its effectiveness and benefits to the patients.


Objective: This study aimed to assess the association between patient satisfaction and socio-demographic characteristics, as well as the predictors for patient satisfaction.


Methods: This was a cross-sectional study conducted at the medical outpatient department in Hospital Port Dickson from January until October 2019. Convenience sampling method was used to recruit potential study participants. Patient satisfaction was measured using Validated Patient Satisfaction with Pharmacist Services Questionnaire (PSPSQ2.0), consisted of quality of care and interpersonal relationship between pharmacist and patient domains. Descriptive data were presented as mean and standard deviation or numbers and percentages, while Independent Sample t-test, ANOVA and post-hoc analysis, and multiple linear regression were used for inferential data analysis.


Results: There were 37 (25%) diabetes MTAC, 36 (24.3%) respiratory MTAC, and 75 (50.7%) warfarin MTAC patients recruited. On average, the mean overall satisfaction score was 3.30(SD=0.43). The mean satisfaction score in the interpersonal relationship domain [3.35(SD=0.44)] was higher than the quality of care domain [3.26(SD=0.45)]. There was a significant association between gender, education level, and patient satisfaction towards pharmaceutical care service (p<0.05). Gender and education level statistically predicted respondents' satisfaction with MTAC services (p<0.001).


Conclusions: The overall patient satisfaction towards MTAC services in this setting was high. Gender and education level were significant predictors for patient satisfaction. These findings could potentially contribute to the planning of MTAC services in the future.

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References

1. Alrasheedy AA, Hassali MA, Wong ZY, Saleem F. Pharmacist-managed medication therapy adherence clinics: The Malaysian experience. Res Social Adm Pharm. 2017;13(4):885-886. https://doi.org/10.1016/j.sapharm.2017.02.011
2. Al-Tameemi NK, Sarriff A. Knowledge, attitude and practice of pharmacists on medication therapy management: a survey in Hospital Pulau Pinang, Penang, Malaysia. J Pharm Health Care Sci. 2019;5:1. https://doi.org/10.1186/s40780-019-0131-9
3. Bakar ZA, Fahrni ML, Khan TM. Patient satisfaction and medication adherence assessment amongst patients at the diabetes medication therapy adherence clinic. Diabetes Metab Syndr. 2016;10(2 Suppl 1):S139-S143. https://doi.org/10.1016/j.dsx.2016.03.015
4. Lim PC, Lim K, Embee ZC, Hassali MA, Thiagarajan A, Khan TM. Study investigating the impact of pharmacist involvement on the outcomes of diabetes medication therapy adherence program Malaysia. Pak J Pharm Sci. 2016;29(2):595-601.
5. Yee YL, Ching ML, Fauzanudin M, Yok OK, Mohd MF, Zuberi NA, Loo SY, Kiun CF, Jajuli MB. Barriers and facilitators to highly active antiretroviral therapy (HAART) among retroviral disease (RVD)-infected patients in Tawau Hospital. Pharm Res Rep. 2020:3(2):48-57.
6. Karuppannan M, Thana LS, Gnanasan S. Malaysian pharmacists' involvement in pharmaceutical care: a narrative review. Arch Phar Pharmacol Res. 2019:2(1):528. http://doi.org/10.33552/APPR.2019.02.000528
7. Saw PS, Nissen LM, Freeman C, Wong PS, Mak V. Health care consumers' perspectives on pharmacist integration into private general practitioner clinics in Malaysia: a qualitative study. Patient Prefer Adherence. 2015;9:467-477. https://doi.org/10.2147/ppa.s73953
8. Yong YV, Shafie AA. Using a dynamic adherence Markov model to assess the efficiency of Respiratory Medication Therapy Adherence Clinic (RMTAC) on asthma patients in Malaysia. Cost Eff Resour Alloc. 2018;16:36. https://doi.org/10.1186/s12962-018-0156-1
9. Aidit S, Soh YC, Yap CS, et al. Effect of Standardized Warfarin Treatment Protocol on Anticoagulant Effect: Comparison of a Warfarin Medication Therapy Adherence Clinic with Usual Medical Care. Front Pharmacol. 2017;8:637. https://doi.org/10.3389/fphar.2017.00637
10. Sakharkar P, Bounthavong M, Hirsch JD, Morello CM, Chen TC, Law AV. Development and validation of PSPSQ 2.0 measuring patient satisfaction with pharmacist services. Res Social Adm Pharm. 2015;11(4):487-498. https://doi.org/10.1016/j.sapharm.2014.10.006
11. MacKeigan LD, Larson LN. Development and validation of an instrument to measure patient satisfaction with pharmacy services. Med Care. 1989;27(5):522-536. https://doi.org/10.1097/00005650-198905000-00007
12. Ganasegeran K, Perianayagam W, Manaf RA, Jadoo SA, Al-Dubai SA. Patient satisfaction in Malaysia's busiest outpatient medical care. ScientificWorldJournal. 2015;2015:714754. https://doi.org/10.1155/2015/714754
13. Asadi-Lari M, Tamburini M, Gray D. Patients' needs, satisfaction, and health related quality of life: towards a comprehensive model. Health Qual Life Outcomes. 2004;2:32. https://doi.org/10.1186/1477-7525-2-32
14. Hassali MA, Saleem F, Verma AK, Choy WY, Nouri AI, Asmani MF. Translation and Validation of Patient Satisfaction with Pharmacist Services Questionnaire (PSPSQ 2.0). J Young Pharm. 2018;10(4):427-432. http://doi.org/10.5530/jyp.2018.10.94
15. Williams A. How to...write and analyse a questionnaire. J Orthod. 2003;30(3):245-252. https://doi.org/10.1093/ortho/30.3.245
16. Department of Statistics Malaysia. Negeri Sembilan at a glance. https://www.dosm.gov.my/v1/index.php?r=column/cone&menu_id=dE1BS2RzYnZFclA3SVhTTS84WDl2UT09 (accessed May 8, 2021).
17. Hinton PR, McMurray I, Brownlow C. SPSS explained. London: Routledge; 2004.
18. Zyoud SH, Al-Jabi SW, Sweileh WM, Morisky DE. Relationship of treatment satisfaction to medication adherence: findings from a cross-sectional survey among hypertensive patients in Palestine. Health Qual Life Outcomes. 2013;11:191. https://doi.org/10.1186/1477-7525-11-191
19. Hasyimah R, Aniza L, Ahmad Taufik J, Jamsiah M, Azimatun Noor A. Factors affecting outpatients' satisfaction at University Kebangsaan Malaysia Medical Centre (UKMMC). Malaysian J Public Health Med. 2014;14(2):77-85.
20. Ankrah DN, Ofei-Palme CN, Nordor M, Nelson F, Ocansey D, Bruce E. Patients perception and expectations of services provided by pharmacists in Ghanaian hospitals. Afr J Pharm Pharmacol. 2014;8(46):1164-1172. https://doi.org/10.5897/AJPP2014.4204
21. Ismail A, Gan YN, Ahmad N. Factors associated with patient satisfaction towards pharmacy services among out-patients attending public health clinics: Questionnaire development and its application. PLoS One. 2020;15(11):e0241082. https://doi.org/10.1371/journal.pone.0241082
22. Lai PSM, Chung WW, Toh LS, Othman S. Development and validation of an Ambulatory Care Patient Satisfaction Questionnaire to assess pharmacy services in Malaysia. Int J Clin Pharm. 2018;40(5):1309-1316. https://doi.org/10.1007/s11096-018-0721-x
23. Khan AA, Siddiqui AZ, Mohsin SF, Mohamed BA. Sociodemographic Characteristics as Predictors of Satisfaction in Public and Private Dental Clinics. Pak J Med Sci. 2018;34(5):1152-1157. https://doi.org/10.12669/pjms.345.15519
24. Hassali MA, Alrasheedy AA, Ab Razak BA, et al. Assessment of general public satisfaction with public healthcare services in Kedah, Malaysia. Australas Med J. 2014;7(1):35-44. https://doi.org/10.4066/amj.2014.1936
25. Raja Lexshimi RG, Zaleha MI, Shamsul AS, Suriawati G. Patient satisfaction on waiting time and duration of consultation at Orthopedic Clinic, Universiti Kebangsaan Malaysia Medical Centre. Med Health. 2009;4(1):35-46.
26. Ayalew MB, Taye K, Asfaw D, et al. Patients'/Clients' Expectation Toward and Satisfaction from Pharmacy Services. J Res Pharm Pract. 2017;6(1):21-26. https://doi.org/10.4103/2279-042x.200995
27. Thanimalai S, Shafie AA, Ahmad Hassali MA, Sinnadurai J. Cost-Effectiveness of Warfarin Medication Therapy Adherence Clinic versus Usual Medical Clinic at Kuala Lumpur Hospital. Value Health Reg Issues. 2018;15:34-41. https://doi.org/10.1016/j.vhri.2017.05.006

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