How do Danish community pharmacies vary in engaging customers in medicine dialogues at the counter – an observational study

  • Susanne Kaae
  • Sahdia Sahleem
  • Maria Kristiansen
Keywords: Counseling, Health Communication, Community Pharmacy Services, Professional Practice, Observation, Denmark


Background: Counter counseling is an important part of community pharmacies service delivery. Difficulties arise because customers appear less interested than the staff in discussing their medicine. It is unclear how individual pharmacies differ with regard to overcoming these obstacles.

Objective: This study explores differences in the communication practices of pharmacies with regard to engaging customers in medicine dialogues.

Methods: The work of Stevenson et al. describing five types of interaction scenarios at the counter was used for structured overt non-participant observations of 100 encounters in each of five Danish pharmacies. Variation in pharmacies success in engaging customers in medicine dialogues were calculated using descriptive statistics, and the statistical significance of observed differences across pharmacies was analyzed using odds ratios (OR).

Results: Considerable differences between the pharmacies were identified. Differences exist in how often pharmacy staff attempts to encourage customers to participate in medication dialogues and how often they succeed. The pharmacies serving the most customers per day were the most successful. A possible link between a low number of refill customers offered counseling and ‘success rate’ was identified.

Conclusions: The pharmacies showed considerable variation in attempts to engage customers in medication dialogues at the counter and success in doing so. The reasons for the identified patterns are unclear.


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1. Assa-Eley M, Kimberlin CL. Using interpersonal perception to characterize pharmacists' and patients' perceptions of the benefits of pharmaceutical care. Health Commun. 2005;17(1):41-56.

2. Kaae S, Traulsen JM, Nørgaard LS. Challenges to counseling customers at the pharmacy counter - why do they exist? Res Social Adm Pharm. 2012 May-Jun;8(3):253-257. doi: 10.1016/j.sapharm.2011.05.002

3. Murad MS, Chatterley T, Guirguis LM. A meta-narrative review of recorded patient-pharmacist interactions: Exploring biomedical or patient-centered communication? Res Social Adm Pharm. 2014;10(1):1-20. doi: 10.1016/j.sapharm.2013.03.002

4. Puspitasari HP, Aslani P, Krass I. A review of counseling practices on prescription medicines in community pharmacies. Res Social Adm Pharm. 2009;5(3):197-210. doi: 10.1016/j.sapharm.2008.08.006

5. Schommer JC, Wiederholt JB. The association of prescription status, patient age, patient gender, and patient question asking behavior with the content of pharmacist-patient communication. Pharm Res. 1997;14(2):145-151.

6. Kaae S, Mygind A, Saleem S. Characterization of the current communication patterns in Danish community pharmacies - an observational study. Res Social Adm Pharm. 2013;9(6):958-964. doi: 10.1016/j.sapharm.2012.10.003

7. Tully MP, Beckman-Gyllenstrand A, Bernsten CB. Factors predicting poor counseling about prescription medicine i Swedish community pharmacies. Patient Educ Couns. 2011;83(1):3-6. doi: 10.1016/j.pec.2010.04.029

8. Vainio KK, Airaksinen MS, Hyykky TT, Enlund KH. Effect of the therapeutic class on counseling in community pharmacies. Ann Pharmacother. 2002;36(5):781-786.

9. Stevenson FA, Leontowitsch M, Duggan C. Over-the-counter medicines: professional expertise and consumer discourses. Sociol Health Illn. 2008;30(6):913-928. doi: 10.1111/j.1467-9566.2008.01108.x

10. Puspitasari HP, Aslani P, Krass I. How do Australian metropolitan and rural pharmacists counsel consumers with prescriptions? Pharm World Sci. 2009;31(3):394-405. doi: 10.1007/s11096-009-9289-9

11. McCambrigde J, Witton J, Elbourne DR. Systematic review of the Hawthorne effect: New concepts are needed to study research participation effects. J Clin Epidemiol. 2014;67(3):267-277. doi: 10.1016/j.jclinepi.2013.08.015

12. Ranelli PL, Coward RT. Residential differences in the use of pharmacists by older adults and their communication expreinces with pharmacists. J Rural Health. 1996;12(1):19-32.

13. Xu T, Rojas-Fernandez CH. Ancillary community pharmacy services provided to older people in a largely rural and ethnically diverse region: a survey of customers in West Texas. J Rural Health. 2003;19(1):79-86.

14. Desselle SP, Tipton DJ. Factors contributing to the satisfaction and performance ability of community pharmacists: a path model analysis. J Soc Adm Pharm. 2001;18(1):15-23.

15. Doucette WR, Jambulingam T. Pharmacy entrepreneurial orientation: antecedents and it´s effect on the provision of innovative pharmacy services. J Soc Adm Pharm. 1999;16(1):26-37.

16. Garner M, Watson MC. Using linguistic analysis to explore medicine counter assistants' communication during consultation for nonprescription medicines. Patient Educ Couns. 2007;65(1):51-57.

17. Shah B, Chewning B. Conceptualizing and measuring pharmacist-patient communication: a review of published studies. Res Social Adm Pharm. 2006;2(2):153-185.
How to Cite
Kaae S, Sahleem S, Kristiansen M. How do Danish community pharmacies vary in engaging customers in medicine dialogues at the counter – an observational study. Pharm Pract (Granada) [Internet]. 2014Sep.4 [cited 2019Aug.19];12(3):422. Available from:
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