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Development and utilization of the Medicines Use Review patient satisfaction questionnaire

机译：药物使用审查患者满意度调查表的开发和利用

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The Medicines Use Review is a community pharmacy service funded in the United Kingdom to improve patients’ adherence to medication and reduce medicines waste. The objective was to develop, pilot, and utilize a new Medicines Use Review patient satisfaction questionnaire. A questionnaire for patient self-completion was developed using a published framework of patient satisfaction with the Medicines Use Review service. The questions were validated using the content validity index and the questionnaire piloted through three pharmacies (February–April 2016). The revised questionnaire contained 12 questions with responses on a 5-point Likert scale, and a comments box. The questionnaire was distributed to patients following a Medicines Use Review consultation via community pharmacies (June–October 2016). Exploratory factor analysis and Cronbach’s α were performed to investigate the relationships between the items and to examine structural validity. The survey results were examined for patients’ reported satisfaction with Medicines Use Reviews, while the handwritten comments were thematically analyzed and mapped against the questionnaire items. An estimated 2,151 questionnaires were handed out, and a total of 505 responses were received indicating a 24% response rate. Exploratory factor analysis revealed two factors with a cumulative variance of 68.8%, and Cronbach’s α showed high internal consistency for each factor (α=0.90 and α=0.89, respectively). The survey results demonstrated that patients could show a high degree of overall satisfaction with the service, even if initially reluctant to take part in a Medicines Use Review. The results support the Medicines Use Review patient satisfaction questionnaire as a suitable tool for measuring patient satisfaction with the Medicines Use Review service. A wider study is needed to confirm the findings about this community pharmacy-based adherence service.
机译：《药品使用评论》是由英国资助的社区药房服务，旨在提高患者对药物的依从性并减少药物浪费。目的是开发，试行和利用新的《药品使用审核》患者满意度调查表。使用“药物使用审查”服务发布的患者满意度框架，开发了患者自我完成调查表。使用内容有效性指数验证了问题，并通过三个药房试行了问卷（2016年2月至4月）。修订后的调查表包含12个问题，并在5点李克特量表上有一个回答，并带有一个注释框。在通过社区药房进行药物使用审核咨询后，该问卷已分发给患者（2016年6月至10月）。探索性因素分析和Cronbach的α进行了调查项目之间的关系，并检查结构的有效性。对调查结果进行了检查，以检查患者对《药品使用评论》的满意程度，同时对手写的评论进行了主题分析，并与调查表项目进行了对照。估计发放了2,151份问卷，共收到505份答复，表明答复率为24％。探索性因素分析显示，两个因素的累积方差为68.8％，Cronbach'sα对每个因素均显示出较高的内部一致性（分别为α= 0.90和α= 0.89）。调查结果表明，即使最初不愿参加《药品使用评论》，患者对服务的总体满意度也很高。结果支持了《药品使用评论》患者满意度调查表，作为衡量使用《药品使用评论》服务的患者满意度的合适工具。需要进行更广泛的研究，以确认有关基于社区药房的依从性服务的发现。

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