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International Journal of Clinical Pharmacy

, Volume 36, Issue 2, pp 325–335 | Cite as

Community pharmacies automation: any impact on counselling duration and job satisfaction?

  • Afonso Miguel CavacoEmail author
  • Anette Aaland Krookas
Research Article

Abstract

Background One key indicator of the quality of health practitioners–patient interaction is the encounters’ duration. Automation have been presented as beneficial to pharmacy staff work with patients and thus with a potential impact on pharmacists’ and technicians’ job satisfaction. Objective To compare the interaction length between pharmacy staff and patients, as well as their job satisfaction, in community pharmacies with and without automation. Setting Portuguese community pharmacies with and without automation. Methods This cross-sectional study followed a quasi-experimental design, divided in two phases. In the first, paired community pharmacies with and without automation were purposively selected for a non-participant overt observation. The second phase comprised a job satisfaction questionnaire of both pharmacists and technical staff. Practitioners and patients demographic and interactional data, as well as job satisfaction, were statistically compared across automation. Main outcome measure Interaction length and job satisfaction. Results Sixty-eight practitioners from 10 automated and non-automated pharmacies produced 721 registered interaction episodes. Automation had no significant influence in interaction duration, controlling for gender and professional categories, being significantly longer with older patients (p = 0.017). On average, staff working at the pharmacy counter had 45 % of free time from direct patient contact. The mean overall satisfaction in this sample was 5.52 (SD = 0.98) out of a maximum score of seven, with no significant differences with automation as well as between professional categories, only with a significant lower job satisfaction for younger pharmacists. Conclusion As with previous studies in other settings, duration of the interactions was not influenced by pharmacy automation, as well as practitioners’ job satisfaction, while practitioners’ time constrains seem to be a subjective perception.

Keywords

Automation Community pharmacy Duration of counselling Job satisfaction Portugal Robotisation 

Notes

Funding

None.

Conflicts of interest

None.

References

  1. 1.
    Duggan A. Understanding interpersonal communication process across health context: advances in the last decade and challenges for the next decade. J Health Commun. 2006;11:93–108.PubMedCrossRefGoogle Scholar
  2. 2.
    Tepper DT, Haase RF. Verbal and nonverbal communication of facilitative conditions. J Couns Psychol. 1978;25(1):35–44.CrossRefGoogle Scholar
  3. 3.
    Beck RS, Daughtridge R, Sloane PD. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract. 2002;15(1):25–38.PubMedGoogle Scholar
  4. 4.
    Wilson A, Childs S. The relationship between consultation length, process and outcomes in general practice: a systematic review. Br J Gen Pract. 2002;52(485):1012–20.PubMedCentralPubMedGoogle Scholar
  5. 5.
    Cox ED, Smith MA, Brown RL, Fitzpatrick MA. Effect of gender and visit length on participation in paediatric visits. Patient Educ Couns. 2007;65:320–8.PubMedCrossRefGoogle Scholar
  6. 6.
    Lin CT, Albertson GA, Schilling LM, Cyran EM, Anderson SN, Ware L, et al. Is patients’ perception of time spent with the physician a determinant of ambulatory patient satisfaction? Arch Intern Med. 2001;161:1437–42.PubMedCrossRefGoogle Scholar
  7. 7.
    van den Brink-Muinen A, Verhaak PF, Bensing JM, Bahrs O, Deveugele M, Gask L, et al. Communication in general practice: differences between European countries. Fam Pract. 2003;20(4):478–85.PubMedCrossRefGoogle Scholar
  8. 8.
    Carr-Hill R, Jenkins Clarke S, Dixon P, Pringle M. Do minutes count? Consultation lengths in general practice. J Health Serv Res Policy. 1998;3(4):207–13.Google Scholar
  9. 9.
    Andersson SO, Ferry S, Matsson B. Factors associated with consultation length and characteristics of short and long consultations. Scand J Prim Health Care. 1993;11:61–7.PubMedCrossRefGoogle Scholar
  10. 10.
    Nogueira J. Consultation duration: doctors’ and patients’ perspectives. Rev Port Clin Geral. 2002;18:303–12.Google Scholar
  11. 11.
    Shah B, Chewning B. Conceptualizing and measuring pharmacist-patient communication: a review of published studies. Res Social Adm Pharm. 2006;2(2):153–85.PubMedCrossRefGoogle Scholar
  12. 12.
    Schommer JC. Higher levels of consultation services increase patient satisfaction. Am Pharm. 1995;NS35:33–9.PubMedGoogle Scholar
  13. 13.
    Cavaco AM, Romano J. Exploring pharmacists’ communication with customers through screening services. Patient Educ Couns. 2010;80:377–83.PubMedCrossRefGoogle Scholar
  14. 14.
    Green JA, Brown K, Burgess J, Chong D, Pewhairangi K. Indigenous and immigrant populations’ use and experience of community pharmacies in New Zealand. J Immigr Minor Health. 2013;15(1):78–84.PubMedCrossRefGoogle Scholar
  15. 15.
    Lyra DP Jr, Rocha CE, Abriata JP, Gimenes FR, Gonzalez MM, Pelá IR. Influence of pharmaceutical care intervention and communication skills on the improvement of pharmacotherapeutic outcomes with elderly Brazilian outpatients. Patient Educ Couns. 2007;68(2):186–92.PubMedCrossRefGoogle Scholar
  16. 16.
    Evans CD, Watson E, Eurich DT, Taylor JG, Yakiwchuk EM, Shevchuk YM, et al. Diabetes and cardiovascular disease interventions by community pharmacists: a systematic review. Ann Pharmacother. 2011;45(5):615–28.PubMedCrossRefGoogle Scholar
  17. 17.
    Babinec PM, Rock MJ, Lorenzetti DL, Johnson JA. Do researchers use pharmacists’ communication as an outcome measure? A scoping review of pharmacist involvement in diabetes care. Int J Pharm Pract. 2010;18(4):183–93.PubMedCrossRefGoogle Scholar
  18. 18.
    Stevenson FA, Cox K, Britten N, Dundar Y. A systematic review of the research on communication between patients and health care professionals about medicines: the consequences for concordance. Health Expect. 2004;7(3):235–45.PubMedCrossRefGoogle Scholar
  19. 19.
    Burkiewicz JS, Zgarrick DP. Evidence-based practice by pharmacists: utilization and barriers. Ann Pharmacother. 2005;39(7–8):1214–9.PubMedCrossRefGoogle Scholar
  20. 20.
    Latif A, Boardman H. Community pharmacists’ attitudes towards medicines use reviews and factors affecting the numbers performed. Pharm World Sci. 2008;30(5):536–43.PubMedCrossRefGoogle Scholar
  21. 21.
    Law AV, Okamoto MP, Brock K. Ready, willing, and able to provide MTM services? A survey of community pharmacists in the USA. Res Social Adm Pharm. 2009;5(4):376–81.PubMedCrossRefGoogle Scholar
  22. 22.
    Lounsbery JL, Green CG, Bennett MS, Pedersen CA. Evaluation of pharmacists’ barriers to the implementation of medication therapy management services. J Am Pharm Assoc. 2009;49(1):51–8.CrossRefGoogle Scholar
  23. 23.
    Eades CE, Ferguson JS, O’Carroll RE. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC Public Health. 2011;11:582.PubMedCentralPubMedCrossRefGoogle Scholar
  24. 24.
    Coleman CL. Examining influences of pharmacists’ communication with consumers about antibiotics. Health Commun. 2003;15(1):79–99.PubMedCrossRefGoogle Scholar
  25. 25.
    René-Henri N, Khamla Y, Nadaira N, Ouellet C, Blais L, Lalonde L, Collin J, Beauchesne MF. Community pharmacists’ interventions in asthma care: a descriptive study. Ann Pharmacother. 2009;43(1):104–11.PubMedCrossRefGoogle Scholar
  26. 26.
    Kritikos VS, Reddel HK, Bosnic-Anticevich SZ. Pharmacists’ perceptions of their role in asthma management and barriers to the provision of asthma services. Int J Pharm Pract. 2010;18(4):209–16.PubMedGoogle Scholar
  27. 27.
    Scheerder G, De Coster I, Van Audenhove C. Pharmacists’ role in depression care: a survey of attitudes, current practices, and barriers. Psychiatr Serv. 2008;59(10):1155–60.PubMedCrossRefGoogle Scholar
  28. 28.
    Semple SJ, Hotham E, Rao D, Martin K, Smith CA, Bloustien GF. Community pharmacists in Australia: barriers to information provision on complementary and alternative medicines. Pharm World Sci. 2006;28(6):366–73.PubMedCrossRefGoogle Scholar
  29. 29.
    McPherson TB, Fontane PE, Jackson KD, Martin KS, Berry T, Chereson R, et al. Prevalence of compounding in independent community pharmacy practice. J Am Pharm Assoc. 2006;46(5):568–73.CrossRefGoogle Scholar
  30. 30.
    Haughey SL, Hughes CM, Adair CG. Introducing a mandatory continuing professional development system: an evaluation of pharmacists’ attitudes and experiences in Northern Ireland. Int J Pharm Pract. 2007;15(3):243–9.CrossRefGoogle Scholar
  31. 31.
    Saini B, Brillant M, Filipovska J, Gelgor L, Mitchell B, Rose G, et al. Factors influencing Australian community pharmacists’ willingness to participate in research projects—an exploratory study. Int J Pharm Pract. 2006;14(3):179–88.CrossRefGoogle Scholar
  32. 32.
    Cvijovic K, Boon H, Jaeger W, Vohra S. Pharmacists’ participation in research: a case of trying to find the time. Int J Pharm Pract. 2010;18(6):377–83.PubMedCrossRefGoogle Scholar
  33. 33.
    Eden M, Schafheutle EI, Hassell K. Workload pressure among recently qualified pharmacists: an exploratory study of intentions to leave the profession. Int J Pharm Pract. 2009;17(3):181–7.PubMedCrossRefGoogle Scholar
  34. 34.
    Hassell K, Seston EM, Schafheutle EI, Wagner A, Eden M. Workload in community pharmacies in the UK and its impact on patient safety and pharmacists’ well-being: a review of the evidence. Health Soc Care Community. 2011;19(6):561–75.PubMedCrossRefGoogle Scholar
  35. 35.
    Locke EA. The nature and causes of job satisfaction. In: Dunnette MD, editor. Handbook of industrial and organizational psychology. Chicago: Rand McNally; 1976. p. 1297–349.Google Scholar
  36. 36.
    Carvajal MJ, Hardigan PC. Pharmacists’ sources of job satisfaction: inter-gender differences in response. Am J Pharm Educ. 2000;64:420–5.Google Scholar
  37. 37.
    Jenkins A, Eckel SF. Analyzing methods for improved management of workflow in an outpatient pharmacy setting. Am J Health Syst Pharm. 2012;69(11):966–71.PubMedCrossRefGoogle Scholar
  38. 38.
    Walsh KE, Chui MA, Kieser MA, Williams SM, Sutter SL, Sutter JG. Exploring the impact of an automated prescription-filling device on community pharmacy technician workflow. J Am Pharm Assoc. 2011;51(5):613–8.CrossRefGoogle Scholar
  39. 39.
    Lin AC, Huang YC, Punches G, Chen Y. Effect of a robotic prescription-filling system on pharmacy staff activities and prescription-filling time. Am J Health Syst Pharm. 2007;64(17):1832–9.PubMedCrossRefGoogle Scholar
  40. 40.
    Flynn EA, Barker KN. Effect of an automated dispensing system on errors in two pharmacies. J Am Pharm Assoc. 2006;46(5):613–5.CrossRefGoogle Scholar
  41. 41.
    Mobach MP. The merits of a robot: a Dutch experience. J Pharm Pharmaceut Sci. 2006;9(3):376–87.Google Scholar
  42. 42.
    Angelo LB, Christensen DB, Ferreri SP. Impact of community pharmacy automation on workflow, workload, and patient interaction. J Am Pharm Assoc. 2005;45(2):138–44.CrossRefGoogle Scholar
  43. 43.
    Humphries TL, Delate T, Helling DK, Richardson B. Impact of an automated dispensing system in outpatient pharmacies. J Am Pharm Assoc. 2008;48(6):774–9.CrossRefGoogle Scholar
  44. 44.
    Ruhle F, Braun R, Ostermann H. Impact of robotic dispensing machines in German pharmacies on business performance indicators. Libyan J Med. 2009;4(4):146–51.PubMedCentralPubMedCrossRefGoogle Scholar
  45. 45.
    Costa S, Santos C, Silveira J. Community pharmacy services in Portugal. Ann Pharmacother. 2006;40(12):2228–34.PubMedCrossRefGoogle Scholar
  46. 46.
    INFARMED. Medicines Statistics 2009. Lisboa: INFARMED; 2009.Google Scholar
  47. 47.
    Cavaco A. Practitioners’ and public’s perspectives of Portuguese community pharmacy: the role of job satisfaction and professionalism in actual and expected practice (PhD Thesis). London: The School of Pharmacy, University of London 2006.Google Scholar
  48. 48.
    French JRP. Field experiments: changing group productivity. In: Miller JG, editor. Experiments in social process: a symposium on social psychology. New York: McGraw-Hill; 1950. p. 82.Google Scholar
  49. 49.
    Warr P, Cook J, Wall T. Scales for the measurement of some work attitudes and aspects of psychological well-being. J Occup Psychol. 1979;52:129–48.CrossRefGoogle Scholar
  50. 50.
    Hassell K, Seston E, Shann P. Measuring job satisfaction of UK pharmacists: a pilot study. Int J Pharm Pract. 2007;15(4):259–64.CrossRefGoogle Scholar
  51. 51.
    Hincapie AL, Yandow S, Hines S, Martineau M, Warholak T. Job satisfaction among chain community pharmacists: results from a pilot study. Pharm Pract (Granada). 2012;10(4):227–33.Google Scholar
  52. 52.
    Barnett CW, Kimberlin CL. Development and validation of an instrument to measure pharmacists’ satisfaction with their jobs and careers. Am J Pharm Educ. 1986;50(1):5–14.PubMedGoogle Scholar
  53. 53.
    Viterbo MC. Knowledge management and job satisfaction: which relationship? [Master's thesis]. Cadiz: Universidade de Cadiz, Spain; 2008.Google Scholar
  54. 54.
    Qato DM, Alexander GC, Conti RM, Johnson M, Schumm P, Lindau ST. Use of prescription and over-the-counter medications and dietary supplements among older adults in the United States. JAMA. 2008;300(24):2867–78.PubMedCentralPubMedCrossRefGoogle Scholar
  55. 55.
    Lea VM, Corlett SA, Rodgers RM. Workload and its impact on community pharmacists’ job satisfaction and stress: a review of the literature. Int J Pharm Pract. 2012;20(4):259–71.PubMedCrossRefGoogle Scholar
  56. 56.
    Evans SW, John DN. A preliminary investigation of the interactions between UK and US community pharmacists and their prescription clients. Int J Pharm Pract. 1995;3:157–62.CrossRefGoogle Scholar
  57. 57.
    Sleath B. Pharmacist-patient relationships: authoritarian, participatory, or default? Patient Educ Couns. 1996;28:253–63.PubMedCrossRefGoogle Scholar
  58. 58.
    Keshishian F, Colodny N, Boone RT. Physician-patient and pharmacist-patient communication: geriatrics’ perceptions and opinions. Patient Educ Couns. 2008;71(2):265–84.PubMedCrossRefGoogle Scholar
  59. 59.
    Tarn DM, Paterniti DA, Wenger NS, Williams BR, Chewning BA. Older patient, physician and pharmacist perspectives about community pharmacists’ roles. Int J Pharm Pract. 2012;20(5):285–93.PubMedCentralPubMedCrossRefGoogle Scholar
  60. 60.
    Schafheutle EI, Seston EM, Hassell K. Factors influencing pharmacist performance: a review of the peer-reviewed literature. Health Policy. 2011;102(2–3):178–92.PubMedCrossRefGoogle Scholar
  61. 61.
    Gaither CA, Nadkarni A. Interpersonal interactions, job demands and work-related outcomes in pharmacy. Int J Pharm Pract. 2012;20(2):80–9.PubMedCrossRefGoogle Scholar
  62. 62.
    Rosenthal M, Austin Zubin, Ross T. Are pharmacists the ultimate barrier to pharmacy practice change? Can Pharm J (Ott). 2010;143(1):37–42.CrossRefGoogle Scholar
  63. 63.
    Hu X, Kaplan S, Dalal R. An examination of blue- versus white-collar workers’ conceptualizations of job satisfaction facets. J Vocat Behav. 2010;76:317–25.CrossRefGoogle Scholar

Copyright information

© Koninklijke Nederlandse Maatschappij ter bevordering der Pharmacie 2013

Authors and Affiliations

  1. 1.iMed.UL, Faculty of PharmacyUniversity of LisbonLisbonPortugal
  2. 2.School of PharmacyThe Faculty of Mathematics and Natural Sciences, University of OsloOsloNorway

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