Factors Affecting the Effectiveness of Primary Pharmaceutical Care Services Among Chronic Disease Patients in Sukhothai Province.
Keywords:
Primary pharmaceutical care services, Chronic disease patients, Service effectivenessAbstract
ABSTRACT
A cross-sectional descriptive research study was conducted to examine factors affecting the effectiveness of primary pharmaceutical care services among chronic disease patients in Sukhothai Province. The sample consisted of 425 chronic disease patients receiving primary pharmaceutical care services at chronic disease clinics in Sukhothai Province. The research instruments were questionnaires comprising personal demographic factors, health factors, service accessibility factors, knowledge about disease and medication use, attitudes toward treatment, social support factors, policy and management factors, and effectiveness of primary pharmaceutical care services. The knowledge questionnaire used KR20 reliability coefficient of 0.84, while other questionnaires used Cronbach's alpha reliability coefficients ranging from 0.80-0.86. Statistical analyses included frequency, percentage, mean, standard deviation, median, maximum, minimum values, and stepwise multiple linear regression analysis.
The results showed that the majority of participants were female (56.9%) with a mean age of 53.5±11.2 years. The predominant conditions were diabetes mellitus (45.2%) and hypertension (38.8%), with an average illness duration of 8.5±5.2 years. High levels were observed for service accessibility (70.1%), knowledge about disease and medication use (72.4%), attitudes toward treatment (83.8%), social support (67.5%), and effectiveness of primary pharmaceutical care services (69.2%). Factors significantly affecting the effectiveness of primary pharmaceutical care services were knowledge about disease and medication use (p < 0.001, β = 0.367), service accessibility factors (p < 0.001, β = 0.362), and social support factors (p < 0.001, β = 0.197). These factors together predicted 63.4% of the variance in the effectiveness of primary pharmaceutical care services among chronic disease patients. This study should be applied to develop systematic knowledge-providing programs, enhance service accessibility, and promote social support for chronic disease patients.
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