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Pharmacist or Physician: Age Differences in Satisfaction with Medical Advice

Published online by Cambridge University Press:  31 March 2010

Odette N. Gould ,
Louise Wasylkiw ,
Erin E. Rogers  and
Miranda MacPherson
Odette N. Gould*
Affiliation:
Mount Allison University
Louise Wasylkiw
Affiliation:
Mount Allison University
Erin E. Rogers
Affiliation:
Mount Allison University
Miranda MacPherson
Affiliation:
Mount Allison University
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être addressées à : Dr. O.N. Gould, Ph.D., Department of Psychology, Mount Allison University, 49A York Street, Sackville, NB E4L 1C7. ([email protected])
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Abstract

Two studies examined predictors of medical care satisfaction in communities in Eastern Canada. Both studies focused on how the roles of pharmacists and physicians are perceived by adults of different ages. Using a survey methodology, Study 1 demonstrated that middle-aged adults, older adults, and community pharmacists differ in the extent to which they rate pharmacists as being important members of the health care team. Specifically, community members value pharmacists as health care providers, and this is especially true for older adults. Using an experimental paradigm, Study 2 examined ratings of medical interaction scenarios, ratings that varied as a function of kind of health professional (pharmacist vs. physician) and type of advice (directive vs. non-directive). Results suggest that older adults may have a more complex set of expectations about their health care interactions than do younger adults and that, for older adults, the factors that determine satisfaction differ across the professions being evaluated.

Résumé

Deux études ont analysé l'indice de satisfaction des services médicaux dans les communautés de l'Est canadien. Ces deux études sont centrées sur la façon dont les personnes de tous âges perçoivent le rôle des pharmaciens et des médecins. Grâce à une méthodologie d'enquête, la première étude montre que les gens d'âge moyen, les personnes âgées et les pharmaciens eux-mêmes ont des opinions différentes sur l'importance des pharmaciens en tant que membres de « l'équipe » de santé. Plus précisément, les membres de la communauté, et les personnes âgées en particulier, apprécient les pharmaciens comme pourvoyeurs de services de santé. Au moyen d'un paradigme expérimental, la seconde étude analyse l'évaluation de différents scénarios d'interaction médicale qui variaient en fonction du type de professionnel de la santé (par exemple le pharmacien ou le médecin) et du type de conseils donnés (par exemple directif ou non directif). Les résultats indiquent que les attentes des personnes plus âgées en matière d'interactions médicales sont peut-être plus complexes que celles des adultes plus jeunes, et que, pour les personnes âgées, les facteurs qui déterminent la satisfaction varient selon les professions qui sont évaluées.

Keywords

aginghealth care interactionsolder adultsegalitarian decision makingsatisafaction with health carevieillissementinteractions médicalespersonnes âgéesprise de décision égalitairesatisfaction à l'égard des services de sante
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 25 , Issue 2 , Summer/Été 2006 , pp. 207 - 217
Copyright
Copyright © Canadian Association on Gerontology 2006

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References

Adamcik, B.A., Ransford, H.E., Oppenheimer, P.R., Brown, J.F., Eagan, P.A., & Weissman, F.G. (1986). New clinical roles for pharmacists: A study of role expansion. Social Science and Medicine, 23, 1187–1200.CrossRefGoogle ScholarPubMed
Adelman, R.D., Greene, M.G., & Charon, R. (1991). Issues in physician-elderly patient interaction. Aging and Society, 11, 127–148.CrossRefGoogle Scholar
Ajzen, I., & Fishbein, M. (1970). The prediction of behaviour from attitudinal and normative variables. Journal of Experimental Social Psychology, 6, 466–487.CrossRefGoogle Scholar
Beisecker, A.E. (1996). Older persons' medical encounters and their outcomes. Research on Aging, 18, 9–31.CrossRefGoogle Scholar
Buller, M.K., & Buller, D.B. (1987). Physician's communication style and patient satisfaction. Journal of Health and Social Behavior, 28, 375–388.CrossRefGoogle ScholarPubMed
Ditto, P.H., Moore, K.A., Hilton, J.L., & Kalish, J.R. (1995). Beliefs about physicians: Their role in health care utilization, satisfaction, and compliance. Basic and Applied Social Psychology, 17, 23–48.CrossRefGoogle Scholar
Fisher, R.C. (1992) Patient education and compliance: A pharmacist's perspective. Patient Education and Counselling, 19, 261–271.CrossRefGoogle ScholarPubMed
Gilbert, L. (1997). Pharmacist and nurse: A team approach towards primary health care or a convenient “therapeutic alliance”? International Journal of Nursing Studies, 34, 367–374.CrossRefGoogle ScholarPubMed
Gould, O.N., & Macpherson, M. (2003, October). How I see you: Pharmacists and older patients. Poster presented at the annual meeting of the Canadian Association on Gerontology, Toronto, ON.Google Scholar
Gould, O.N., & Rogers, E. (2003, October). Perceptions of healthcare professions. Poster presented at the annual meeting of the Canadian Association on Gerontology, Toronto, ON.Google Scholar
Greene, M.G., Adelman, R., Charon, R., & Hoffman, S. (1986). Ageism in the medical encounter: An exploratory study of the doctor-elderly patient relationship. Language and Communication, 6, 113–124.CrossRefGoogle ScholarPubMed
Greene, M.G., Adelman, R.D., Friedman, E., & Charon, R. (1994). Older patients' satisfaction with communication during an initial medical encounter. Social Science and Medicine, 38, 1279–1288.CrossRefGoogle ScholarPubMed
Hassell, K., Noyce, P.R., Rogers, A., Harris, J., & Wilkinson, J. (1997). A pathway to the GP: The pharmaceutical “consultation” as a first port of call in primary health care. Family Practice, 14, 498–502.CrossRefGoogle Scholar
International Pharmaceutical Federation. (1996, September). Statement of principle: Self-care including self-medication: The professional role of the pharmacist. Retrieved 10 May 2004 from www.fip.org/pdf/selfcare-en.pdf.Google Scholar
International Pharmaceutical Federation. (1998, September). FIP statement of professional standards: Pharmaceutical care. Retrieved 10 May 2004 from www.fip.org/pdf/pharmcare.pdf.Google Scholar
Iversen, L., Mollison, J., & MacLeod, T.N.N. (2001). Attitudes of the general public to the expanding role of community pharmacists: A pilot study. Family Practice, 18, 534–536.CrossRefGoogle Scholar
Jones, D., Seymour, R., & Woodhouse, K. (1997). Use of pharmacists by older people in the community. Archives of Gerontology and Geriatrics, 24, 9–13.CrossRefGoogle ScholarPubMed
Kaldenberg, D.O., Koenig, H.F., & Becker, B.W. (1994). Mail survey response rates in a population of the elderly: Does response deteriorate with age? Public Opinion Quarterly, 58, 68–76.CrossRefGoogle Scholar
Lambert, B.L., & Gillespie, J.L. (1994). Patient perceptions of pharmacy students' hypertension compliance-gaining messages: Effects of message design logic and content themes. Health Communication, 6, 311–325.CrossRefGoogle Scholar
Makoul, G., Arntson, P., & Schofield, T. (1995). Health promotion in primary care: Physician-patient communication and decision making about prescription medications. Social Science and Medicine, 41, 1241–1256.CrossRefGoogle ScholarPubMed
Morris, L.A., Grossman, R., Barkdoll, G.L., Gordon, E., & Soviero, C. (1984). A survey of patient sources of prescription drug information. American Journal of Public Health, 74, 1161–1162.CrossRefGoogle ScholarPubMed
Nussbaum, J.F., Pecchioni, L., & Crowell, T. (2001). The older patient-health care provider relationship in a managed care environment. In Hummert, M.L. & Nussbaum, J.F. (Eds.), Aging, communication and health: Linking research and practice for successful aging (pp. 23–42). Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
Park, D.C. (1999). Aging and the controlled and automatic processing of medical information and medical intentions. In Park, D.C., Morrell, R.W., & Shifren, K. (Eds.), Processing of medical information in aging patients: Cognitive and human factors perspectives (pp. 3–22). Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
Romanow, R.J. (2002, November). Building on values: The future of health care in Canada. Ottawa, ON: National Library of Canada. Retrieved 10 May 2004 from www.hc-sc.gc.ca/english/pdf/care/romanow_e.pdf.Google Scholar
Smith, D.H., Cunningham, K.G., & Hale, W.E. (1994). Communication about medicines: Perceptions of the ambulatory elderly. Health Communication, 6, 281–295.CrossRefGoogle Scholar
Visser, P.S., Krosnick, J.A., & Lavrakas, P.J. (2000). Survey research. In Reis, H.T. & Judd, C.M. (Eds.), Handbook of research methods in social and personality psychology (pp. 223–252). New York: Cambridge University Press.Google Scholar