Abstract

Purpose The purpose of this paper is to determine patient expectation and perception of pharmaceutical care services in order to measure the level of patient satisfaction provided by Indonesia’s health coverage (IHC) system. Design/methodology/approach A patient satisfaction survey was conducted at primary-level and secondary-level health facilities operating under IHC system. The assessment was performed using a closed-ended questionnaire that had been tested for validity and reliability. The patients’ point of view was evaluated based on their expectation and perception of six dimensions of the pharmaceutical care services they had received. Patient satisfaction was calculated based on the gap between their expectation and their perception. Findings A total of 602 patients participated in this research. The levels of the patients’ expectation of the pharmaceutical care services provided at primary-level health facilities range from high (3.39) to very high (3.54), whereas at secondary-level health facilities, the range was from low (2.04) to very high (3.75). This indicates that patients have a higher expectation of the provided pharmaceutical care services compared to the actual experience of the healthcare services that they received, resulting in a low value in the measurement of patient satisfaction levels. Originality/value The high level of patient expectation is an opportunity for pharmacists at both primary-level and secondary-level health facilities to continue developing pharmaceutical care services. Improving drug information service, patient counseling and reducing patient waiting time can be good ways to increase patient satisfaction within pharmaceutical care services.

Highlights

  • IntroductionPharmaceuticalThe change in Indonesia’s healthcare system following the implementation of Indonesia’s care services health coverage (IHC) program in 2014 along with the capitation system that it applies to has had an impact on the role of pharmacists

  • The study results show that there is a difference between the patterns of patient expectation of pharmaceutical care services at primary-level health facilities and secondary-level health facilities

  • Patient satisfaction Our study shows negative gap scores in six dimensions of pharmaceutical care services evaluated at primary-level and secondary-level health facilities

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Summary

Introduction

PharmaceuticalThe change in Indonesia’s healthcare system following the implementation of Indonesia’s care services health coverage (IHC) program in 2014 along with the capitation system that it applies to has had an impact on the role of pharmacists. The pharmaceutical care standards serve as a benchmark provided as a guideline for pharmacists to administer the practice of pharmaceutical care[1,2,3]. Based on these standards, the role of pharmacists in Indonesia is no longer limited to the drug supply chain but extends to the practice of pharmaceutical care. The role of pharmacists in Indonesia is no longer limited to the drug supply chain but extends to the practice of pharmaceutical care This is an opportunity for Indonesian pharmacists to improve healthcare outcomes and patients’ life quality through the practice of pharmaceutical care in health facilities.

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