Spremnost pacijenata na plaćanje savjetovanja o inhalacijskoj terapiji u javnim ljekarnama

master's thesis

• Title (english): Patients’ willingness to pay for consultation on inhalation therapy in community pharmacies
• Author: Fran Sauer
• Mentor: Maja Ortner Hadžiabdić (mentor)
• Mentor: Slaven Falamić (mentor)
• Committee member: Maja Ortner Hadžiabdić (predsjednik povjerenstva)
• Committee member: Slaven Falamić (član povjerenstva)
• Committee member: Petra Turčić (član povjerenstva)
• Granter: University of Zagreb; Faculty of Pharmacy and Biochemistry; (Centre for applied pharmacy); Zagreb
• Defense date and country: 2024-03-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Pharmacy; Pharmacy

Abstract

Kronične respiratorne bolesti, od kojih su najčešće astma i KOPB, jedan su od vodećih uzroka smrtnosti u RH.
Preopterećenost zdravstvenih sustava uzrokuje financijsko poskupljenje zdravstvenih usluga te manjak individualnog
pristupa pacijentu. Spremnost na plaćanje (engl. willingness to pay, WTP) pojam je koji podrazumijeva spremnost
kupca, odnosno pacijenta za plaćanjem pojedine usluge. Cilj je ovog istraživanja bio utvrditi čimbenike koji utječu na
WTP pacijenata za uslugu savjetovanja o njihovoj respiratornoj bolesti, koja im je pružena tijekom posjeta ljekarni.
Istražena je povezanost WTP-a sa sociodemografskim podacima pacijenata, osobnim dojmom pacijenata o ozbiljnosti
respiratorne bolesti, adherencijom te ispravnosti inhalacijske tehnike. Istraživanje je osmišljeno kao intervencijsko, a
uključivalo je savjetovanje pacijenata o njihovoj respiratornoj bolesti i ispravnoj primjeni inhalatora. U istraživanju je
sudjelovalo 100 ispitanika koji boluju od astme ili KOPB-a, te u svojoj terapiji imaju barem jedan inhalator.
Istraživanje je provedeno u ljekarnama u Slavoniji i Dalmaciji te se sastojalo od ispunjavanja upitnika i pacijentove
demonstracije korištenja inhalatora. Na kraju savjetovanja, ispitanici su ispunjavali upitnik o zadovoljstvu
savjetovanjem te pitanja vezana za WTP. Prosječna dob ispitanika bila je 52,11 godina (SD =19,07), uz nešto veći
udio žena (55%). Utvrđeno je da većina ispitanika (93%) pruženo savjetovanje smatra korisnim te da bi takvo
savjetovanje trebalo biti plaćeno iz njihovog zdravstvenog osiguranja (68%). Iznos koji su ispitanici smatrali
prikladnim za plaćanje usluge farmaceuta pri pružanju takvog savjetovanja iznosio je u prosjeku 7,18 € (SD =5,37).
Osim navedenog, istraživanje je pokazalo da je velik udio pacijenata s astmom i KOPB-om nedovoljno kontroliran
(32%), slabo adherentan te ima neispravnu inhalacijsku tehniku (35%). Utvrđeno je da su sljedeći čimbenici bili
povezani s WTP-om ispitanika: regija iz koje dolaze (p =0,019), stupanj završene stručne spreme (p =0,042), stupanj
kontrole respiratorne bolesti (p =0,025) te razina sporadične adherencije (p =0,034). Ispitanici koji smatraju da bi
savjetovanje trebalo biti plaćeno većinom su iz Dalmacije, imaju viši stupanj obrazovanja, bolju kontrolu bolesti te su
sporadično manje adherentni. Za bolje ishode liječenja, potreban je individualiziran pristup pacijentu s ciljem
podučavanja o inhalacijskoj terapiji i njenoj koristi za zdravlje s obzirom da je ona ključna u liječenju kroničnih
respiratornih bolesti.

Abstract (english)

Chronic respiratory diseases, including asthma and COPD, are among the leading causes of mortality in Croatia. The
burden on healthcare systems leads to increased financial costs of healthcare services and a lack of individualized
patient care. Willingness to Pay (WTP) indicates the readiness of a buyer or patient to pay for a particular service. The
aim of this research was to identify factors influencing patients' WTP for services provided to them during counseling
on therapy for asthma and COPD, in community pharmacy. The association between WTP and patients'
sociodemographic data, patients' perception of the seriousness of respiratory disease, adherence, and correctness of
inhalation technique was investigated. The research was designed as an interventional study, involving counseling for
patients about their respiratory disease and correct inhaler use. The study involved 100 respondents with asthma or
COPD, with prescription on at least one inhaler in the therapy. The research was conducted in community pharmacies
in Slavonia and Dalmatia and included questionnaire completion and patient demonstration of inhaler use. At the end
of counseling, respondents completed a questionnaire on satisfaction with the service and WTP for the service.
Average age of the participants was 52,11 (SD =19,07), and slightly more women (55%) were included. Majority of
respondents (93%) considered the counseling helpful and believed that such counseling should be covered by their
health insurance (68%). The average amount respondents believed pharmacists should be paid for providing such
counseling was €7.18 (SD =5.37). Additionally, the study showed that a large proportion of asthma and COPD
patients were insufficiently controlled (32%), poorly adherent, and had incorrect inhalation techniques (35%). The
following factors were associated with respondents' WTP: the region they come from (p =0.019), level of completed
education (p =0.042), level of disease control (p =0.025), and sporadic adherence level (p =0.034). Respondents who
believed counseling should be paid for mostly came from Dalmatia, had higher levels of education, better disease
control, and were sporadically less adherent. For better treatment outcomes, an individualized approach to patient care
is necessary, aiming to educate patients about inhalation therapy and its health benefits, as it is crucial in the treatment
of chronic respiratory diseases.

• Keywords: astma; KOPB; inhalacijska tehnika; ljekarničko savjetovanje
• Keywords (english): asthma; COPD; inhalation technique; pharmacist consultation
• Language: croatian
• URN:NBN: urn:nbn:hr:163:747352
• Study programme: Title: Pharmacy - integrated undergraduate and graduate - university study; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: sveučilišni magistar farmacije (sveučilišni magistar farmacije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Embargoed access; Embargo expiration date: 2025-03-28
• Created on: 2024-05-08 11:05:00