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Developing Preliminary Steps in a Pharmacist Communication - Patient Outcome Pathway.

Bernadette Chevalier¹, Bernadette M Watson², Michael A Barras³

¹, PhD, is an Honorary Fellow, School of Pharmacy, The University of Queensland, Queensland, Australia.

The Canadian Journal of Hospital Pharmacy

|August 28, 2019

Summary

Effective pharmacist communication positively impacts patient satisfaction. While direct links to medication adherence require further study, this research establishes a preliminary pathway for understanding pharmacist-patient interactions and outcomes.

Keywords:

Communication Accommodation Theory (CAT)communication-outcome pathway hospital pharmacist communication medication adherence patient satisfaction

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Area of Science:

Health Services Research
Communication Studies
Pharmacy Practice

Background:

Medication nonadherence leads to poor health outcomes and increased costs.
Pharmacists are crucial for addressing nonadherence, but the impact of their communication is not fully understood.
Existing physician-patient communication pathways offer a model for pharmacist-patient interactions.

Purpose of the Study:

To adapt a physician-patient communication pathway for pharmacists.
To develop preliminary steps for a pharmacist communication-patient outcome pathway.

Main Methods:

A longitudinal descriptive study in a quaternary hospital.
Assessed patient satisfaction with pharmacist communication behaviors (Communication Accommodation Theory).
Measured medication-taking behavior before and after consultations.

Main Results:

Strong positive correlations found between patient-reported pharmacist communication and patient satisfaction.
Communication Accommodation Theory-related behaviors were key to effective pharmacist-patient conversations.
Fewer correlations were observed between communication/satisfaction and medication-taking behavior.

Conclusions:

A preliminary pharmacist communication-patient outcome pathway was successfully adapted from physician communication models.
This pathway provides a foundation for future research on pharmacist communication's impact on patient outcomes.