Development of satisfaction scale for continuous pharmaceutical care through home visit

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Thanyakorn Pornvisedsirikul
Tipaporn Kanjanarach


Introduction: This study aimed to develop a satisfaction scale on continuous of pharmaceutical care through home visit in primary care service. Methods: The scale was developed by collecting opinion statements related to satisfaction with pharmacy service from the literatures. Content validity of the satisfaction scale was assessed by three experts. The scale is comprised of 20 items. The response format of satisfaction was a 5-point rating scale ranging from 1 (the lowest) to 5 (the highest). The Selt-administered scales were sent to 850 subjects who administer medicines for patients having cancer, psychosis or asthma and elderly (medicine-caretakers). In KhonKaen, Kalasin, Maha Sarakham, RoiEt, Buriram, and Udonthani during July to December 2014. Factor analysis was performed to extract factors of satisfaction on continuous pharmaceutical care through home visit. Principal axis factoring method with oblique rotation were used for factor extraction. Results: After the completion of data collection period, 203 questionnaires were returned, with a response rate of 23.88%. Three factors were extracted. These three factors were able to explain 69.59% of the satisfaction variance. The first factor comprised of 5 questions and was named “satisfaction with drug management”. The second factor comprised of 3 questions and was named “satisfaction with pharmacist’s demeanour”. The third factor comprised 2 questions and was named “satisfaction with treatment outcome”. Reliabilities (Cronbach’s alpha coefficients) of the three factors were 0.823, 0.850 and 0.613, respectively. Conclusions: This satisfaction scale is a reliable scale to measure satisfaction of medicine-caretakers on pharmaceutical care provided by pharmacist during the home visit. Further research is needed to validate the scale in different population.

Article Details

Pharmaceutical Practice


Atkinson MJ, Sinha A, Hass SL, Colman SS, Kumar RN, Brod M, et al. Validation of a general measure of treatment satisfaction, the Treatment Satisfaction Questionnaire for Medication (TSQM), using a national panel study of chronic disease. Health Qual Life Outcomes. 2004 Feb 26; 2: 12.

Bartlett EE, Grayson M, Barker R, Levine DM, Golden A, Libber S. The effects of physician communications skills on patient satisfaction; Recall, and adherence. J Chronic Dis. 1984; 37(9–10): 755–64.

Bryant FB, Yarnold PR. Comparing five alternative factor-models of the Student Jenkins Activity Survey: separating the wheat from the chaff. J Pers Assess. 1995 Feb;64(1):145–58.

Cheng Y, Raisch DW, Borrego ME, Gupchup GV. Economic, clinical, and humanistic outcomes (ECHOs) of pharmaceutical care services for minority patients: a literature review. Res Soc Adm Pharm RSAP. 2013 Jun; 9(3): 311–29.

Cm K, Ce R, Rm S. Economic, clinical, and humanistic outcomes: a planning model for pharmacoeconomic research. Clin Ther. 1992 Dec;15(6):1121–32;

discussion 1120. DeVellis RF. Scale development: theory and applications. 3rd ed. Thousand Oaks, Calif: SAGE; 2012.

Hasan S, Sulieman H, Stewart K, Chapman CB, Hasan MY, Kong DCM. Assessing patient satisfaction with community pharmacy in the UAE using a newly-validated tool. Res Soc Adm Pharm. 2013 Nov;9(6):841–50.

Kamei M, Teshima K, Fukushima N, Nakamura T. Investigation of Patients & rsquo; Demand for Community Pharmacies: Yakugaku Zasshi. 2001;121(3):215–20.

Kanjanarach T, Jaisa-ard R. Reports the results of training and proposals for the development of a short course of duty. Faculty of Pharmacy Khonkaen University; 2012.

Krass I, Delaney C, Glaubitz S, Kanjanarach T. Measuring patient satisfaction with diabetes disease state management services in community pharmacy. Res Soc Adm Pharm. 2009 Mar; 5(1): 31–9.

MacKeigan LD, Larson LN. Development and Validation of an Instrument to Measure Patient Satisfaction with Pharmacy Services. Med Care. 1989 May 1; 27(5): 522–36.

Marquis MS, Davies AR, Ware JE Jr. Patient Satisfaction and Change in Medical Care Provider: A Longitudinal Study. Med Care. 1983 Aug 1; 21(8): 821–9.

Ngorsuraches S, Lerkiatbundit S, Li SC, Treesak C, Sirithorn R, Korwiwattanakarn M. Development and validation of the patient trust in community pharmacists (TRUST-Ph) scale: results from a study conducted in Thailand. Res Soc Adm Pharm RSAP. 2008 Sep; 4(3): 272–83.

Oparah AC, Kikanme LC. Consumer satisfaction with community pharmacies in Warri, Nigeria. Res Soc Adm Pharm RSAP. 2006 Dec; 2(4): 499–511.

Paddock LE, Veloski J, Chatterton ML, Gevirtz FO, Nash DB. Development and validation of a questionnaire to evaluate patient satisfaction with diabetes disease management. Diabetes Care. 2000 Jul 1;23(7):951–6.

Panochit C. Patient’satisfaction with outpatient phamacy service at Nadung Hospital; comparison between Satisfaction with Pharmacy Service Questionnaire and the importance of events relative to satisfaction. [Internet]. 2005 [cited 2015 Feb 8]. Available from:,t.title&order_type=%20asc&result_id=371&maxid=542

The Working Group prepared a guide of home pharmaceutical care. The guideline of home pharmaceutical care. Bangkok: Office of The Consumer Protection Board; 2010.

Traverso ML, Salamano M, Botta C, Colautti M, Palchik V, Pérez B. Questionnaire to assess patient satisfaction with pharmaceutical care in Spanish language. The International Society for Quality in Health Care. 2007 Aug; 19(4): 217–24.

Vanichbuncha K. Advanced Statistical Analysis with SPSS for Windows.Bangkok: Chulalongkorn university; 2010. Ware Jr JE, Davis AR. Behavioral consequences of consumer dissatisfaction with medical care. Eval Program Plann. 1983; 6(3–4): 291–7.

Wongwiwatthananukit S. Development and validation of an instrument to measure patient satisfaction in drugstores [Internet]. 2006 [cited 2015 Feb 8]. Available from: