Physician-patient and pharmacist-patient communication: geriatrics' perceptions and opinions.
OBJECTIVE
Earlier research examined the perceptions of the pharmacist-patient relationship quality using data from a systematic random sample of non-institutionalized elderly in the United States. The purposes of this study were to determine: (1) how the findings of this study, conducted in a culturally diverse urban area in Queens, New York, compare with the earlier study; (2) how community-dwelling elderly patients in a metropolitan area perceive their relationship with the pharmacist compared to the physician; and (3) the extent to which their perceived relationship quality predicts medication-related knowledge, medication-related outcomes, and self-efficacy for medication management.


METHODS
One hundred and twenty-one elderly individuals aged 65 and over who took at least one prescription medication, selected from three senior centers, participated in the study. Of the total responses, 102 were useable.


RESULTS
Our sample demonstrated significantly lower levels of perceived quality of relationship with their pharmacist compared to earlier research. In contrast, the participants in this study perceived a better quality of relationship with their physicians than pharmacists. Further, the quality of relationship with physician predicted medication-related knowledge, medication-related outcome expectations, and self-efficacy for medication management.


CONCLUSIONS
The findings of this study suggest that pharmacists still have a way to go to fully meet patients' healthcare needs, particularly in culturally diverse urban settings.


CONCLUSIONS
Further research is needed to examine ways to improve pharmacist-patient interactions and, therefore, patients' perceptions of pharmacists.
Keshishian
Flora
F
Department of Speech, Communication Sciences, & Theatre, St. John's University, Jamaica, NY 11439, USA. keshishf@stjohns.edu
Colodny
Nancy
N
Boone
R Thomas
RT
D000368:Aged / Q000523:psychology*; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002983:Clinical Competence / Q000592:standards; D003142:Communication; D003299:Cooperative Behavior; D004358:Drug Therapy / Q000523:psychology; D005260:Female; D019538:Health Care Surveys; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D009519:New York City; D018802:Patient-Centered Care / Q000458:organization & administration; D010595:Pharmacists / Q000523:psychology*; D010820:Physicians / Q000523:psychology*; D024382:Professional Role / Q000523:psychology; D011369:Professional-Patient Relations; D011787:Quality of Health Care / Q000592:standards; D020377:Self Efficacy; D011795:Surveys and Questionnaires