title: The applicability of the tetraclass model to the management of the patient satisfaction in the pharmacies.
abstract: The objective of this work is to study the possibilities of the tetraclass model for the evaluation of the changes in the consumer satisfaction from the provided pharmacy services during the time.
  
  
  METHODS
  Within the same 4 months period in 2004 and 2006 were questioned at approximately 10 pharmacy consumers per working day. Every consumer evaluated the 34 service elements on a 5 points semantic-differential scale. The technique of the correspondence data analysis was used for the categorisation of the services.
  
  
  RESULTS
  Most of the services have been categorized as basic ones. For the age group up to 40 years the access to pharmacy became a key element and external aspects became a secondary element in 2006 year. For the group of patients that are using the services of the pharmacy for more than 2 years, availability of phone connection, quality of answers and product prices move from plus to secondary element. The ratio quality/price moves from the group of basic to key services, visibility of the prices and hygiene became basic elements from secondary ones. During the two years period, all the service elements connected with the staff as availability, identification, good looking, confidence, dressing, advices, technical competence, explanation, and time spent with clients remain basic services. The confidentiality of the staff remains always a key element.
  
  
  CONCLUSIONS
  Our study shows that the tetraclass model allows taking more informed managerial decisions in the pharmacies, as well as, is providing information for the concrete area of services and possible measures. In case of a development of a simple statistical program for quick processing of the inquiry data, the method will became applicable and affordable even for small pharmacies.
authors.affiliation: Faculty of Pharmacy, Medical University of Sofia . Sofia ( Bulgaria ).
authors.forename: Guenka
authors.initials: G
authors.lastname: Petrova
authors.affiliation: University of Nantes (IEMN-IAE) . Nantes ( France ).
authors.forename: Fabrice
authors.initials: F
authors.lastname: Clerfeuille
authors.affiliation: Faculty of Pharmacy, Medical University of Sofia . Sofia ( Bulgaria ).
authors.forename: Milena
authors.initials: M
authors.lastname: Vakrilova
authors.affiliation: Faculty of Pharmacy, Medical University of Sofia . Sofia ( Bulgaria ).
authors.forename: Cvetomir
authors.initials: C
authors.lastname: Mitkov
authors.affiliation: University of Aix-Marseille III (IAE) . Azas (France).
authors.forename: Yannick
authors.initials: Y
authors.lastname: Poubanne
keywords: Community Pharmacy Services; Consumer Satisfaction