Prescription Refilling from the NHIB Contracted Pharmacy: A Theory of Planned Behavior Perspective on the Behavioral Intentions of Chronic Patients

碩士 === 大仁科技大學 === 休閒健康管理研究所 === 99 === Environment today is featured with aging population, increasing prevalence of chronic disease and complex of medical treatment. Safe use of pharmaceutics relied very much on the efforts made by both the health- related organizations and as well as the governmen...

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Bibliographic Details
Main Authors: Ching-yi Lee, 李靜宜
Other Authors: Feng-chuan Pan
Format: Others
Language:zh-TW
Published: 2011
Online Access:http://ndltd.ncl.edu.tw/handle/64634084539117356487
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Summary:碩士 === 大仁科技大學 === 休閒健康管理研究所 === 99 === Environment today is featured with aging population, increasing prevalence of chronic disease and complex of medical treatment. Safe use of pharmaceutics relied very much on the efforts made by both the health- related organizations and as well as the government agencies. As far as the specialization concern in providing health services to the patients, the government actively issued and implemented the divisions of medical treatment and pharmaceutical to improve the quality of care and to reduce medication errors and ensure public health. Pharmaceutical sub-sector policy has been implemented for 13 years. This study attempts to explore the factors that affect the patients’ behavior intention of refilling a prescription from a NHIB pharmacy. Samples were those patients refilling their prescriptions with the case NHIB pharmacies. A self-administered questionnaire was used to collect respondents’ information while the patients or family members visit the pharmacy for the refilling. 1,200 questionnaires were dispatched in 37 pharmacies that randomly selected from Pingtung City, Dong Kang, Chaozhou, Hengchun areas. 732 responses were gained with 604 valid samples for further analyses. Results of data analyses indicated that respondents’ attitude, subjective norm, perceived behavior control and behavior intentions toward refilling behavior varied from some demographic variables to another. The respondents’ attitude, subjective norms, and perceived behavior control had positive impacts on behavior intentions respectively and jointly had better predictive power than those predicted by a single variable. This study had shown that the theory of planned behavior is useful in explaining the chronic patients’ behavior intention of refilling. It is suggested that the pharmacy may continuously provide professional advices to the patients who visited to the shop with medical prescription, by which strengthen the patient’s attitude, subjective norm, as well as perceived behavior control, and accordingly their behavior intentions and behaviors. This research also suggested expanding the sampling frame into a larger area for a better sample representation. One additional limitation to this research would be the samples collected from independent pharmacies, and none of them from hospitals or clinics. This research also suggested adding actual behavior, either by a self-report or observed, into the research. Other variables such as social support, self-efficacy as many researches had advocated the importance would be also valuable to be added to see possible moderating effects of these latent variables.