The development of quality indicators for community pharmacy care
Open accessAbstract
Aims: To develop a national system of quality indicators for community pharmacy care, reported by community pharmacies. Methods: After preliminary validation, an online consensus study was conducted. Pharmacy practice experts (round 1) and practising pharmacists (round 2) were approached. Face-validity scores for risk of harm and quality of care were obtained, as well as data on feasibility and clarity. To field test the data collection a random sample of 30 community pharmacies reported on the indicators, and were visited by a healthcare inspector to discuss practical and interpretation issues. Results: After preliminary validation of 159 topics, 53 indicators were rated in round 1 by 14 of the 16 experts who were approached. The resulting 48 indicators were rated by 76 pharmacists of the 150 pharmacists who were approached (response 50%). Of the 48 indicators in the second round, 33 (69%) were rated face valid (median relevance score ≥7) for risk of harm to patients, while 43 (90%) were rated face valid for quality of care. In the field test the participating pharmacies reported on the resulting set of 44 indicators. This resulted in an adjusted set of 42 indicators. The set contains indicators on patient counselling (6), clinical risk management (10), compounding (7), dispensing (3), monitoring of medication use (11) and quality management (5). Conclusions: A set of 42 quality indicators was developed for community pharmacy care. It is expected that this will have a positive impact on quality and safety of community pharmacy care in the Netherlands.
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The Dutch indicators were introduced nationally in 2008 and were designed to provide pharmacist-reported data on the structure, process and outcome of care at the level of a community pharmacy.
“Introduced nationally in 2008, the indicators were designed to provide pharmacist-reported data on the structure, process and outcome of care at the level of a community pharmacy [38].”
From From “retailers” to health care providers: Transforming the role of community pharmacists in chronic disease management (2015) · cites this paper as [38]
In the Netherlands, the Dutch Healthcare Inspectorate and the Royal Dutch Pharmacists Association developed indicators to evaluate the quality of care in community pharmacies.
“In the Netherlands, the Dutch Healthcare Inspectorate and the Royal Dutch Pharmacists Association developed indicators to evaluate the quality of care in community pharmacies [38].”
From From “retailers” to health care providers: Transforming the role of community pharmacists in chronic disease management (2015) · cites this paper as [38]
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Mossialos, E., Courtin, E., Naci, H., Benrimoj, S., Bouvy, M., Farris, K., Noyce, P., & Sketris, I. (2015) · Health Policy · doi:10.1016/j.healthpol.2015.02.007 · Cited by 465 · see citing works
Self-citation
- Authors
- De Bie, J., Kijlstra, N. B., Daemen, B. J. G., & Bouvy, M. L.
- Affiliations
- Dutch Health Care Inspectorate (NL)
- Royal Dutch Pharmacists Association (NL)
- Utrecht University (NL)
- Venue
- BMJ Quality & Safety
- Publisher
- BMJ
- Published
- 2011-03-09
- Volume
- 20
- Issue
- 8
- Pages
- 666-671
- ISSN
- 1475-3898 (ISSN-L)
- 2044-5415
- 2044-5423
- OpenAlex
- W2106111974
- Cited by
- 41
- References
- 0
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 1 · 2013: 1 · 2012: 3
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.nivel.nl
- Licence
- other-oa
- Locations
- BMJ Quality & Safety (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Keywords
- quality indicators, patient counseling, clinical risk management, compounding, medication dispensing, quality management, patient safety, consensus development, face validity
- MeSH terms
- Community Pharmacy Services, Humans, Netherlands, Time Factors, Reproducibility of Results, Quality Indicators, Health Care
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