Jeroen van de Pol

163 6 General discussion utilization, as well as on which cognitive pharmaceutical services (CPS) related activities professional bodies need to first focus on developing and piloting, as described according to Kotters’ 8-step change model. Pharmacy technicians should not be forgotten in this regard. These technicians are most often the first point of contact for patients and provide most of the basic CPS. However, determining what type of CPS (if any) is considered important to be performed by pharmacy technicians is beneficial. In addition, Q-methodology can be used with other stakeholders regarding how they view task prioritization within community pharmacy practice. For example, research has already been conducted regarding the integration of a clinical pharmacist within the GPs office [1]. For example, the activities other healthcare professionals view as important to be performed by Dutch community pharmacists, as well as what activities are considered less important, such as in [2], may generate insights. Furthermore, services that need to be provided within the premises of a community pharmacy and services that can be provided outside the community pharmacy may also supply insights. These insights could offer community pharmacy professional bodies useful information on how to further improve collaboration with other healthcare providers. Conjoint-based choice Similar to Q-methodology, conjoint-based choice (CBC) techniques are used to study preferences that people may have regarding a subject’s attributes (e.g., the color of a car) and different levels of those attributes (e.g., red or yellow are levels for the attribute color). The CBC technique differs from Q-methodology in that CBC participants rate a product or services on multiple attributes, whilst with Q-methodology participants rate individual attributes. Thus, CBC better reflects daily life than Q-methodology regarding making trade-offs. Within this research, CBC was used to elicit patient preferences on more advanced services provided by community pharmacists. CBC can be put to broader use within pharmacy practice research, rather than being limited to services provided to patients, such as in [3]. However, more in- depth insights regarding patient preferences for different healthcare conditions could prove beneficial for community pharmacy practice. Better adjusting healthcare services to different type of patients will likely result in an increase in the successful implementation of new and innovative healthcare services.

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