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Patients Want Better Service and Shorter Waits, Survey Says

Published Online: Tuesday, September 20th, 2011
Kate H. Gamble, Senior Editor
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At a time when many pharmacists may feel as if they're being pulled in different directions, patient demand is at an all-time high, according to a new study, which found that patients expect more face-time with pharmacists and shorter wait times at the counter.

The J.D. Power and Associates 2011 US National Pharmacy Study reports that among chain drug store patients who wait less than 3 minutes to give their prescription information to pharmacy staff, satisfaction averages 836 on a 1,000-point scale, while satisfaction declines to 783 among those who have to wait more than 3 minutes. In comparison, satisfaction in 2010 significantly increased or decreased at 7 minutes.

Patients are expecting more, "not just in terms of wait time, but also in terms of contact with the pharmacist and pharmacy staff,” said Rick Millard, senior director of the healthcare practice at J.D. Power and Associates. “In fact, brick and mortar pharmacies are able to better differentiate themselves by offering additional services from the pharmacy staff. These personal contacts may help distinguish the store experience as satisfying for pharmacy customers.”

The study, now in its fifth year, measures customer satisfaction with pharmacies in 2 segments: brick and mortar, which includes chain drug stores, supermarkets, and mass merchandisers, and mail-order.

It found that although patients are considerably less satisfied with chain pharmacies than with supermarkets (808 vs. 826, respectively), satisfaction is lowest with mass merchandiser pharmacies (797). However, mass merchandiser pharmacies perform particularly well in cost competitiveness, according to the survey.

Mail-order findings
Overall satisfaction with mail-order pharmacies declined considerably from 2010 to 2011, a trend that was primarily driven by decreases in satisfaction in the prescription ordering and prescription delivery factor. Despite this decline, fewer mail-order customers than in any year the study has been conducted say they would switch to purchasing prescriptions in a store.

“Customers are looking for more efficiency in their pharmacy transactions,” said Millard. “There’s a clear opportunity for mail-order pharmacies to improve on the logistical aspects of the transaction.”

Approximately one-third of patients are required by their insurance provider to use mail-order for maintenance and repeat prescriptions; according to the survey, these consumers are even less satisfied with their pharmacy than are those who are not required to use mail order (771 vs. 836, respectively).

Mail-order pharmacy customers are significantly more satisfied when they have the ability to request overnight delivery and it is included free of charge. However, only 12% of mail-order customers say they are aware of and have access to this service.

Ranking the stores
Among chain drug store pharmacies, Good Neighbor Pharmacy and Health Mart ranked highest in a tie with scores of 851, and The Medicine Shoppe Pharmacy followed with a score of 831.All three are locally owned, independently operated community pharmacies.

"Independent community pharmacies pride themselves on providing expert medication counseling, competitive pricing and convenient service," said Robert Greenwood, RPh, president of the National Community Pharmacists Association, in a statement. "It's encouraging to see this reminder that our customers are taking note of that personal touch."

Among mass merchandisers, Target ranked highest among mass merchandisers for a fifth consecutive year with a score of 846, with Sam’s Club (837) and Costco (834) following.

Publix ranked highest for a second consecutive year in the supermarket segment, with a score of 867. Wegmans follows with 848, and Winn-Dixie ranks third with 834.

Kaiser Permanente Pharmacy ranked highest among mail-order pharmacies for a third consecutive year with a score of 848, followed by Humana RightSourceRx (840) and Express Scripts (813)  The Department of Veterans Affairs pharmacy service, which is open only to veterans of the US military and their families, and therefore is not included in the rankings, also achieved a high level of customer satisfaction.

The 2011 U.S. National Pharmacy Study is based on responses from more than 12,300 patients who filled a new prescription or refilled a prescription during the 3 months prior to the survey period. To access the report, click here.
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Colleen Hill RPh   September 20th, 2011 06:09:3706:37:41 PM
And what is being done by pharmacy associations and other pharmacy leaders to educate the public as to what goes into processing a prescription? Does the patient who wants their prescription in 3 minutes or less want the pharmacist to screen for safety issues, rx being written correctly at the appropriate dose? Do they want drug interactions to be acknowledged and addressed? Do they want less costly alternative therapies pursued? I think that many times if the patient knew what thought processes, phone calls, etc... went into processing their order, they wouldn't be as impatient.
Seth (Sr. Pharmacy Technician)   September 20th, 2011 08:09:0108:01:42 PM
Colleen has a very good point. Pharmacy patients know very little about what goes into filling a prescription and this enables more unreasonable impatience than with any other kind of service I think.
Jessica Sr Pharmacy Tech   September 21st, 2011 02:09:0102:01:02 AM
This study seems completely unfair. Customers want to wait less than 3 minutes in line behind someone but want us to spend three times that amount of time on them with the RPH...I'm sorry but that doesn't add up.
Amy   September 24th, 2011 09:09:4009:40:27 PM
Jessica... you have just described the typical customer. They want it all. For example, I was helping a young (20s) patient who was just prescribed a complicated dosing schedule and mix of creams from a dermatologist when the man behind him decided that it was all taking too long. He interrupted my counseling to let the guy know that he was waiting and that he had asked enough questions. I was so angry and offended...this man was also a physician. No one would walk into another patient's exam room and say, I am waiting and could you hurry this up? Fast food pharmacy at its worst!
Denise Sampler   September 26th, 2011 09:09:5009:50:24 AM
I have been considering going to the Board of Pharmacy and asking them to address to issue of public safety when a chain store (or any other pharmacy type) requires a "15 minute wait time for 3 or less prescriptions all the while expecting the non stop phone calls coming in on no less than 3 phone lines (sometimes more)to be
answered, the drive thru register and the regular registers to be serviced without delay by a pharmacist and one tech. I don't have time for patient counceling and this is TOTally unsafe. I'd really like to hear from Board of Pharmacy member on these issues.
Thomas   September 26th, 2011 01:09:4001:40:37 PM
My work load at a chain pharmacy increased by 50% after a buyout of the competition. I resigned shortly after a night in the cardiac intensive care unit. My symptoms subsided, and the cardiologist said I did not have heart problems, just a very bad job. Later a position at an independent pharmacy allowed me to process prescriptions and counsel patients and complete all in reasonable and satisfactory time periods. The customer and the pharmacy staff are all short-changed by the "fast food" approach to pharmacy.
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