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Original Research Article | OPEN ACCESS

Patients' response to waiting time in an out-patient pharmacy in Nigeria

Margaret O Afolabi, Wilson O Erhun

Department of Clinical Pharmacy and Pharmacy Administration, bafemi Awolowo University, Ile-Ife, Nigeria;

For correspondence:-  Wilson Erhun   Email: werhun@oauife.edu.ng

Published: 17 December 2003

Citation: Afolabi MO, Erhun WO. Patients' response to waiting time in an out-patient pharmacy in Nigeria. Trop J Pharm Res 2003; 2(2):207-214 doi: 10.4314/tjpr.v2i2.3

© 2003 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..

Abstract

Purpose:  To  identify  the  dispensing  procedure  at  a  pharmacy,  investigate  the  possible operational  problems  that  may  lead  to  excessive  patient  waiting  times  as  prescriptions  are filled and to examine patient disposition to perceived delays at the pharmacy.
Methods:  The  study  was  carried  out  in  a  574-bed  university  teaching  hospital  in  Ile  –  Ife, Nigeria.  The  subjects  were  out-patients  who  gave  their  consent  to  participate  in  the  study. Data were collected using the techniques of workflow analysis and time study in observing the dispensing  process.  A  validated  questionnaire  was  administered  on  the  out-patients  to measure  their  responses  to  waiting  in  the  pharmacy  as  well  as  their  level  of  satisfaction  with pharmaceutical services rendered.   
Results: The workflow analysis revealed considerable delay in the dispensing procedure as a result  of  extended  process  components.  The  total  waiting  time  for  a  dispensing  process averaged 17.09 min, and 89.5% of  this was due  to delay components.   Specifically, the major delay  components  included  patient  queues  for  billing  prescription  sheets  and  subsequent payment  to  the  cashier.  Operational  problems  identified  included  patients’  indirect  access  to dispensing  pharmacist  and  the  tortuous  procedure  for  prescription  billing  and  payments. Generally,  patients  were  not  satisfied  with  undue  delay  caused  by  the  dispensing  procedure at the pharmacy.
Conclusion:  Most  of  the  patient  waiting  time  in  the  hospital  studied  can  be  accounted  for  by delay components of the dispensing procedure. Attempts should therefore be made to reduce the  time  on  these  components  of  the  dispensing  process  so  that  more  time  could  be  devoted to  counseling  while  reducing  the  total  time  spent  by  the  patient  in  having  their  prescriptions sheets filled.

Keywords: Dispensing process; hospital pharmacy; pharmaceutical service; waiting time

Impact Factor
Thompson Reuters (ISI): 0.523 (2021)
H-5 index (Google Scholar): 39 (2021)

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