Patient Preferences and Prototype Development of a Pharmacist-Led Asthma Intervention in Community and Outpatient Pharmacy Settings: A Discrete Choice Experiment

Kanza Amalina Rosyida, Prof. Dr. apt. Susi Ari Kristina, M.Kes.; Prof. Dr. apt. Satibi, M.Si.

2026 | Tesis | Magister Manajemen Farmasi

Background: Asthma management requires continuous care, yet pharmacist-led asthma services in Indonesia have not been systematically designed according to patients’ preferences. This study aimed to identify adult patients’ preferences, quantify preference trade-offs and heterogeneity, and translate the findings into a patient-centred telepharmacy prototype.

Methods: A sequential quantitative study with expert validation was conducted among 515 patients in the Special Region of Yogyakarta and selected Central Java areas. A DCE evaluated six attributes: frequency of pharmacist follow-up, access to pharmacists, counselling type, symptom-free days, medication side-effect risk, and out-of-pocket cost. Data were analysed using conditional logit modelling, relative attribute importance (RAI), and subgroup analyses. Self-reported willingness to pay was assessed. Findings were translated into a conceptual pharmacist-led asthma prototype comprising a structured workflow and digital interface, followed by expert review.

Results: All non-cost attributes significantly influenced patient choices (p<0>

Background: Asthma management requires continuous care, yet pharmacist-led asthma services in Indonesia have not been systematically designed according to patients’ preferences. This study aimed to identify adult patients’ preferences, quantify preference trade-offs and heterogeneity, and translate the findings into a patient-centred telepharmacy prototype.

Methods: A sequential quantitative study with expert validation was conducted among 515 patients in the Special Region of Yogyakarta and selected Central Java areas. A DCE evaluated six attributes: frequency of pharmacist follow-up, access to pharmacists, counselling type, symptom-free days, medication side-effect risk, and out-of-pocket cost. Data were analysed using conditional logit modelling, relative attribute importance (RAI), and subgroup analyses. Self-reported willingness to pay was assessed. Findings were translated into a conceptual pharmacist-led asthma prototype comprising a structured workflow and digital interface, followed by expert review.

Results: All non-cost attributes significantly influenced patient choices (p<0>

Kata Kunci : Asthma, Patient preferences, Discrete choice experiment, Pharmacist-led intervention, Service prototype