During the study period 7860 unique site visitors (approximately 0.8% (7860/1,000,000) of individuals with a secure digital signature) accessed “My dispensed medications” 10,192 times. Of the 7860 unique site visitors, 2663 individuals accepted the invitation and 1716 responded to the online survey, resulting in a view rate of 0.218 (1716 survey visitors/7860 site visitors) and a completion rate of 0.644 (1716 finished survey/2663 agreed to participate) [13
The time to answer the survey was automatically measured and lasted an average of 2.8 (median 2, IQR 2) minutes; 1% (18/1716) of the respondents submitted the survey in less than 1 minute.
The completeness rate [13
] (number of responses to each question/1716 completed surveys) was between 0.995 (1707/1716) for the first screen and 0.949 (1629/1716) for the last, decreasing for every screen displayed with statements and questions on their attitudes.
In general, the respondents’ opinions of the usefulness of “My dispensed medications” were high, with a total median grade of 5 (IQR 3), when asked to agree/disagree on a scale of 1 to 6 with statements on how “My dispensed medications” may be used (, “a. By means of...”). The statements “the pharmacist’s dispensing of my drugs may be safer” (P < .001) and “my physician may have a better decision basis for my medication” (P < .001) were graded above the total average. “My drug utilization may be improved” (P = .68) and “the information in my medical record may be improved” (P = .07) were in line with the total average. “I may receive better health care and treatment”(P < .001), “I may to a greater extent comply with my physician’s ordination” (P < .001), and “I may be more involved in the decisions regarding my medication” (P < .001) were graded under the total average. However, the differences were small, with statement medians ranging from 4 to 5.
More respondents considered “My dispensed medications” to be of greater use for the pharmacists than for the physicians (P< .001), when the statement “the pharmacist’s dispensing of my drugs may be safer” was compared with the statement “my physician may have a better decision basis for my medication”.
Asked about their opinion on the design of the Web site “My dispensed medications” (, “b. My opinion of...”), respondents were generally positive, returning a total median grade of 5 (IQR 1). The statements “I get a good overview of my drugs” followed by “the information is valuable to me” were graded above the total median (P < .001 and P = .01 respectively). “Log on is easy” was in line with the total median (P = .19). “The information is easy to understand” and “the appearance of the Web page is good” were graded high, although below the total average (P < .001 and P < .001 respectively) (). The high grades for the statements (P-values given in the same order as the statements in under “b. My opinion of 'My dispensed medications' is that...”) were not dependent on age (P = .24, P = .91, P = .55, P = .92, and P = .52 respectively) or number of drugs stated, except for the statement “the information is valuable to me” (P = .71, P = .62, P = .75, P = .03, and P = .12 respectively).
Source of Information
A majority of the respondents, 60% (1037/1716), had learned about “My dispensed medications” from pharmacies (). In general, the respondents included free-text comments in the range of 3-13% (49/1716; 231/1716) for different statements and questions. Comments to at least one statement or question were submitted with 27% (464/1716) of the surveys. When the free-text comments on the respondent’s source of information were analyzed, 102 respondents could be added to the category “from pharmacies”, yielding the fact that 66% ((1037+102)/1716) of the respondents had learned about “My dispensed medications” from pharmacies. Many of these comments indicated that the visitor had learned about the service not only at local pharmacies but also at the pharmacies’ shared Web site.
Reasons for Access
The respondents visited “My dispensed medications” primarily to get an overview of their drugs and to get control, with 24% (414/1716) of the respondents acknowledging both motives and 70% (1208/1716) acknowledging either overview or control, or both, as reasons for their access. Accessing the Web site out of interest and curiosity were less common reasons, with 45% (771/1716) answering one or both (P < .001) (). To get control was a more common (P < .001) answer for the elderly (75 or above), whereas curiosity was more common (P < .001) for the younger age group (18-44) (). Those who did not identify with any of the four response alternatives numbered 5% (91/1716), only answering “other”.
Frequency distribution of respondents’ answers to the question, “ Why did you take a look at ‘My dispensed medications’?”
Willingness to Share “My dispensed medications”
Respondents were keener to share their record with a close relative or their physician than with the pharmacy and other health care staff (P < .001) (). Respondents’ willingness to share “My dispensed medications” increased with age, except for sharing with other health care staff, which was low for all age groups ().
Frequency distribution of respondents’ answers to the question, “In the future, will you show or discuss your ‘My dispensed medications’ with another person?”
Giving high grade to the statement “my physician may have a better decision basis for my medication” was well in accordance with answering yes to the question “In the future, I will show “My dispensed medications” to my physician” (RR = 0.56, 95% CI 0.44-0.71). The same relationship was found between “the pharmacist’s dispensing of my drugs may be safer” and “In the future, I will show “My dispensed medications” to the pharmacy staff” (RR = 0.48, 95% CI 0.30-0.76).
Demographics showed that 28% (488/1716) of the respondents resided in one of the three major Swedish cities of Stockholm, Göteborg, or Malmö, 40% (686/1716) in other cities, and 27% (469/1716) in the countryside (). The respondents seem geographically representative, since the respondents’ residences corresponded with the Swedish population as a whole with 76% (6,897,691/9,047,752) living in cities and 24% (2,150,061/9,047,752) in the countryside [14
In the age group 18-44 years, more women, 66.8% (410/614), than men responded to the survey, in contrast to the older age groups 45-64 years, 65-74 years, and 75 years and above, in which more men than women responded, at rates of 61.0% (494/810), 77.4% (137/177), and 83.3% (40/48) respectively ().
Frequency distribution of respondents’ per gender and age groups