Community, autonomy and bespoke services: Independent community pharmacy practice in hyperdiverse, London communities

Duckett, Kathryn

doi:10.1016/j.sapharm.2014.10.009

Cited by 10 publications

(13 citation statements)

References 19 publications

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“…Although rural pharmacy funding may enable such pharmacies to exist in a one-pharmacist capacity, if public health initiatives are expected to be widely provided in underserved communities, flexible service funding models may be necessary to more completely service remote/regional areas or populations with high socioeconomic disadvantage. This is consistent with a study in the UK which examined pharmacist work in hyperdiverse London communities, which demonstrated a higher caseload burden per patient [55].…”

Section: Cps Provision From the Pharmacist Provider's Perspective (Micro Level) Servicessupporting

confidence: 90%

“…how well they believed they had completed a task) if the supervisory role ('monitoring demands') of pharmacist work are taken into account [46,54]. This suggests the necessity of examining multiple roles that pharmacists enact within a community pharmacy "store" environment [24,[55][56][57]. Therefore, the structure of the pharmacist role itself has been implicated as a potentially major factor in pharmacist behaviour, whose low rate of CPS delivery is inconsistent with their reported desire to provide CPS [1].…”

Section: Community Pharmacy Agreement Servicesmentioning

confidence: 99%

“…It is therefore important to understand how the professional identities of pharmacists, who may direct, manage and provide the CPS in Australian community pharmacies, can affect CPS implementation. Professional identity could be an important predictor of service quality and fidelity [1,55,60], especially in CPS relying on professional knowledge and skills.…”

Section: Community Pharmacy Agreement Servicesmentioning

confidence: 99%

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Considerations of Australian community pharmacists in the provision and implementation of cognitive pharmacy services: a qualitative study

Yong

Hor

Bajorek

2021

BMC Health Serv Res

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Background Australian federally-funded cognitive pharmacy services (CPS) (e.g. medication management and reconciliation services) have not been translated into practice consistently. These health services are purportedly accessible across all Australian community pharmacies, yet are not delivered as often as pharmacists would like. There are international indicators that pharmacists lack the complete behavioural control required to prioritise CPS, despite their desire to deliver them. This requires local investigation. Objective To explore Australian pharmacists’ perspectives [1] as CPS providers on the micro level, and [2] on associated meso and macro level CPS implementation issues. Methods Registered Australian community pharmacists were recruited via professional organisations and snowball sampling. Data were collected via an online demographic survey and semi-structured interviews until data saturation was reached. Interview transcripts were de-identified then verified by participants. Content analysis was performed to identify provider perspectives on the micro level. Framework analysis using RE-AIM was used to explore meso and macro implementation issues. Results Twenty-three participants across Australia gave perspectives on CPS provision. At the micro level, pharmacists did not agree on a single definition of CPS. However, they reported complexity in interactional work and patient considerations, and individual pharmacist factors that affected them when deciding whether to provide CPS. There was an overall deficiency in pharmacy workplace resources reported to be available for implementation and innovation. Use of an implementation evaluation framework suggested CPS implementation is lacking sufficient structural support, whilst reach into target population, service consistency and maintenance for CPS were not specifically considered by pharmacists. Conclusions This analysis of pharmacist CPS perspectives suggests slow uptake may be due to a lack of evidence-based, focused, multi-level implementation strategies that take ongoing pharmacist role transition into account. Sustained change may require external change management and implementation support, engagement of frontline clinicians in research, and the development of appropriate pharmacist practice models to support community pharmacists in their CPS roles. Trial registration This study was not a clinical intervention trial. It was approved by the University of Technology Sydney Human Research Ethics Committee (UTS HREC 19–3417) on the 26th of April 2019.

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Section: Cps Provision From the Pharmacist Provider's Perspective (Micro Level) Servicessupporting

confidence: 90%

Section: Community Pharmacy Agreement Servicesmentioning

confidence: 99%

Section: Community Pharmacy Agreement Servicesmentioning

confidence: 99%

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Considerations of Australian community pharmacists in the provision and implementation of cognitive pharmacy services: a qualitative study

Yong

Hor

Bajorek

2021

BMC Health Serv Res

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“…However, unlike most commercial enterprises, the key roles of community pharmacists are supposed to safeguard the health of the population they serve, providing a myriad of professional services that commensurate with their knowledge and expertise 5. This dual business person-professional healthcare provider role has existed since antiquity, necessitating community pharmacists to oscillate between both persona, which may be contradictory in certain situations 6.…”

Section: Introductionmentioning

confidence: 99%

Challenges in the management of community pharmacies in Malaysia

Kho¹,

Lim²,

Saleem³

2017

Pharm Pract (Granada)

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Background:The provision of professional pharmacy services by community pharmacists continues to be limited, particularly in low and middle income countries. It was postulated that multiple management challenges faced by community pharmacists contribute to this situation.Objective:The primary aim of the research was to determine the challenges faced in the management of community pharmacies in Sarawak (the largest state in Malaysia), and practical strategies to cope and overcome the challenges.Methods:Semi-structured interviews were carried out with community pharmacists practising in Sarawak. Purposive and snowball sampling were employed to ensure a diverse group of informants. The interviews were audio-recorded and transcribed verbatim, with the resultant data analysed using thematic analysis. Data collection, coding, interpretation were carried out iteratively until theoretical saturation.Results:Twenty respondents from different demographic characteristics were recruited. Six major themes were identified. Management challenges faced by community pharmacists traverse five major domains: market competition, legislative issues, customers’ knowledge and expectations, macroeconomic impacts and operational challenges. Most of these challenges require government intervention to be resolved. In the meantime, improving customer service and expanding the range of professional services were seen as the most viable strategies to cope with existing challenges. The main concern is that current legislative and economic landscape may hinder these strategies. Enactment of dispensing separation and more protective measures against market competition were suggested to alleviate the challenges faced.Conclusion:Numerous management challenges faced by community pharmacists that distract them from delivering professional pharmacy services have been highlighted. Urgent affirmative actions by the government are warranted in supporting community pharmacists to realise and maximise their potentials.

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“…A unique facet of community pharmacies’ identity is the co‐existence of business and professional functions . Patient‐centred services need to be provided within the confines of limited resources, in an increasingly challenging business climate .…”

Section: Introductionmentioning

confidence: 99%

Exploring strategies to overcome extra-organisational challenges faced by community pharmacies in Sarawak, Malaysia

Kho

Hassali

Lim

et al. 2018

International Journal of Pharmacy Practice

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Community, autonomy and bespoke services: Independent community pharmacy practice in hyperdiverse, London communities

Cited by 10 publications

References 19 publications

Considerations of Australian community pharmacists in the provision and implementation of cognitive pharmacy services: a qualitative study

Considerations of Australian community pharmacists in the provision and implementation of cognitive pharmacy services: a qualitative study

Challenges in the management of community pharmacies in Malaysia

Exploring strategies to overcome extra-organisational challenges faced by community pharmacies in Sarawak, Malaysia

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