Pestle and mortal: the demise of community pharmacy in the UK

Cooper, Richard

doi:10.1111/ijpp.12635

Cited by 4 publications

(4 citation statements)

References 8 publications

(10 reference statements)

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“…They also eased distress by providing triaging and basic consultations via Telemedicine, thus taking the burden off the doctors and health system. Several authors have provided their contribution in the recent debate focusing on the management of Covid-19 emergency and the role of online pharmacies (Chaturvedi et al, 2011Araújo et al, 2019) of e-Pharmacies (Felkey and Fox, 2001;Bessel et al 2002;Guzzo, 2020;Hattinga et al 2020;Rijcken, 2019), of the new digital set-role of pharmacists (Al-Quteimat and Amer., 2021; Basheti et al 2020;Bukkari et al2020;Cabas et al,2021;Cooper ,2020;Hedima et al, 2020;Nadeem et al, 2020;Nazar and Nazar, 2020;Sum and Ow, 2020) as well as of social media and mobile 6 Hepler and Strand ( 1990) "Pharmaceutical care is the responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient's quality of life". See also Cipolle, Strand and Morley (1998), Hughes et al (2010).…”

Section: Pharmacist Competencies Roles and Digital/in Presence Servic...mentioning

confidence: 99%

“…The disruptive chaos brought about by the Covid-19 emergency in pharmacies has led to the worsening of the «technological shock» (Sprinks et al, 2017;Cooper, 2020) caused by the impact of the "hub & spoke" model of online pharmacies on the role of intermediation traditionally played by pharmacists. In fact, this has increased «the possibility that a medicine can be directly sent to patients without the traditional pharmacist involvement» (Cooper 2020, p.205).…”

Section: Final Remarks and Some Considerations On Italymentioning

confidence: 99%

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HEALTH AND e-PHARMACIES IN THE COVID AGE. NEW ROLES AND DIGITAL CHALLENGES FOR THE PHARMACIST

GUZZO¹,

Cersosimo²

2021

SSL

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The study discusses the potential of e-Pharmacies and the new digital skills of pharmacists in the aftermath of the Sars-Cov2 pandemic. From this perspective, a sociological analysis of the digital role-set of pharmacists is developed, in order to highlight the opportunities and risks of the spreading of online pharmacies and their potential contribution to the delivery of new digital services for addressin Covid-19. The paper ends with some considerations on the importance of the sociological studies of “e-pharmacy encounters” in the current phase of Covid Age in Italy.

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Section: Pharmacist Competencies Roles and Digital/in Presence Servic...mentioning

confidence: 99%

Section: Final Remarks and Some Considerations On Italymentioning

confidence: 99%

HEALTH AND e-PHARMACIES IN THE COVID AGE. NEW ROLES AND DIGITAL CHALLENGES FOR THE PHARMACIST

GUZZO¹,

Cersosimo²

2021

SSL

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“…The availability of pre-packed medicines without prescription in retail outlets other than pharmacies has undermined the pharmacist's customary role in dispensing medicines (Harding and Taylor 1997). Detailed information leaflets, the rise of the 'expert patient' and increased online availability of medicines (and medicines' information) further reduce reliance on pharmacists' expert knowledge and the physical pharmacy space (Cooper 2020).…”

Section: Extending Community Pharmacymentioning

confidence: 99%

“…Community pharmacists, as private contractors engaged by the NHS, provide local pharmaceutical services within a retail setting, in addition to a range of products for customers to purchase. Amidst concerns of its demise, and by aligning traditional claims to expert and altruistic practice with emerging discussions associated with patient choice, the profession has developed an interest in public health (Cooper 2020, Walker 2000, Waring et al 2016.…”

Section: Introductionmentioning

confidence: 99%

Community pharmacy and public health: preserving professionalism by extending the pharmacy gaze?

Atkin

Madden

Morris

et al. 2020

Sociology Health & Illness

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Community pharmacy faces ongoing challenges to its economic and social standing. A concern to legitimate professional status explains the attraction of public health. Interventions currently advocated by UK State-sponsored health care seek to reconcile the autonomous 'entrepreneurial' patient with market-driven solutions. Engaging critically with recent Foucauldian sociological work on pharmacy as a conduit for disciplinary power, we explore how professional ambiguity is exploited to 'manage' the subjectivities of community pharmacists. Locating our discussion in the observed empirical realities of pharmacy practice (the inclusion of alcohol and other 'healthy living' advice in the Medicines Use Review), we connect unresolved historical debates in community pharmacy with current ongoing (neoliberal) changes in policy and pharmacy business practices, drawing attention to the poor evidence base underpinning healthy living activities in community pharmacy. Our findings show how community pharmacists struggle to provide meaningful advice, valued by patients. Instead of enhancing professional status, 'add-on' public health roles created the risk of offering little more than an essentialised enactment of consumerist health care. Understanding how patients conceptualise drinking and 'healthy living' in relation to their long-term health, using more open discussions, including the negotiation (rather | 337

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A Rapid Realist Review of the Role of Community Pharmacy in the Public Health Response to COVID-19

Maidment

Young

MacPhee

et al. 2021

Preprint

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Introduction Community pharmacists and their teams have remained accessible to the public providing essential services despite immense pressures during the COVID-19 pandemic. They have successfully expanded the influenza vaccination programme and are now supporting the delivery of the COVID-19 vaccination roll-out. Aim This rapid realist review aims to understand how community pharmacy can most effectively deliver essential and advanced services, with a focus on vaccination, during the pandemic and in the future. Method An embryonic programme theory was generated using four diverse and complementary documents along with the expertise of the project team. Academic databases, preprint services and grey literature were searched and screened for documents meeting our inclusion criteria. The data was extracted from 103 documents to develop and refine a programme theory using a realist logic of analysis. Our analysis generated 13 context-mechanism-outcome configurations explaining when, why and how community pharmacy can support public health vaccination campaigns, maintain essential services during pandemics, and capitalise on opportunities for expanded, sustainable public health service roles. The views of stakeholders including pharmacy users, pharmacists, pharmacy teams and other healthcare professionals were sought throughout to refine the 13 explanatory configurations. Results The 13 context-mechanism-outcome configurations are organised according to decision makers, community pharmacy teams and community pharmacy users as key actors. Review findings include: supporting a clear role for community pharmacies in public health; clarifying pharmacists legal and professional liabilities; involving pharmacy teams in service specification design; providing suitable guidance, adequate compensation and resources; and leveraging accessible, convenient locations of community pharmacy. Discussion Community pharmacy has been able to offer key services during the pandemic. Decision makers must endorse, articulate and support a clear public health role for community pharmacy. We provide key recommendations for decision makers to optimise such a role during these unprecedented times and in the future.

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Pestle and mortal: the demise of community pharmacy in the UK

Cited by 4 publications

References 8 publications

HEALTH AND e-PHARMACIES IN THE COVID AGE. NEW ROLES AND DIGITAL CHALLENGES FOR THE PHARMACIST

HEALTH AND e-PHARMACIES IN THE COVID AGE. NEW ROLES AND DIGITAL CHALLENGES FOR THE PHARMACIST

Community pharmacy and public health: preserving professionalism by extending the pharmacy gaze?

A Rapid Realist Review of the Role of Community Pharmacy in the Public Health Response to COVID-19

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