Responding to change: the case of community pharmacy in Great Britain.

Abstract

In recent years pharmacy has increasingly striven sharply to define and establish its role in the face of technological advance. The pre-packaging of medicines by the pharmaceutical industry and the use of computers in pharmacies and general practitioners' surgeries would seem to obviate pharmacists' traditional activities in the compounding and dispensing of medicines, and challenge their claim to professional status with an associated decline in their social and economic rewards. This paper draws on the literature ofthe sociology ofthe professions to analyse the response of this occupational group to threats to its status as a professional primary health care provider. It is argued that pharmacy has the necessary knowledge base to control the symbolic transformation of the pharmacological entity-the drug-into the social object-the medicine, yet has failed to capitalise on this when attempting to define its professional role.

Pastoral power in the community pharmacy: A Foucauldian analysis of services to promote patient adherence to new medicine use

“…Abbott, 1988;Freidson, 1970) analysis often centres on the connections between pharmacy's expert knowledge, autonomous practice, and jurisdiction with the division of labour (e.g. Britten, 2001;Harding and Taylor, 1997;McDonald et al 2010). Dingwall and Wilson's (1995) M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 4 influential paper challenged the idea of pharmacy being an 'incomplete' profession by showing its distinct ability in the system of modern healthcare to symbolically transform inert chemicals into medicinal drugs.…”

“…Although the profession has lost much of its role in medicines procurement and compounding with the industrialisation of production, it has expanded its jurisdiction in primary healthcare tasks (e.g. Britten, 2001;Harding and Taylor 1997;McDonald et al, 2010;Motulsky et al 2010;Petrakaki et al 2011).…”

“…The extension of pharmacist roles has led to sustained social science debate about the changing status of the profession, especially in relation to family doctors and patients (Britten, 2001;Dingwall and Wilson, 1995;Harding and Taylor, 1997;Hibbert et al 2002;McDonald et al 2010;Petrakaki et al 2012). Change is interpreted as extending pharmacy's jurisdiction in the social organisation of healthcare, e.g.…”

“…prescribing, at the expense of other professions, e.g. family doctors (Britten, 2001;Harding and Taylor, 1997). Conversely, research suggests the expansion of pharmacy's jurisdiction is often framed by wider political, economic or professional interests, e.g.…”

The effects of Social Security Institution implementations on community pharmacists' job satisfaction: A qualitative study

“…Harding ve Taylor'un 1997'de belirttiği üzere büyük bürokratik organizasyonların hizmet verimliliğini arttırmak ve standart bir hizmet sunabilmek için kurallar dikte etmesi, eczacıların otonomisini engellemekte ve iş stresini daha da arttırmaktadır (16). Görüşme yaptığımız eczacıların kendini memur gibi hissettiklerini ifade etmeleri ve eczacılık hizmeti vermekten çok SGK prosedürlerine vakit ayırdıklarını söylemeleri Harding ve Taylor'ın çalışması ile uyum göstermektedir.…”