Perspectives on an amended law addressing pharmacists' availability in community pharmacies. 2021

Gohar Qadeer, and Mohamed Ezzat Khamis Amin
College of Pharmacy, Natural and Health Sciences, Manchester University, Fort Wayne, Indiana, USA.

OBJECTIVE Little attention has been given to perceptions of pharmacist availability and role in the community setting following policy changes. The Pakistani model is particularly interesting as it encompasses three different pharmacy practice licensure types with major differences in credentials, training, and role. Guided by the theory of planned behaviour (TPB), this study examined factors associated with the availability of pharmacists in the community setting in Pakistan following the implementation of a new policy regulating pharmacist presence in community pharmacies. METHODS Fifteen participants were interviewed in three Pakistani cities (Islamabad, Lahore, and Peshawar). Those included pharmacy licence holders (types A, B, and C), non-pharmacist owners and a pharmacist inspector who were purposively sampled to assure variance in education, gender, time in practice, and geographic location. Directed content analysis was performed based on the TPB framework. Description of themes came after discussions among the two authors. RESULTS Findings indicated a discrepancy between participants about the value of having a pharmacist present with pharmacists showing more appreciation of the value they would provide. Participants felt that the new policy is attempting to change a norm that has existed for a long time. They also pointed to logistical challenges in making a pharmacist available including the feasibility of having a pharmacist present, the financial burden of hiring a pharmacist, and difficulty in enforcing the law uniformly across different geographical areas. Participants were concerned that some type A licence holders sensed that practicing in the community setting and the act of selling medications was beneath their social status as pharmacists. CONCLUSIONS A set of factors contribute to the availability of pharmacists in community pharmacies in Pakistan. The change in law should be supplemented with other interventions that contribute to making well-trained pharmacy personnel available for serving patrons.

UI MeSH Term Description Entries
D010154 Pakistan A country located in southern Asia, bordering the Arabian Sea, between India on the east and Iran and Afghanistan on the west and China in the north. The capital is Islamabad. Islamic Republic of Pakistan
D010594 Pharmacies Facilities for the preparation and dispensing of drugs. Community Pharmacies,Pharmacy Distribution,Community Pharmacy,Distribution, Pharmacy,Distributions, Pharmacy,Pharmacies, Community,Pharmacy Distributions,Pharmacy, Community
D010595 Pharmacists Those persons legally qualified by education and training to engage in the practice of pharmacy. Clinical Pharmacists,Community Pharmacists,Retail Pharmacists,Clinical Pharmacist,Community Pharmacist,Pharmacist,Pharmacist, Clinical,Pharmacist, Community,Pharmacist, Retail,Pharmacists, Clinical,Pharmacists, Community,Pharmacists, Retail,Retail Pharmacist
D003157 Community Pharmacy Services Total pharmaceutical services provided to the public through community pharmacies. Community Pharmaceutic Services,Community Pharmaceutical Services,Pharmaceutic Services, Community,Pharmaceutical Service, Community,Pharmaceutical Services, Community,Pharmacy Services, Community,Service, Community Pharmaceutic,Service, Community Pharmaceutical,Service, Community Pharmacy,Services, Community Pharmaceutic,Services, Community Pharmaceutical,Services, Community Pharmacy,Community Pharmaceutic Service,Community Pharmaceutical Service,Community Pharmacy Service,Pharmaceutic Service, Community,Pharmacy Service, Community
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001291 Attitude of Health Personnel Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc. Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes
D024382 Professional Role The expected function of a member of a particular profession. Professional Roles,Role, Professional,Roles, Professional

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