IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v122y2018i3p256-262.html
   My bibliography  Save this article

Expanding the clinical role of community pharmacy: A qualitative ethnographic study of medication reviews in Ontario, Canada

Author

Listed:
  • Patton, Sarah J.
  • Miller, Fiona A.
  • Abrahamyan, Lusine
  • Rac, Valeria E.

Abstract

Medication reviews by community pharmacists are an increasingly common strategy to improve medication management for chronic conditions, and are part of wider efforts to make more effective use of community-based health professionals. To identify opportunities to optimize the medication review program in Ontario, Canada, we explored how providers and clients interpret and operationalize medication reviews within everyday community pharmacy practice. We conducted a qualitative ethnographic study at four pharmacies in Ontario, Canada, including non-participant observation of provider and client activities and interactions with specific attention to medication reviews, as well as brief ethnographic interviews with providers and clients, and in-depth, semi-structured interviews with providers. We report on 72h of field research, observation of 178 routine pharmacist-client interactions and 29 medication reviews, 62 brief ethnographic interviews with providers and clients, and 7 in-depth, semi-structured interviews with providers. We found that medication reviews were variably conducted across the dimensions of duration, provider type, location, and interaction style, and that local contexts and system-wide developments influence their meaning and practice. Medication reviews are exemplary of policy efforts to enhance the role of community pharmacies within health systems and the scope of practice of pharmacists as healthcare professionals. Our study highlights the importance of the local structure of community pharmacy practice and the clinical aspirations of pharmacists in the delivery of medication reviews.

Suggested Citation

  • Patton, Sarah J. & Miller, Fiona A. & Abrahamyan, Lusine & Rac, Valeria E., 2018. "Expanding the clinical role of community pharmacy: A qualitative ethnographic study of medication reviews in Ontario, Canada," Health Policy, Elsevier, vol. 122(3), pages 256-262.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:3:p:256-262
    DOI: 10.1016/j.healthpol.2017.10.007
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851017302968
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2017.10.007?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Mossialos, Elias & Naci, Huseyin & Courtin, Emilie, 2013. "Expanding the role of community pharmacists: Policymaking in the absence of policy-relevant evidence?," Health Policy, Elsevier, vol. 111(2), pages 135-148.
    2. Bradley, Fay & Wagner, Andrew C. & Elvey, Rebecca & Noyce, Peter R. & Ashcroft, Darren M., 2008. "Determinants of the uptake of medicines use reviews (MURs) by community pharmacies in England: A multi-method study," Health Policy, Elsevier, vol. 88(2-3), pages 258-268, December.
    3. Mossialos, Elias & Courtin, Emilie & Naci, Huseyin & Benrimoj, Shalom & Bouvy, Marcel & Farris, Karen & Noyce, Peter & Sketris, Ingrid, 2015. "From “retailers” to health care providers: Transforming the role of community pharmacists in chronic disease management," Health Policy, Elsevier, vol. 119(5), pages 628-639.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Perraudin, Clémence & Bugnon, Olivier & Pelletier-Fleury, Nathalie, 2016. "Expanding professional pharmacy services in European community setting: Is it cost-effective? A systematic review for health policy considerations," Health Policy, Elsevier, vol. 120(12), pages 1350-1362.
    2. Anderson, Michael & O'Neill, Ciaran & Macleod Clark, Jill & Street, Andrew & Woods, Michael & Johnston-Webber, Charlotte & Charlesworth, Anita & Whyte, Moira & Foster, Margaret & Majeed, Azeem & Pitch, 2021. "Securing a sustainable and fit-for-purpose UK health and care workforce," LSE Research Online Documents on Economics 110809, London School of Economics and Political Science, LSE Library.
    3. Sarah Al Assaf & Romana Zelko & Balazs Hanko, 2022. "The Effect of Interventions Led by Community Pharmacists in Primary Care for Adults with Type 2 Diabetes Mellitus on Therapeutic Adherence and HbA1c Levels: A Systematic Review," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    4. Allin, Sara & Martin, Elisabeth & Rudoler, David & Church Carson, Michael & Grudniewicz, Agnes & Jopling, Sydney & Strumpf, Erin, 2021. "Comparing public policies impacting prescribing and medication management in primary care in two Canadian provinces," Health Policy, Elsevier, vol. 125(9), pages 1121-1130.
    5. Anne Buttard & Florent Macé & Laetitia Morvan & Christine Peyron, 2019. "Community pharmacists in the coordination of primary cares in France: some issues [Pharmaciens et coordination des soins primaires en France : quels enjeux ?]," Working Papers hal-02022686, HAL.
    6. Zhijia Tang & Pema Lhamu & Hua Ye & Lan Hong & Xiaoqiang Xiang, 2020. "Current Perceptions and Improvement Approaches of Pharmaceutical Care Capacity of Community Pharmacists: A Quantitative Analysis Based on Survey Data at Chinese Chain Pharmacies," IJERPH, MDPI, vol. 17(20), pages 1-13, October.
    7. Jokinen, Lenita & Puumalainen, Inka & Airaksinen, Marja, 2019. "Influence of strategic planning on product marketing and health service orientation of community pharmacies—A national survey in Finland," Health Policy, Elsevier, vol. 123(5), pages 462-467.
    8. Kingston Rajiah & Shreeta Sivarasa & Mari Kannan Maharajan, 2021. "Impact of Pharmacists’ Interventions and Patients’ Decision on Health Outcomes in Terms of Medication Adherence and Quality Use of Medicines among Patients Attending Community Pharmacies: A Systematic," IJERPH, MDPI, vol. 18(9), pages 1-14, April.
    9. Tsiachristas, A. & Wallenburg, I. & Bond, C.M. & Elliot, R.F. & Busse, R. & van Exel, J. & Rutten-van Mölken, M.P. & de Bont, A., 2015. "Costs and effects of new professional roles: Evidence from a literature review," Health Policy, Elsevier, vol. 119(9), pages 1176-1187.
    10. Caterina Cavicchi & Emidia Vagnoni, 2020. "Sustainable Business Models in Hybrids: A Conceptual Framework for Community Pharmacies’ Business Owners," Sustainability, MDPI, vol. 12(19), pages 1-18, October.
    11. Miller, Rosalind & Hutchinson, Eleanor & Goodman, Catherine, 2018. "‘A smile is most important.’ Why chains are not currently the answer to quality concerns in the Indian retail pharmacy sector," Social Science & Medicine, Elsevier, vol. 212(C), pages 9-16.
    12. Mossialos, Elias & Courtin, Emilie & Naci, Huseyin & Benrimoj, Shalom & Bouvy, Marcel & Farris, Karen & Noyce, Peter & Sketris, Ingrid, 2015. "From “retailers” to health care providers: Transforming the role of community pharmacists in chronic disease management," Health Policy, Elsevier, vol. 119(5), pages 628-639.
    13. McDonald, Ruth & Cheraghi-Sohi, Sudeh & Sanders, Caroline & Ashcroft, Darren, 2010. "Professional status in a changing world: The case of medicines use reviews in English community pharmacy," Social Science & Medicine, Elsevier, vol. 71(3), pages 451-458, August.
    14. Jagoda Miszewska & Natalia Wrzosek & Agnieszka Zimmermann, 2022. "Extended Prescribing Roles for Pharmacists in Poland—A Survey Study," IJERPH, MDPI, vol. 19(3), pages 1-13, January.
    15. Claire Coutureau & Florian Slimano & Céline Mongaret & Lukshe Kanagaratnam, 2022. "Impact of Pharmacists-Led Interventions in Primary Care for Adults with Type 2 Diabetes on HbA1c Levels: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(6), pages 1-20, March.
    16. Anna M. Jambrina & Neus Rams & Pilar Rius & Maria Perelló & Montserrat Gironès & Clara Pareja & Francisco José Pérez-Cano & Àngels Franch & Manel Rabanal, 2022. "Creation and Implementation of a New Sentinel Surveillance Model in Pharmacy Offices in Southern Europe," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    17. Sally Jacobs & Tom Fegan & Fay Bradley & Devina Halsall & Mark Hann & Ellen I Schafheutle, 2018. "How do organisational configuration and context influence the quantity and quality of NHS services provided by English community pharmacies? A qualitative investigation," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-14, September.
    18. Sonja Kallio & Tiina Eskola & Marika Pohjanoksa-Mäntylä & Marja Airaksinen, 2020. "Medication Risk Management in Routine Dispensing in Community Pharmacies," IJERPH, MDPI, vol. 17(21), pages 1-12, November.
    19. Maria Laura Ilardo & Antonio Speciale, 2020. "The Community Pharmacist: Perceived Barriers and Patient-Centered Care Communication," IJERPH, MDPI, vol. 17(2), pages 1-16, January.
    20. Vogler, Sabine & Habimana, Katharina & Arts, Danielle, 2014. "Does deregulation in community pharmacy impact accessibility of medicines, quality of pharmacy services and costs? Evidence from nine European countries," Health Policy, Elsevier, vol. 117(3), pages 311-327.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:122:y:2018:i:3:p:256-262. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.