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Professional status in a changing world: The case of medicines use reviews in English community pharmacy

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  • McDonald, Ruth
  • Cheraghi-Sohi, Sudeh
  • Sanders, Caroline
  • Ashcroft, Darren

Abstract

The health professions are engaged in an ongoing and dynamic process involving reflection and adaptation, with factors such as socio-economic and cultural developments and technological innovations compelling professions to respond to changed circumstances. This paper concerns English community pharmacy, where recent reforms provide financial incentives to deliver interventions, which have the potential for pharmacists to promote their knowledge and skills, as part of a professionalising strategy. The paper, drawing on interviews with 49 pharmacists, describes how responses to reforms are not necessarily in accordance with either national policy goals or enhancement of professional status. Debates about professional status and role extension have often focused on health professions' subordination to medicine. This paper highlights the importance and interplay of other factors which help explain the inability to capitalise fully on the potential contribution to professional status, which reforms to extend professional roles afford.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:3:p:451-458
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    References listed on IDEAS

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    1. Fox, N.J. & Ward, K.J. & O'Rourke, A.J., 2005. "The 'expert patient': empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet," Social Science & Medicine, Elsevier, vol. 60(6), pages 1299-1309, March.
    2. Adamcik, Barbara A. & Ransford, H. Edward & Oppenheimer, Phillip R. & Brown, Janice F. & Eagan, Pamela A. & Weissman, Fred G., 1986. "New clinical roles for pharmacists: A study of role expansion," Social Science & Medicine, Elsevier, vol. 23(11), pages 1187-1200, January.
    3. 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.
    4. Edmunds, June & Calnan, Michael W., 2001. "The reprofessionalisation of community pharmacy? An exploration of attitudes to extended roles for community pharmacists amongst pharmacists and General Practioners in the United Kingdom," Social Science & Medicine, Elsevier, vol. 53(7), pages 943-955, October.
    5. Gilbert, Leah, 1998. "Pharmacy's attempts to extend its roles: A case study in South Africa," Social Science & Medicine, Elsevier, vol. 47(2), pages 153-164, July.
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    Cited by:

    1. Waring, Justin & Latif, Asam & Boyd, Matthew & Barber, Nick & Elliott, Rachel, 2016. "Pastoral power in the community pharmacy: A Foucauldian analysis of services to promote patient adherence to new medicine use," Social Science & Medicine, Elsevier, vol. 148(C), pages 123-130.
    2. Petrakaki, Dimitra & Barber, Nick & Waring, Justin, 2012. "The possibilities of technology in shaping healthcare professionals: (Re/De-)Professionalisation of pharmacists in England," Social Science & Medicine, Elsevier, vol. 75(2), pages 429-437.
    3. Schafheutle, Ellen Ingrid & Seston, Elizabeth Mary & Hassell, Karen, 2011. "Factors influencing pharmacist performance: A review of the peer-reviewed literature," Health Policy, Elsevier, vol. 102(2), pages 178-192.
    4. 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.

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