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Electronic prescriptions and disruptions to the jurisdiction of community pharmacists

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  • Motulsky, Aude
  • Sicotte, Claude
  • Lamothe, Lise
  • Winslade, Nancy
  • Tamblyn, Robyn

Abstract

The practice of community pharmacists is being challenged by the appearance of electronic prescription (e-Rx) technology. This article examines the disruptions caused by e-Rx technology to the jurisdiction of community pharmacists based on a model developed from work by Abbott (1988). The main disruptions to professional activities were investigated by qualitative methods in a series of interviews with pharmacists and physicians separated in two groups: practitioners who tested a typical e-Rx technology and stakeholders involved in the implementation of this large-scale e-Rx project in Quebec, Canada. The findings suggest that the technology may disrupt the jurisdiction of community pharmacists, mainly by changing the distribution of information among physicians and community pharmacists. More specifically, the technology represents both a threat to community pharmacists - by supporting the dominant position held by physicians if it gives them access to information held exclusively by pharmacists - and an opportunity - by redistributing information to the pharmacists' benefit, allowing them to improve the quality of their inferences about medication. However, it would appear that the opportunities offered by the technology generate concerns and tensions, both between physicians and pharmacists and between the pharmacists themselves. This phenomenon may well work against the implementation and use of available tools.

Suggested Citation

  • Motulsky, Aude & Sicotte, Claude & Lamothe, Lise & Winslade, Nancy & Tamblyn, Robyn, 2011. "Electronic prescriptions and disruptions to the jurisdiction of community pharmacists," Social Science & Medicine, Elsevier, vol. 73(1), pages 121-128, July.
  • Handle: RePEc:eee:socmed:v:73:y:2011:i:1:p:121-128
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    References listed on IDEAS

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    1. Fox, Nick & Ward, Katie & O'Rourke, Alan, 2005. "The birth of the e-clinic. Continuity or transformation in the UK governance of pharmaceutical consumption?," Social Science & Medicine, Elsevier, vol. 61(7), pages 1474-1484, October.
    2. Salhani, Daniel & Coulter, Ian, 2009. "The politics of interprofessional working and the struggle for professional autonomy in nursing," Social Science & Medicine, Elsevier, vol. 68(7), pages 1221-1228, April.
    3. 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.
    4. Birenbaum, Arnold, 1982. "Reprofessionalization in pharmacy," Social Science & Medicine, Elsevier, vol. 16(8), pages 871-878, January.
    5. 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.
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