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Published in: International Journal of Clinical Pharmacy 4/2021

01-08-2021 | Research Article

Perspectives of community pharmacists in Pakistan about practice change and implementation of extended pharmacy services: a mixed method study

Authors: Furqan Hashmi, Mohamed Azmi Hassali, Fahad Saleem, Hamid Saeed, Muhammad Islam, Usman Rashid Malik, Naveel Atif, Zaheer-Ud-Din Babar

Published in: International Journal of Clinical Pharmacy | Issue 4/2021

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Abstract

Background Community pharmacists’ role in the primary health care, patient-centered services, beyond traditional dispensing services is well established in the developed world. However, this role is not fully established in low-middle-income countries including Pakistan. Objective To explore community pharmacists’ perspectives and preparedness about practice change and associated facilitators and barriers to extended services. Setting A study was conducted involving community pharmacists of Lahore, Pakistan. Method Two phased studies were conducted using mixed-method sequential design. The first phase involved qualitative semi-structured face-to-face interviews with the community pharmacists, while the second phase constituted a questionnaire-based cross-sectional study. Main outcome measure Pharmacists’ perspectives about extended pharmacy services, facilitators, barriers and preparedness for the practice change. Results For the first phase, pharmacists were purposively sampled and the saturation yielded a final sample size of fifteen pharmacists (N = 15). The thematic content analysis yielded four distinct themes; (1) current practices and familiarity with extended pharmacy services (2) practice gap between Pakistan and the developed countries (3) facilitators and the preparedness, and (4) barriers towards its implementation and provision. The second part was a questionnaire-based cross-sectional phase, where a total of 348 community pharmacists were approached, while only 242 responded, yielding a response rate of 69.5%. The triangulation of qualitative and quantitative data identified several barriers such as; shortage of pharmacists, lack of knowledge and skills, poor collaboration with general practitioners, failure of customers to pay for extended services. Facilitators and preparedness for the provision of extended pharmacy services were; access to patient notes, follow-up, separate counselling areas, accreditation of specific services and sufficient resources. Conclusion This study’s findings call for the implementation and enforcement of Punjab Drug Sale Rules 2007 to facilitate the practice change and provision of comprehensive pharmacy services in Punjab, Pakistan. There is a need for additional laws to define community pharmacists’ roles, uniform job description, training, new funding model, separate area, and accreditation of extended pharmacy services in Pakistan.
Literature
1.
go back to reference Ibrahim MIM. Assessment of medication dispensing and extended community pharmacy services. In: Ibrahim MIM, Wertheimer A, editors. Social and administrative aspects of pharmacy in low-and middle-income countries. Elsevier; 2018. p. 295–309. Ibrahim MIM. Assessment of medication dispensing and extended community pharmacy services. In: Ibrahim MIM, Wertheimer A, editors. Social and administrative aspects of pharmacy in low-and middle-income countries. Elsevier; 2018. p. 295–309.
4.
go back to reference Olaniyan JO, Ghaleb M, Dhillon S, Robinson P. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3–20.PubMedCrossRef Olaniyan JO, Ghaleb M, Dhillon S, Robinson P. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3–20.PubMedCrossRef
5.
7.
go back to reference Bader L, Duggan C. FIP’s commitment to action on the WHO Astana declaration: transforming pharmacy for better health for all. Res Soc Adm Pharm. 2019;16:724–6.CrossRef Bader L, Duggan C. FIP’s commitment to action on the WHO Astana declaration: transforming pharmacy for better health for all. Res Soc Adm Pharm. 2019;16:724–6.CrossRef
8.
go back to reference Hughes CM, McCann S. Perceived interprofessional barriers between community pharmacists and general practitioners: a qualitative assessment. Br J Gen Pract. 2003;53(493):600–6.PubMedPubMedCentral Hughes CM, McCann S. Perceived interprofessional barriers between community pharmacists and general practitioners: a qualitative assessment. Br J Gen Pract. 2003;53(493):600–6.PubMedPubMedCentral
9.
go back to reference Basak SC, van Mil JW, Sathyanarayana D. The changing roles of pharmacists in community pharmacies: perception of reality in India. Pharm World Sci. 2009;31(6):612–8.PubMedCrossRef Basak SC, van Mil JW, Sathyanarayana D. The changing roles of pharmacists in community pharmacies: perception of reality in India. Pharm World Sci. 2009;31(6):612–8.PubMedCrossRef
10.
go back to reference Faxon DP, Schwamm LH, Pasternak RC, Peterson ED, McNeil BJ, Bufalino V, et al. Improving quality of care through disease management principles and recommendations from the American Heart Association’s Expert Panel on Disease Management. Stroke. 2004;35(6):1527–30.PubMedCrossRef Faxon DP, Schwamm LH, Pasternak RC, Peterson ED, McNeil BJ, Bufalino V, et al. Improving quality of care through disease management principles and recommendations from the American Heart Association’s Expert Panel on Disease Management. Stroke. 2004;35(6):1527–30.PubMedCrossRef
11.
go back to reference Baker S, Lee YP, Hattingh HL. An evaluation of the role of practice pharmacists in Australia: a mixed methods study. Int J Clin Pharm. 2019;41(2):504–15.PubMedCrossRef Baker S, Lee YP, Hattingh HL. An evaluation of the role of practice pharmacists in Australia: a mixed methods study. Int J Clin Pharm. 2019;41(2):504–15.PubMedCrossRef
12.
go back to reference Azhar S, Hassali M, Ibrahim M. Doctors’ perception and expectations of the role of the pharmacist in Punjab, Pakistan. Trop J Pharm Res. 2010;9(3):205–22.CrossRef Azhar S, Hassali M, Ibrahim M. Doctors’ perception and expectations of the role of the pharmacist in Punjab, Pakistan. Trop J Pharm Res. 2010;9(3):205–22.CrossRef
13.
go back to reference Smith F. The quality of private pharmacy services in low and middle-income countries: a systematic review. Pharm World Sci. 2009;31(3):351–61.PubMedCrossRef Smith F. The quality of private pharmacy services in low and middle-income countries: a systematic review. Pharm World Sci. 2009;31(3):351–61.PubMedCrossRef
14.
go back to reference Hussain A, Ibrahim M, Baber Z. Using the potentials of community pharmacies to promote rational drug use in Pakistan: an opportunity exists or lost? JPMA J Pak Méd Assoc. 2012;62(11):1217–22.PubMed Hussain A, Ibrahim M, Baber Z. Using the potentials of community pharmacies to promote rational drug use in Pakistan: an opportunity exists or lost? JPMA J Pak Méd Assoc. 2012;62(11):1217–22.PubMed
15.
go back to reference Amir M. Assessing the acceptability of community pharmacy based pharmaceutical care services in Karachi. Innov Pharm. 2011;2(4). Amir M. Assessing the acceptability of community pharmacy based pharmaceutical care services in Karachi. Innov Pharm. 2011;2(4).
16.
go back to reference Azhar S, Hassali MA, Ibrahim MI, Ahmad M, Masood I, Shafie AA. The role of pharmacists in developing countries: the current scenario in Pakistan. Hum Resour Health. 2009;7:54.PubMedPubMedCentralCrossRef Azhar S, Hassali MA, Ibrahim MI, Ahmad M, Masood I, Shafie AA. The role of pharmacists in developing countries: the current scenario in Pakistan. Hum Resour Health. 2009;7:54.PubMedPubMedCentralCrossRef
17.
go back to reference Hussain A, Malik M, Toklu HZ. A literature review: pharmaceutical care an evolving role at community pharmacies in Pakistan. Pharmacol Pharm. 2013;04(05):425–30.CrossRef Hussain A, Malik M, Toklu HZ. A literature review: pharmaceutical care an evolving role at community pharmacies in Pakistan. Pharmacol Pharm. 2013;04(05):425–30.CrossRef
18.
go back to reference Hussain A, Ibrahim MI, Baber ZuD. Compliance with legal requirements at community pharmacies: a cross sectional study from Pakistan. Int J Pharm Pract. 2012;20(3):183–90.PubMedCrossRef Hussain A, Ibrahim MI, Baber ZuD. Compliance with legal requirements at community pharmacies: a cross sectional study from Pakistan. Int J Pharm Pract. 2012;20(3):183–90.PubMedCrossRef
19.
go back to reference Hashmi FK, Hassali MA, Khalid A, Saleem F, Aljadhey H, Bashaar M. A qualitative study exploring perceptions and attitudes of community pharmacists about extended pharmacy services in Lahore, Pakistan. BMC Health Serv Res. 2017;17(1):500.PubMedPubMedCentralCrossRef Hashmi FK, Hassali MA, Khalid A, Saleem F, Aljadhey H, Bashaar M. A qualitative study exploring perceptions and attitudes of community pharmacists about extended pharmacy services in Lahore, Pakistan. BMC Health Serv Res. 2017;17(1):500.PubMedPubMedCentralCrossRef
20.
go back to reference Khan M, Aslam N, Bushra R. Community pharmacy practice in Pakistan. Arch Pharm Pract. 2012;3(4):297.CrossRef Khan M, Aslam N, Bushra R. Community pharmacy practice in Pakistan. Arch Pharm Pract. 2012;3(4):297.CrossRef
21.
go back to reference Fielding NG. Triangulation and mixed methods designs: data integration with new research technologies. J Mixed Methods Res. 2012;6(2):124–36.CrossRef Fielding NG. Triangulation and mixed methods designs: data integration with new research technologies. J Mixed Methods Res. 2012;6(2):124–36.CrossRef
22.
go back to reference Foss C, Ellefsen B. The value of combining qualitative and quantitative approaches in nursing research by means of method triangulation. J Adv Nurs. 2002;40(2):242–8.PubMedCrossRef Foss C, Ellefsen B. The value of combining qualitative and quantitative approaches in nursing research by means of method triangulation. J Adv Nurs. 2002;40(2):242–8.PubMedCrossRef
25.
go back to reference Creswell J. Research design: qualitative and quantitative approaches. Thousand Oaks, CA: SAGE; 1994. Creswell J. Research design: qualitative and quantitative approaches. Thousand Oaks, CA: SAGE; 1994.
26.
go back to reference Hadi MA, Alldred DP, Closs SJ, Briggs M. Mixed-methods research in pharmacy practice: basics and beyond (part 1). Int J Pharm Pract. 2013;21(5):341–5.PubMedCrossRef Hadi MA, Alldred DP, Closs SJ, Briggs M. Mixed-methods research in pharmacy practice: basics and beyond (part 1). Int J Pharm Pract. 2013;21(5):341–5.PubMedCrossRef
27.
go back to reference Hassali MA, Saleem F, Farooqui M, Aljadhey H. Strengthening pharmacy practice research: the need for combining both qualitative and quantitative methodology. J Pharm Care Health Syst. 2014;1(3):112. Hassali MA, Saleem F, Farooqui M, Aljadhey H. Strengthening pharmacy practice research: the need for combining both qualitative and quantitative methodology. J Pharm Care Health Syst. 2014;1(3):112.
28.
go back to reference Azhar S, Latif U, Murtaza G, Khan SA, Hussain I. Mixed methodology approach in pharmacy practice research. Acta Pol Pharm. 2013;70:1123–30.PubMed Azhar S, Latif U, Murtaza G, Khan SA, Hussain I. Mixed methodology approach in pharmacy practice research. Acta Pol Pharm. 2013;70:1123–30.PubMed
29.
go back to reference Hassali MA, Fahad S, Farooqui M, Khan TM. Scope of mix-method studies in pharmacy practice research. Indian J Pharm Educ Res. 2015;49(2):93–8.CrossRef Hassali MA, Fahad S, Farooqui M, Khan TM. Scope of mix-method studies in pharmacy practice research. Indian J Pharm Educ Res. 2015;49(2):93–8.CrossRef
30.
go back to reference Sarwar MR, Saqib A, Iftikhar S, Sadiq T. Knowledge of community pharmacists about antibiotics, and their perceptions and practices regarding antimicrobial stewardship: a cross-sectional study in Punjab, Pakistan. Infect Drug Resist. 2018;11:133.PubMedPubMedCentralCrossRef Sarwar MR, Saqib A, Iftikhar S, Sadiq T. Knowledge of community pharmacists about antibiotics, and their perceptions and practices regarding antimicrobial stewardship: a cross-sectional study in Punjab, Pakistan. Infect Drug Resist. 2018;11:133.PubMedPubMedCentralCrossRef
31.
go back to reference Scott A, Bond C, Inch J, Grant A. Preferences of community pharmacists for extended roles in primary care. Pharmacoeconomics. 2007;25(9):783–92.PubMedCrossRef Scott A, Bond C, Inch J, Grant A. Preferences of community pharmacists for extended roles in primary care. Pharmacoeconomics. 2007;25(9):783–92.PubMedCrossRef
32.
go back to reference Mossialos E, Courtin E, Naci H, Benrimoj S, Bouvy M, Farris K, et al. From “retailers” to health care providers: transforming the role of community pharmacists in chronic disease management. Health Pol. 2015;119(5):628–39.CrossRef Mossialos E, Courtin E, Naci H, Benrimoj S, Bouvy M, Farris K, et al. From “retailers” to health care providers: transforming the role of community pharmacists in chronic disease management. Health Pol. 2015;119(5):628–39.CrossRef
33.
go back to reference Bradley F, Elvey R, Ashcroft DM, Hassell K, Kendall J, Sibbald B, et al. The challenge of integrating community pharmacists into the primary health care team: a case study of local pharmaceutical services (LPS) pilots and interprofessional collaboration. J Interprofessional Care. 2008;22(4):387–98.CrossRef Bradley F, Elvey R, Ashcroft DM, Hassell K, Kendall J, Sibbald B, et al. The challenge of integrating community pharmacists into the primary health care team: a case study of local pharmaceutical services (LPS) pilots and interprofessional collaboration. J Interprofessional Care. 2008;22(4):387–98.CrossRef
34.
go back to reference Hashmi FK, Hassali MA, Saleem F, Babar ZUD, Ahmad A, Khan MU. A qualitative study exploring perceptions of policymakers about community pharmacy practice and extended pharmacy services in Lahore, Pakistan. J Pharm Health Serv Res. 2018;9(1):71–3.CrossRef Hashmi FK, Hassali MA, Saleem F, Babar ZUD, Ahmad A, Khan MU. A qualitative study exploring perceptions of policymakers about community pharmacy practice and extended pharmacy services in Lahore, Pakistan. J Pharm Health Serv Res. 2018;9(1):71–3.CrossRef
35.
go back to reference Scahill S, Babar ZuD. Barriers to effective pharmacy practice in low-and middle-income countries. Integr Pharm Res Pract. 2014;3:25. Scahill S, Babar ZuD. Barriers to effective pharmacy practice in low-and middle-income countries. Integr Pharm Res Pract. 2014;3:25.
36.
go back to reference Aslam N, Bushra R, Khan MU. Community pharmacy practice in Pakistan. Arch Pharma Pract. 2012;3:302. Aslam N, Bushra R, Khan MU. Community pharmacy practice in Pakistan. Arch Pharma Pract. 2012;3:302.
38.
go back to reference Nazir T, Islam A, Taha N, Nazir SU, Chaudhary MA, Iqbal M. Review of pharmacy professionals and drug jurisprudence to achieve the millennium development goals in punjab province of Pakistan. Indian J Pharm Educ Res. 2016;50(1):24–33.CrossRef Nazir T, Islam A, Taha N, Nazir SU, Chaudhary MA, Iqbal M. Review of pharmacy professionals and drug jurisprudence to achieve the millennium development goals in punjab province of Pakistan. Indian J Pharm Educ Res. 2016;50(1):24–33.CrossRef
39.
go back to reference Khan MH. Deferment of Punjab drug sale rules 2007 primary and secondary healthcare, Government of the Punjab; 2020. Khan MH. Deferment of Punjab drug sale rules 2007 primary and secondary healthcare, Government of the Punjab; 2020.
40.
go back to reference Touchette DR, Doloresco F, Suda KJ, Perez A, Turner S, Jalundhwala Y, et al. Economic evaluations of clinical pharmacy services: 2006–2010. Pharmacother J Hum Pharmacol Drug Ther. 2014;34(8):771–93.CrossRef Touchette DR, Doloresco F, Suda KJ, Perez A, Turner S, Jalundhwala Y, et al. Economic evaluations of clinical pharmacy services: 2006–2010. Pharmacother J Hum Pharmacol Drug Ther. 2014;34(8):771–93.CrossRef
41.
go back to reference Posey LM. Proving that pharmaceutical care makes a difference in community pharmacy. J Am Pharm Assoc. 2003;43(2):136–9. Posey LM. Proving that pharmaceutical care makes a difference in community pharmacy. J Am Pharm Assoc. 2003;43(2):136–9.
42.
go back to reference Cardwell K, Hughes CM, Ryan C. Community pharmacists’ views of using a screening tool to structure medicines use reviews for older people: findings from qualitative interviews. Int J Clin Pharm. 2018;40(5):1086–95.PubMedPubMedCentralCrossRef Cardwell K, Hughes CM, Ryan C. Community pharmacists’ views of using a screening tool to structure medicines use reviews for older people: findings from qualitative interviews. Int J Clin Pharm. 2018;40(5):1086–95.PubMedPubMedCentralCrossRef
43.
go back to reference Kho BP, Hassali MA, Lim CJ, Saleem F. A qualitative study exploring professional pharmacy services offered by community pharmacies in the state of Sarawak, Malaysia. J Pharm Health Serv Res. 2017;8(3):201–8.CrossRef Kho BP, Hassali MA, Lim CJ, Saleem F. A qualitative study exploring professional pharmacy services offered by community pharmacies in the state of Sarawak, Malaysia. J Pharm Health Serv Res. 2017;8(3):201–8.CrossRef
44.
go back to reference Aziz MM, Ji W, Masood I, Farooq M, Malik MZ, Chang J, et al. Patient satisfaction with community pharmacies services: a cross-sectional survey from Punjab; Pakistan. Int J Env Res Public Health. 2018;15(12):2914.CrossRef Aziz MM, Ji W, Masood I, Farooq M, Malik MZ, Chang J, et al. Patient satisfaction with community pharmacies services: a cross-sectional survey from Punjab; Pakistan. Int J Env Res Public Health. 2018;15(12):2914.CrossRef
46.
48.
go back to reference Houle SK, Grindrod KA, Chatterley T, Tsuyuki RT. Paying pharmacists for patient care: a systematic review of remunerated pharmacy clinical care services. Can Pharm J/Rev Pharm Can. 2014;147(4):209–32. Houle SK, Grindrod KA, Chatterley T, Tsuyuki RT. Paying pharmacists for patient care: a systematic review of remunerated pharmacy clinical care services. Can Pharm J/Rev Pharm Can. 2014;147(4):209–32.
49.
go back to reference Painter JT, Gressler L, Kathe N, Slabaugh SL, Blumenschein K. Consumer willingness to pay for pharmacy services: an updated review of the literature. Res Soc Adm Pharm. 2018;14(12):1091–105.CrossRef Painter JT, Gressler L, Kathe N, Slabaugh SL, Blumenschein K. Consumer willingness to pay for pharmacy services: an updated review of the literature. Res Soc Adm Pharm. 2018;14(12):1091–105.CrossRef
50.
go back to reference Hopkins S. Health expenditure comparisons: low, middle and high income countries. Open Health Serv Policy J. 2010;3:21–7. Hopkins S. Health expenditure comparisons: low, middle and high income countries. Open Health Serv Policy J. 2010;3:21–7.
51.
go back to reference Puspitasari HP, Aslani P, Krass I. Challenges in the management of chronic noncommunicable diseases by Indonesian community pharmacists. Pharm Pract. 2015;13(3):578. Puspitasari HP, Aslani P, Krass I. Challenges in the management of chronic noncommunicable diseases by Indonesian community pharmacists. Pharm Pract. 2015;13(3):578.
52.
go back to reference Rayes IK, Hassali MA, Abduelkarem AR. A qualitative study exploring public perceptions on the role of community pharmacists in Dubai. Pharm Pract. 2014;12(1):363. Rayes IK, Hassali MA, Abduelkarem AR. A qualitative study exploring public perceptions on the role of community pharmacists in Dubai. Pharm Pract. 2014;12(1):363.
53.
go back to reference Ranghchian M, Sehat S, Akhgari M, Mehralian G. Performance model of community pharmacies in low-middle income countries: a societal perspective. J Retail Consum Serv. 2018;40:241–8.CrossRef Ranghchian M, Sehat S, Akhgari M, Mehralian G. Performance model of community pharmacies in low-middle income countries: a societal perspective. J Retail Consum Serv. 2018;40:241–8.CrossRef
54.
go back to reference Bardet J-D, Vo T-H, Bedouch P, Allenet B. Physicians and community pharmacists collaboration in primary care: a review of specific models. Res Soc Adm Pharm. 2015;11(5):602–22.CrossRef Bardet J-D, Vo T-H, Bedouch P, Allenet B. Physicians and community pharmacists collaboration in primary care: a review of specific models. Res Soc Adm Pharm. 2015;11(5):602–22.CrossRef
55.
go back to reference Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. J Interprofessional Care. 2009;23(2):169–84.CrossRef Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. J Interprofessional Care. 2009;23(2):169–84.CrossRef
56.
go back to reference Zillich AJ, McDonough RP, Carter BL, Doucette WR. Influential characteristics of physician/pharmacist collaborative relationships. Ann Pharmacother. 2004;38(5):764–70.PubMedCrossRef Zillich AJ, McDonough RP, Carter BL, Doucette WR. Influential characteristics of physician/pharmacist collaborative relationships. Ann Pharmacother. 2004;38(5):764–70.PubMedCrossRef
57.
go back to reference Azhar S, Hassali MA, Igbal A, Akram MR, Attique-Ur-Rehman M, Karim S, et al. Qualitative assessment of the pharmacist’s role in Punjab, Pakistan: medical practitioners’ views. Trop J Pharm Res. 2015;14(2):323.CrossRef Azhar S, Hassali MA, Igbal A, Akram MR, Attique-Ur-Rehman M, Karim S, et al. Qualitative assessment of the pharmacist’s role in Punjab, Pakistan: medical practitioners’ views. Trop J Pharm Res. 2015;14(2):323.CrossRef
58.
go back to reference Azhar S, Hassali MA, Taha A, Khan SA, Murtaza G, Hussain I. Evaluation of the perception of community pharmacists regarding their role in Pakistan’s healthcare system: a qualitative approach. Trop J Pharm Res. 2013;12(4):635–9. Azhar S, Hassali MA, Taha A, Khan SA, Murtaza G, Hussain I. Evaluation of the perception of community pharmacists regarding their role in Pakistan’s healthcare system: a qualitative approach. Trop J Pharm Res. 2013;12(4):635–9.
59.
go back to reference Gastelurrutia MA, Llimós FF, Delgado PG, Gastelurrutia P, Faus MJ, Benrimoj SI. Barriers and facilitators to the dissemination and implementation of cognitive services in Spanish community pharmacies. Pharm Pract. 2005;3(2):65–77. Gastelurrutia MA, Llimós FF, Delgado PG, Gastelurrutia P, Faus MJ, Benrimoj SI. Barriers and facilitators to the dissemination and implementation of cognitive services in Spanish community pharmacies. Pharm Pract. 2005;3(2):65–77.
60.
go back to reference Hossain LN, Fernandez-Llimos F, Luckett T, Moullin JC, Durks D, Franco-Trigo L, et al. Qualitative meta-synthesis of barriers and facilitators that influence the implementation of community pharmacy services: perspectives of patients, nurses and general medical practitioners. BMJ Open. 2017;7(9):1–15.CrossRef Hossain LN, Fernandez-Llimos F, Luckett T, Moullin JC, Durks D, Franco-Trigo L, et al. Qualitative meta-synthesis of barriers and facilitators that influence the implementation of community pharmacy services: perspectives of patients, nurses and general medical practitioners. BMJ Open. 2017;7(9):1–15.CrossRef
61.
go back to reference Donald M, King-Shier K, Tsuyuki RT, Al Hamarneh YN, Jones CA, Manns B, et al. Patient, family physician and community pharmacist perspectives on expanded pharmacy scope of practice: a qualitative study. CMAJ Open. 2017;5(1):E205.PubMedPubMedCentralCrossRef Donald M, King-Shier K, Tsuyuki RT, Al Hamarneh YN, Jones CA, Manns B, et al. Patient, family physician and community pharmacist perspectives on expanded pharmacy scope of practice: a qualitative study. CMAJ Open. 2017;5(1):E205.PubMedPubMedCentralCrossRef
62.
go back to reference Mooranian A, Emmerton L, Hattingh L. The introduction of the national e-health record into A ustralian community pharmacy practice: pharmacists’ perceptions. Int J Pharm Pract. 2013;21(6):405–12.PubMedCrossRef Mooranian A, Emmerton L, Hattingh L. The introduction of the national e-health record into A ustralian community pharmacy practice: pharmacists’ perceptions. Int J Pharm Pract. 2013;21(6):405–12.PubMedCrossRef
63.
go back to reference Hattingh HL, King MA, Hope DL, George E. Pharmacy ethical reasoning: a comparison of Australian pharmacists and interns. Int J Clin Pharm. 2019;41(4):1085–98.PubMedCrossRef Hattingh HL, King MA, Hope DL, George E. Pharmacy ethical reasoning: a comparison of Australian pharmacists and interns. Int J Clin Pharm. 2019;41(4):1085–98.PubMedCrossRef
64.
go back to reference Ocampo CC, Garcia-Cardenas V, Martinez-Martinez F, Benrimoj SI, Amariles P, Gastelurrutia MA. Implementation of medication review with follow-up in a Spanish community pharmacy and its achieved outcomes. Int J Clin Pharm. 2015;37(5):931–40.PubMedCrossRef Ocampo CC, Garcia-Cardenas V, Martinez-Martinez F, Benrimoj SI, Amariles P, Gastelurrutia MA. Implementation of medication review with follow-up in a Spanish community pharmacy and its achieved outcomes. Int J Clin Pharm. 2015;37(5):931–40.PubMedCrossRef
65.
go back to reference Hattingh HL, Emmerton L, Ng Cheong Tin P, Green C. Utilization of community pharmacy space to enhance privacy: a qualitative study. Health Expect. 2016;19(5):1098–110.PubMedCrossRef Hattingh HL, Emmerton L, Ng Cheong Tin P, Green C. Utilization of community pharmacy space to enhance privacy: a qualitative study. Health Expect. 2016;19(5):1098–110.PubMedCrossRef
66.
go back to reference Srinivas B, Shivram G, Swapnali M, Pratibha C, Sagar B, Kailash V. betterment of patient to get optimal health outcomes through home medicines review (HMR). Int J Pharm Res Allied Sci. 2014;3(3):10–6. Srinivas B, Shivram G, Swapnali M, Pratibha C, Sagar B, Kailash V. betterment of patient to get optimal health outcomes through home medicines review (HMR). Int J Pharm Res Allied Sci. 2014;3(3):10–6.
67.
go back to reference Doucette WR, Nevins JC, Gaither C, Kreling DH, Mott DA, Pedersen CA, et al. Organizational factors influencing pharmacy practice change. Res Soc Adm Pharm. 2012;8(4):274–84.CrossRef Doucette WR, Nevins JC, Gaither C, Kreling DH, Mott DA, Pedersen CA, et al. Organizational factors influencing pharmacy practice change. Res Soc Adm Pharm. 2012;8(4):274–84.CrossRef
Metadata
Title
Perspectives of community pharmacists in Pakistan about practice change and implementation of extended pharmacy services: a mixed method study
Authors
Furqan Hashmi
Mohamed Azmi Hassali
Fahad Saleem
Hamid Saeed
Muhammad Islam
Usman Rashid Malik
Naveel Atif
Zaheer-Ud-Din Babar
Publication date
01-08-2021
Publisher
Springer International Publishing
Published in
International Journal of Clinical Pharmacy / Issue 4/2021
Print ISSN: 2210-7703
Electronic ISSN: 2210-7711
DOI
https://doi.org/10.1007/s11096-020-01221-y

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