Skip to main content
Top
Published in: BMC Health Services Research 1/2017

Open Access 01-12-2017 | Research article

A qualitative study exploring perceptions and attitudes of community pharmacists about extended pharmacy services in Lahore, Pakistan

Authors: Furqan K. Hashmi, Mohamed Azmi Hassali, Adnan Khalid, Fahad Saleem, Hisham Aljadhey, Zaheer ud Din Babar, Mohammad Bashaar

Published in: BMC Health Services Research | Issue 1/2017

Login to get access

Abstract

Background

In recent decades, community pharmacies reported a change of business model, whereby a shift from traditional services to the provision of extended roles was observed. However, such delivery of extended pharmacy services (EPS) is reported from the developed world, and there is scarcity of information from the developing nations. Within this context, the present study was aimed to explore knowledge, perception and attitude of community pharmacists (CPs) about EPS and their readiness and acceptance for practice change in the city of Lahore, Pakistan.

Methods

A qualitative approach was used to gain an in-depth knowledge of the issues. By using a semi-structured interview guide, 12 CPs practicing in the city of Lahore, Pakistan were conveniently selected. All interviews were audio-taped, transcribed verbatim, and were then analyzed for thematic contents by the standard content analysis framework.

Results

Thematic content analysis yielded five major themes. (1) Familiarity with EPS, (2) current practice of EPS, (3) training needed to provide EPS, (4) acceptance of EPS and (5) barriers toward EPS. Majority of the CPs were unaware of EPS and only a handful had the concept of extended services. Although majority of our study respondents were unaware of pharmaceutical care, they were ready to accept practice change if provided with the required skills and training. Lack of personal knowledge, poor public awareness, inadequate physician-pharmacist collaboration and deprived salary structures were reported as barriers towards the provision of EPS at the practice settings.

Conclusion

Although the study reported poor awareness towards EPS, the findings indicated a number of key themes that can be used in establishing the concept of EPS in Pakistan. Over all, CPs reported a positive attitude toward practice change provided to the support and facilitation of health and community based agencies in Pakistan.
Appendix
Available only for authorised users
Literature
1.
go back to reference Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47(3):533–43.PubMed Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47(3):533–43.PubMed
3.
go back to reference Hepler CD. Pharmaceutical care and specialty practice. Pharmacother: J Hum Pharmacol Drug Ther. 1993;13(2P2):64S–9S. Hepler CD. Pharmaceutical care and specialty practice. Pharmacother: J Hum Pharmacol Drug Ther. 1993;13(2P2):64S–9S.
4.
go back to reference Berbatis CG, Sunderland VB, Joyce A, Bulsara M, Mills C. Enhanced pharmacy services, barriers and facilitators in Australia's community pharmacies: Australia's National Pharmacy Database Project. Int J Pharm Pract. 2007;15(3):185–91.CrossRef Berbatis CG, Sunderland VB, Joyce A, Bulsara M, Mills C. Enhanced pharmacy services, barriers and facilitators in Australia's community pharmacies: Australia's National Pharmacy Database Project. Int J Pharm Pract. 2007;15(3):185–91.CrossRef
5.
go back to reference Moullin JC, Sabater-Hernández D, Fernandez-Llimos F, Benrimoj SI. Defining professional pharmacy services in community pharmacy. Res Social Adm Pharm. 2013;9(6):989–95. Moullin JC, Sabater-Hernández D, Fernandez-Llimos F, Benrimoj SI. Defining professional pharmacy services in community pharmacy. Res Social Adm Pharm. 2013;9(6):989–95.
6.
7.
go back to reference Farris KB, Fernandez-Llimos F, Benrimoj SC. Pharmaceutical care in community pharmacies: practice and research from around the world. Ann Pharmacother. 2005;39(9):1539–41.CrossRefPubMed Farris KB, Fernandez-Llimos F, Benrimoj SC. Pharmaceutical care in community pharmacies: practice and research from around the world. Ann Pharmacother. 2005;39(9):1539–41.CrossRefPubMed
8.
go back to reference Chan P, Grindrod KA, Bougher D, Pasutto FM, Wilgosh C, Eberhart G, Tsuyuki R. A systematic review of remuneration systems for clinical pharmacy care services. Can Pharm J/Rev Pharmaciens Can. 2008;141(2):102–12.CrossRef Chan P, Grindrod KA, Bougher D, Pasutto FM, Wilgosh C, Eberhart G, Tsuyuki R. A systematic review of remuneration systems for clinical pharmacy care services. Can Pharm J/Rev Pharmaciens Can. 2008;141(2):102–12.CrossRef
9.
go back to reference Wells KM, Thornley T, Boyd MJ, Boardman HF. Views and experiences of community pharmacists and superintendent pharmacists regarding the new medicine Service in England prior to implementation. Res Social Adm Pharm. 2014;10(1):58–71.CrossRefPubMed Wells KM, Thornley T, Boyd MJ, Boardman HF. Views and experiences of community pharmacists and superintendent pharmacists regarding the new medicine Service in England prior to implementation. Res Social Adm Pharm. 2014;10(1):58–71.CrossRefPubMed
10.
go back to reference Abramowitz PW. The evolution and metamorphosis of the pharmacy practice model. Am J Health Syst Pharm. 2009;66(16):1437–46.CrossRefPubMed Abramowitz PW. The evolution and metamorphosis of the pharmacy practice model. Am J Health Syst Pharm. 2009;66(16):1437–46.CrossRefPubMed
11.
go back to reference Maher JH, Lowe JB, Hughes R, Anderson C. Understanding community pharmacy intervention practice: lessons from intervention researchers. Res Social Adm Pharm. 2014;10(4):633–46.CrossRefPubMed Maher JH, Lowe JB, Hughes R, Anderson C. Understanding community pharmacy intervention practice: lessons from intervention researchers. Res Social Adm Pharm. 2014;10(4):633–46.CrossRefPubMed
12.
go back to reference Jones EJ, Mackinnon NJ, Tsuyuki RT. Pharmaceutical care in community pharmacies: practice and research in Canada. Ann Pharmacother. 2005;39(9):1527–33.CrossRefPubMed Jones EJ, Mackinnon NJ, Tsuyuki RT. Pharmaceutical care in community pharmacies: practice and research in Canada. Ann Pharmacother. 2005;39(9):1527–33.CrossRefPubMed
18.
go back to reference Punjab Pharmacy Council. Number of registered pharmacists. In: Personal communication; 2016. Punjab Pharmacy Council. Number of registered pharmacists. In: Personal communication; 2016.
19.
go back to reference Azhar S, Hassali M. Evaluating the perception of doctors towards the role of pharmacist in Pakistan's healthcare system. Malays J Pharm Sci. 2009;1(7):105. Azhar S, Hassali M. Evaluating the perception of doctors towards the role of pharmacist in Pakistan's healthcare system. Malays J Pharm Sci. 2009;1(7):105.
20.
go back to reference Saira AMAHMII. Doctors’ perception and expectations of the role of the pharmacist in Punjab, Pakistan. Trop J Pharm Res. 2010;9(3):205–22. Saira AMAHMII. Doctors’ perception and expectations of the role of the pharmacist in Punjab, Pakistan. Trop J Pharm Res. 2010;9(3):205–22.
21.
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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
22.
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
23.
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.CrossRefPubMed 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.CrossRefPubMed
24.
go back to reference Rahim N, Usmani S. Physicians’ opinion about the role of pharmacist in the health care system of Pakistan. Int J. 2012;3(2):257–60. Rahim N, Usmani S. Physicians’ opinion about the role of pharmacist in the health care system of Pakistan. Int J. 2012;3(2):257–60.
25.
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
26.
go back to reference Kitzinger J. Qualitative research. Introducing focus groups. Br Med J. 1995;311(7000):299.CrossRef Kitzinger J. Qualitative research. Introducing focus groups. Br Med J. 1995;311(7000):299.CrossRef
27.
go back to reference Berg B: Qualitative research methods for the social sciences, MA: Pearsons Education. Inc.: Inc; 2009. Berg B: Qualitative research methods for the social sciences, MA: Pearsons Education. Inc.: Inc; 2009.
28.
go back to reference Mullen PD, Reynolds R. The potential of grounded theory for health education research: linking theory and practice. Health Educ Behav. 1978;6(3):280–94. Mullen PD, Reynolds R. The potential of grounded theory for health education research: linking theory and practice. Health Educ Behav. 1978;6(3):280–94.
30.
go back to reference Krska J, Veitch G. Perceived factors influencing the development of primary care-based pharmaceutical care in Scotland. Int J Pharm Pract. 2001;9(4):243–52.CrossRef Krska J, Veitch G. Perceived factors influencing the development of primary care-based pharmaceutical care in Scotland. Int J Pharm Pract. 2001;9(4):243–52.CrossRef
31.
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
32.
go back to reference Roberts AS, Benrimoj SC, Chen TF, Williams KA, Hopp TR, Aslani P. Understanding practice change in community pharmacy: a qualitative study in Australia. Res Soc Adm Pharm. 2005;1(4):546–64.CrossRef Roberts AS, Benrimoj SC, Chen TF, Williams KA, Hopp TR, Aslani P. Understanding practice change in community pharmacy: a qualitative study in Australia. Res Soc Adm Pharm. 2005;1(4):546–64.CrossRef
33.
go back to reference Inch J, Bond CM, Lee AJ, Scott A, Grant AM. Scottish community pharmacists' current involvement in and attitudes towards' extended service'provision: a national survey. Int J Pharm Pract. 2005;13(4):289.CrossRef Inch J, Bond CM, Lee AJ, Scott A, Grant AM. Scottish community pharmacists' current involvement in and attitudes towards' extended service'provision: a national survey. Int J Pharm Pract. 2005;13(4):289.CrossRef
34.
go back to reference Dobson RT, Taylor JG, Henry CJ, Lachaine J, Zello GA, Keegan DL, Forbes DA. Taking the lead: community pharmacists' perception of their role potential within the primary care team. Res Soc Adm Pharm. 2009;5(4):327–36.CrossRef Dobson RT, Taylor JG, Henry CJ, Lachaine J, Zello GA, Keegan DL, Forbes DA. Taking the lead: community pharmacists' perception of their role potential within the primary care team. Res Soc Adm Pharm. 2009;5(4):327–36.CrossRef
35.
go back to reference Rosenthal M, Grindrod KA, Lynd L, Marra CA, Bougher D, Wilgosh C, Tsuyuki RT. Pharmacists' perspectives on providing chronic disease Management Services in the Community—Part II: development and implementation of services. Can Pharm J/Rev Pharmaciens Can. 2009;142(6):284–8. e281CrossRef Rosenthal M, Grindrod KA, Lynd L, Marra CA, Bougher D, Wilgosh C, Tsuyuki RT. Pharmacists' perspectives on providing chronic disease Management Services in the Community—Part II: development and implementation of services. Can Pharm J/Rev Pharmaciens Can. 2009;142(6):284–8. e281CrossRef
36.
go back to reference Law AV, Okamoto MP, Brock K. Ready, willing, and able to provide MTM services?: a survey of community pharmacists in the USA. Res Soc Adm Pharm. 2009;5(4):376–81.CrossRef Law AV, Okamoto MP, Brock K. Ready, willing, and able to provide MTM services?: a survey of community pharmacists in the USA. Res Soc Adm Pharm. 2009;5(4):376–81.CrossRef
37.
go back to reference Hassali MA, Shafie AA, Awaisu A, Mohamed Ibrahim MI, Ahmed SI. A public health pharmacy course at a Malaysian pharmacy school. Am J Pharm Educ. 2009;73(7):136.CrossRefPubMedPubMedCentral Hassali MA, Shafie AA, Awaisu A, Mohamed Ibrahim MI, Ahmed SI. A public health pharmacy course at a Malaysian pharmacy school. Am J Pharm Educ. 2009;73(7):136.CrossRefPubMedPubMedCentral
38.
go back to reference Hassali M, Subish P, Shafie A, Ibrahim M. Perceptions and barriers towards provision of health promotion activities among community pharmacists in the state of Penang, Malaysia. J Clin Diagn Res. 2009;3(3):1562–8. Hassali M, Subish P, Shafie A, Ibrahim M. Perceptions and barriers towards provision of health promotion activities among community pharmacists in the state of Penang, Malaysia. J Clin Diagn Res. 2009;3(3):1562–8.
39.
go back to reference Lehnbom EC, McLachlan AJ, Brien J-aE: A qualitative study of Swedes' opinions about shared electronic health records. 2013. Lehnbom EC, McLachlan AJ, Brien J-aE: A qualitative study of Swedes' opinions about shared electronic health records. 2013.
40.
go back to reference Lehnbom EC, Jo-anne EB. Challenges in chronic illness management: a qualitative study of Australian pharmacists’ perspectives. Pharm World Sci. 2010;32(5):631–6.CrossRefPubMed Lehnbom EC, Jo-anne EB. Challenges in chronic illness management: a qualitative study of Australian pharmacists’ perspectives. Pharm World Sci. 2010;32(5):631–6.CrossRefPubMed
41.
go back to reference Hughes CM, Hawwa AF, Scullin C, Anderson C, Bernsten CB, Björnsdóttir I, Cordina MA, Da Costa FA, De Wulf I, Eichenberger P. Provision of pharmaceutical care by community pharmacists: a comparison across Europe. Pharm World Sci. 2010;32(4):472–87.CrossRefPubMed Hughes CM, Hawwa AF, Scullin C, Anderson C, Bernsten CB, Björnsdóttir I, Cordina MA, Da Costa FA, De Wulf I, Eichenberger P. Provision of pharmaceutical care by community pharmacists: a comparison across Europe. Pharm World Sci. 2010;32(4):472–87.CrossRefPubMed
42.
go back to reference Fang Y, Yang S, Feng B, Ni Y, Zhang K. Pharmacists’ perception of pharmaceutical care in community pharmacy: a questionnaire survey in Northwest China. Health Soc Care Community. 2011;19(2):189–97.PubMed Fang Y, Yang S, Feng B, Ni Y, Zhang K. Pharmacists’ perception of pharmaceutical care in community pharmacy: a questionnaire survey in Northwest China. Health Soc Care Community. 2011;19(2):189–97.PubMed
43.
go back to reference Saramunee K, Krska J, Mackridge A, Richards J, Suttajit S, Phillips-Howard P. How to enhance public health service utilization in community pharmacy?: general public and health providers' perspectives. Res Soc Adm Pharm. 2014;10(2):272–84.CrossRef Saramunee K, Krska J, Mackridge A, Richards J, Suttajit S, Phillips-Howard P. How to enhance public health service utilization in community pharmacy?: general public and health providers' perspectives. Res Soc Adm Pharm. 2014;10(2):272–84.CrossRef
44.
go back to reference Bryant LJ, Coster G, Gamble GD, McCormick RN. General practitioners' and pharmacists' perceptions of the role of community pharmacists in delivering clinical services. Res Soc Adm Pharm. 2009;5(4):347–62.CrossRef Bryant LJ, Coster G, Gamble GD, McCormick RN. General practitioners' and pharmacists' perceptions of the role of community pharmacists in delivering clinical services. Res Soc Adm Pharm. 2009;5(4):347–62.CrossRef
45.
go back to reference Cruthirds DL, Hughes PJ, Weaver S. Value of pharmacy services to the healthcare system: an interdisciplinary assessment. Int J Pharm Pract. 2013;21(1):38–45.CrossRefPubMed Cruthirds DL, Hughes PJ, Weaver S. Value of pharmacy services to the healthcare system: an interdisciplinary assessment. Int J Pharm Pract. 2013;21(1):38–45.CrossRefPubMed
46.
go back to reference Hassali A, Azmi M, Shafie AA, Kong DCM, Ooi GS, Chua GN, Saleem F: Involvement of Malaysian community pharmacists in public health workforce: perspectives from health practitioners and policy makers. 2014. Hassali A, Azmi M, Shafie AA, Kong DCM, Ooi GS, Chua GN, Saleem F: Involvement of Malaysian community pharmacists in public health workforce: perspectives from health practitioners and policy makers. 2014.
47.
go back to reference Wirth F, Tabone F, Azzopardi LM, Gauci M, Zarb-Adami M, Serracino-Inglott A. Consumer perception of the community pharmacist and community pharmacy services in Malta. J Pharm Health Serv Res. 2010;1(4):189–94.CrossRef Wirth F, Tabone F, Azzopardi LM, Gauci M, Zarb-Adami M, Serracino-Inglott A. Consumer perception of the community pharmacist and community pharmacy services in Malta. J Pharm Health Serv Res. 2010;1(4):189–94.CrossRef
48.
go back to reference Cavaco AM, Dias JS, Bates IP. Consumers’ perceptions of community pharmacy in Portugal: a qualitative exploratory study. Pharm World Sci. 2005;27(1):54–60.CrossRefPubMed Cavaco AM, Dias JS, Bates IP. Consumers’ perceptions of community pharmacy in Portugal: a qualitative exploratory study. Pharm World Sci. 2005;27(1):54–60.CrossRefPubMed
49.
go back to reference Krska J, Morecroft CW. Views of the general public on the role of pharmacy in public health. J Pharm Health Serv Res. 2010;1(1):33–8. Krska J, Morecroft CW. Views of the general public on the role of pharmacy in public health. J Pharm Health Serv Res. 2010;1(1):33–8.
50.
go back to reference Kvale S: InterViews: An Introduction to Qualitative Research Interviewing. SAGE Publications; California, USA 1996. Kvale S: InterViews: An Introduction to Qualitative Research Interviewing. SAGE Publications; California, USA 1996.
51.
go back to reference Bittmann S., Thomas O. (2013) An Argumentative Approach of Conceptual Modelling and Model Validation through Theory Building. In: vom Brocke J., Hekkala R., Ram S., Rossi M. (eds) Design Science at the Intersection of Physical and Virtual Design. DESRIST 2013. Lecture Notes in Computer Science, vol 7939. Springer, Berlin, Heidelberg. Bittmann S., Thomas O. (2013) An Argumentative Approach of Conceptual Modelling and Model Validation through Theory Building. In: vom Brocke J., Hekkala R., Ram S., Rossi M. (eds) Design Science at the Intersection of Physical and Virtual Design. DESRIST 2013. Lecture Notes in Computer Science, vol 7939. Springer, Berlin, Heidelberg.
54.
go back to reference Rayes IK, Hassali MA, Abduelkarem AR. The role of pharmacists in developing countries: the current scenario in the United Arab Emirates. Saudi Pharm J: SPJ : Official Publication Saudi Pharm Soc. 2015;23(5):470–4. Rayes IK, Hassali MA, Abduelkarem AR. The role of pharmacists in developing countries: the current scenario in the United Arab Emirates. Saudi Pharm J: SPJ : Official Publication Saudi Pharm Soc. 2015;23(5):470–4.
55.
go back to reference Ayesha JKTM. Community pharmacy practice in Pakistan: from past to present-a review. J Pharm Sci Res. 2012;4(2):1703–8. Ayesha JKTM. Community pharmacy practice in Pakistan: from past to present-a review. J Pharm Sci Res. 2012;4(2):1703–8.
56.
go back to reference Kumar B, Khare DP, Shafaat K, Yadav VK, Kumar U. Professional scopes and roles of community pharmacists in various health care services: an updated review. J Pharm Res [Internet]. 2011;4(5):1331–5. Kumar B, Khare DP, Shafaat K, Yadav VK, Kumar U. Professional scopes and roles of community pharmacists in various health care services: an updated review. J Pharm Res [Internet]. 2011;4(5):1331–5.
57.
go back to reference Sadia Shakeel WI, Yasmin R, Ali H, Ibrahim S. Pharmacy student’s perception and attitude towards the course and scope of community pharmacy in Pakistan. J Pharm Biomed Sci. 2013;32(32):1400–6. Sadia Shakeel WI, Yasmin R, Ali H, Ibrahim S. Pharmacy student’s perception and attitude towards the course and scope of community pharmacy in Pakistan. J Pharm Biomed Sci. 2013;32(32):1400–6.
58.
go back to reference Sadek MM, Elnour AA, Al Kalbani NMS, Srikanth AB, Baraka MA, Aziz AMA, Shehab A: Community pharmacy and the extended community pharmacist practice roles: The UAE experiences. Saudi Pharm J. 2016;24(5):563–70. Sadek MM, Elnour AA, Al Kalbani NMS, Srikanth AB, Baraka MA, Aziz AMA, Shehab A: Community pharmacy and the extended community pharmacist practice roles: The UAE experiences. Saudi Pharm J. 2016;24(5):563–70.
59.
go back to reference Eades CE, Ferguson JS, O'Carroll RE. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC Public Health. 2011;11(1):1.CrossRef Eades CE, Ferguson JS, O'Carroll RE. Public health in community pharmacy: a systematic review of pharmacist and consumer views. BMC Public Health. 2011;11(1):1.CrossRef
60.
go back to reference Hanafi S, Poormalek F, Torkamandi H, Hajimiri M, Esmaeili M, Khooie S, Gholami K, Hayatshahi A, Javadi M. Evaluation of community pharmacists’ knowledge, attitude and practice towards good pharmacy practice in Iran. J Pharm Care. 2015;1(1):19–24. Hanafi S, Poormalek F, Torkamandi H, Hajimiri M, Esmaeili M, Khooie S, Gholami K, Hayatshahi A, Javadi M. Evaluation of community pharmacists’ knowledge, attitude and practice towards good pharmacy practice in Iran. J Pharm Care. 2015;1(1):19–24.
61.
go back to reference Prochaska JO, Butterworth S, Redding CA, Burden V, Perrin N, Leo M, Flaherty-Robb M, Prochaska JM. Initial efficacy of MI, TTM tailoring and HRI’s with multiple behaviors for employee health promotion. Prev Med. 2008;46(3):226–31.CrossRefPubMed Prochaska JO, Butterworth S, Redding CA, Burden V, Perrin N, Leo M, Flaherty-Robb M, Prochaska JM. Initial efficacy of MI, TTM tailoring and HRI’s with multiple behaviors for employee health promotion. Prev Med. 2008;46(3):226–31.CrossRefPubMed
62.
go back to reference Song M, Ung CO, Hu H, Wang Y. Community pharmacists' perceptions about pharmaceutical care of OTC western medicine: a survey in Harbin of China. Int J Clin Pharm. 2015;37(6):1014–20.CrossRefPubMed Song M, Ung CO, Hu H, Wang Y. Community pharmacists' perceptions about pharmaceutical care of OTC western medicine: a survey in Harbin of China. Int J Clin Pharm. 2015;37(6):1014–20.CrossRefPubMed
63.
go back to reference Ibrahim A, Scott J. Community pharmacists in Khartoum state, Sudan: their current roles and perspectives on pharmaceutical care implementation. Int J Clin Pharm. 2013;35(2):236–43.CrossRefPubMed Ibrahim A, Scott J. Community pharmacists in Khartoum state, Sudan: their current roles and perspectives on pharmaceutical care implementation. Int J Clin Pharm. 2013;35(2):236–43.CrossRefPubMed
64.
go back to reference Morton K, Pattison H, Langley C, Powell R. A qualitative study of English community pharmacists' experiences of providing lifestyle advice to patients with cardiovascular disease. Res Soc Adm Pharm. 2015;11(1):e17–29.CrossRef Morton K, Pattison H, Langley C, Powell R. A qualitative study of English community pharmacists' experiences of providing lifestyle advice to patients with cardiovascular disease. Res Soc Adm Pharm. 2015;11(1):e17–29.CrossRef
65.
go back to reference Azhar HMIMIMM. Assessment of disease Management of Acute Respiratory Tract Infection at community pharmacies through simulated visits in Pakistan. Lat Am J Pharm. 2012;31(10):1435–40. Azhar HMIMIMM. Assessment of disease Management of Acute Respiratory Tract Infection at community pharmacies through simulated visits in Pakistan. Lat Am J Pharm. 2012;31(10):1435–40.
66.
go back to reference Ibrahim AHMIM. Management of diarrhoea cases by community pharmacies in 3 cities of Pakistan. East Mediterr Health J. 2012;18(6):635–40.PubMed Ibrahim AHMIM. Management of diarrhoea cases by community pharmacies in 3 cities of Pakistan. East Mediterr Health J. 2012;18(6):635–40.PubMed
67.
go back to reference Mossialos E, Courtin E, Naci H, Benrimoj S, Bouvy M, Farris K, Noyce P, Sketris I. From "retailers" to health care providers: transforming the role of community pharmacists in chronic disease management. Health Policy. 2015;119(5):628–39.CrossRefPubMed Mossialos E, Courtin E, Naci H, Benrimoj S, Bouvy M, Farris K, Noyce P, Sketris I. From "retailers" to health care providers: transforming the role of community pharmacists in chronic disease management. Health Policy. 2015;119(5):628–39.CrossRefPubMed
68.
go back to reference Bhagavathula A, Sarkar B, Patel I. Clinical pharmacy practice in developing countries: focus on India and Pakistan. Arch Pharm Pract. 2014;5(2):91.CrossRef Bhagavathula A, Sarkar B, Patel I. Clinical pharmacy practice in developing countries: focus on India and Pakistan. Arch Pharm Pract. 2014;5(2):91.CrossRef
69.
go back to reference Davies JE, Barber N, Taylor D. What do community pharmacists do?: results from a work sampling study in London. Int J Pharm Practc. 2014;22(5):309–18.CrossRef Davies JE, Barber N, Taylor D. What do community pharmacists do?: results from a work sampling study in London. Int J Pharm Practc. 2014;22(5):309–18.CrossRef
70.
go back to reference Schommer JC, Gaither CA. A segmentation analysis for pharmacists' and patients' views of pharmacists' roles. Res Social Adm Pharm. 2014;10(3):508–28.CrossRefPubMed Schommer JC, Gaither CA. A segmentation analysis for pharmacists' and patients' views of pharmacists' roles. Res Social Adm Pharm. 2014;10(3):508–28.CrossRefPubMed
71.
go back to reference Xianglan Jin SA, Murtaza G, Xue F, Mumtaz A, Niu H, Taha A, Zhang Y. Quantitative study evaluating perception of general public towards role of pharmacist in health care system of Pakistan. Acta Pol Pharm Drug Res. 2014;71(5):869–75. Xianglan Jin SA, Murtaza G, Xue F, Mumtaz A, Niu H, Taha A, Zhang Y. Quantitative study evaluating perception of general public towards role of pharmacist in health care system of Pakistan. Acta Pol Pharm Drug Res. 2014;71(5):869–75.
72.
go back to reference Guirguis LM, Chewning BA. Role theory: literature review and implications for patient-pharmacist interactions. Res Social Adm Pharm. 2005;1(4):483–507.CrossRefPubMed Guirguis LM, Chewning BA. Role theory: literature review and implications for patient-pharmacist interactions. Res Social Adm Pharm. 2005;1(4):483–507.CrossRefPubMed
73.
go back to reference Gidman W, Ward P, McGregor L: Understanding public trust in services provided by community pharmacists relative to those provided by general practitioners: a qualitative study. BMJ Open. 2012;2(3):e000939. Gidman W, Ward P, McGregor L: Understanding public trust in services provided by community pharmacists relative to those provided by general practitioners: a qualitative study. BMJ Open. 2012;2(3):e000939.
74.
go back to reference Shah B, Chewning B. Conceptualizing and measuring pharmacist-patient communication: a review of published studies. Res Social Adm Pharm. 2006;2(2):153–85.CrossRefPubMed Shah B, Chewning B. Conceptualizing and measuring pharmacist-patient communication: a review of published studies. Res Social Adm Pharm. 2006;2(2):153–85.CrossRefPubMed
75.
go back to reference Anne Niquille CL. Olivier Bugnon: medication reviews led by community pharmacists in Switzerland: a qualitative survey to evaluate barriers and facilitators. Pharm Pract. 2010;8(1):35–42. Anne Niquille CL. Olivier Bugnon: medication reviews led by community pharmacists in Switzerland: a qualitative survey to evaluate barriers and facilitators. Pharm Pract. 2010;8(1):35–42.
76.
go back to reference Phillips KA, Morrison KR, Andersen R, Aday LA. Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Serv Res. 1998;33(3 Pt 1):571.PubMedPubMedCentral Phillips KA, Morrison KR, Andersen R, Aday LA. Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Serv Res. 1998;33(3 Pt 1):571.PubMedPubMedCentral
Metadata
Title
A qualitative study exploring perceptions and attitudes of community pharmacists about extended pharmacy services in Lahore, Pakistan
Authors
Furqan K. Hashmi
Mohamed Azmi Hassali
Adnan Khalid
Fahad Saleem
Hisham Aljadhey
Zaheer ud Din Babar
Mohammad Bashaar
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-017-2442-6

Other articles of this Issue 1/2017

BMC Health Services Research 1/2017 Go to the issue