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Unresolved issues in the future of pharmacy
1School of Pharmacy, Virginia Commonwealth University, Richmond 23298.
American Journal of Hospital Pharmacy
|May 1, 1988
Summary
Pharmacy must adapt to technological, economic, and social changes by enhancing its information services and embracing drug-use control. This requires occupational reconstruction and a return to fundamental public service principles for a successful future.
Area of Science:
- Pharmacy practice and policy
- Health services research
- Sociology of professions
Background:
- Pharmacy is influenced by significant technological, economic, and social forces.
- Current practice models face challenges from evolving healthcare landscapes.
- External pressures necessitate a reevaluation of pharmacy's societal role.
Purpose of the Study:
- To analyze the impact of major forces on the future of pharmacy.
- To propose strategies for pharmacy to adapt and thrive.
- To redefine pharmacy's core societal function and professional identity.
Main Methods:
- Discussion and analysis of trends in technology, economics, and social values.
- Conceptual framework for occupational reconstruction and self-renewal in pharmacy.
- Examination of historical pharmacy roles and future societal expectations.
Main Results:
- Key technological drivers include computers, robotics, communications, and therapeutics.
- Economic shifts involve third-party payers and potential service provider consolidation.
- Social factors include an aging population, declining professional authority, and public image concerns.
Conclusions:
- Pharmacy must expand its informational role and accept responsibility for drug-use control.
- A 'reprofessionalization' through 'pharmaceutical care' (drug-product control and clinical services) is essential.
- Returning to preindustrial roots of valued public service is crucial for a positive postindustrial future.