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Pharmacy: a profession in transition or a transitory profession?

R P Penna1

  • 1American Association of Colleges of Pharmacy, Alexandria, VA 22314.

American Journal of Hospital Pharmacy
|September 1, 1987
PubMed
Summary

The pharmacy profession is evolving, adapting to healthcare changes and societal demands. Maintaining authority over drug distribution while embracing patient care is crucial for its future.

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Area of Science:

  • Pharmacy practice and healthcare system evolution.

Background:

  • Pharmacy has adapted over 75 years to healthcare and societal changes.
  • Key functional evolutions include drug preparation, standards, distribution, and clinical pharmacy.
  • The profession continues to transform due to economic and social forces.

Purpose of the Study:

  • To describe areas of transition in pharmacy practice.
  • To detail strategies for preventing the perception of pharmacy as a transitory profession.
  • To discuss current controversies and future directions in pharmacy.

Main Methods:

  • Review of historical adaptations and functional evolution in pharmacy.
  • Analysis of factors contributing to hospital pharmacy's growth.
  • Discussion of current controversies and proposed collaborative models.

Main Results:

  • Hospital pharmacy's shift to a cost center was facilitated by research on clinical pharmacy's patient care contributions and efficient inventory management.
  • Current controversies like pharmacist prescribing and therapeutic substitution require a broader healthcare process context.
  • Physician-pharmacist teamwork is effective in acute care and should extend to ambulatory pharmaceutical services through collaborations like professional service administrative organizations (PSAOs).

Conclusions:

  • Pharmacy must maintain authority over the drug distribution system while reorienting towards patient care and rational drug use.
  • Collaborative models between pharmacists (in PSAOs) and physicians (in independent practice associations) are essential for ambulatory care.
  • The evolving physician-pharmacist interaction is integral to drug marketing and therapy decision-making, highlighting the importance of both clinical activities and drug distribution.

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