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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
This summary is machine-generated.

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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.

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.

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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.