I expected just to walk in, get my tablets and then walk out

On framing new community pharmacy services in the English healthcare system

Dados Bibliográficos

ID2249398
AutoresAsam Latif (0000-0003-0730-7120, School of Health Sciences University of Nottingham UK, autor correspondente), J Waring (0000-0003-1459-5896, University of Nottingham), Deborah Watmough (Division of Pharmacy Practice and Policy University of Nottingham UK), Matthew Boyd (0000-0003-2997-5090, University of Nottingham), Matthew J Boyd (Division of Pharmacy Practice and Policy University of Nottingham UK), Rachel Elliott (0000-0002-3650-0168, Manchester Academic Health Science Centre), Rachel A Elliott (0000-0003-1554-3318, Manchester Centre for Health Economics University of Manchester UK)
Ano2018
Volume40
Fascículo6
Páginas1019-1036
Data de publicação2018-07-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology of Health & Illness (JOURNAL)
Identificadores do periódicoISSN: 0141-9889 • E-ISSN: 1467-9566
EditoraWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12739
PMID29671885
OpenAlexW2800862938
IdiomaEN
Citações recebidas4
Referências citadas45

Reconfiguration of the healthcare division of labour is becoming increasingly attractive in the context of increased patient demand and resource constraints. One example is the introduction of extended roles for pharmacists to provide patients additional support to manage their medicines, while also reducing work pressures experienced by other health professionals. Understanding how such policies are framed by those delivering and receiving care has been under-theorised. Using Goffman's frame theory, we examine one newly introduced community pharmacy service (New Medicines Service (NMS)) to illustrate how a policy intended to support patient medicine-taking through the extended roles of pharmacists is framed and where this deviates from its proposed aims. Three themes emerged: (i) the spatial-material artefacts; (ii) existing discursive culture and practice around medicine-taking; and (iii) the NMS interactions that shape and govern framing and subsequent interpretation of the NMS. Our study offers an explanatory and dynamic view of the framing process with important lessons for reconfiguring medicine management policy and practice. As well as illustrating framing as being variegated, complementary or conflicting, it also shows how this plurality and fragility had consequences for patient engagement and sense-making. The consequences for engagement and recommendations for implementing future initiatives are discussed

Business · Framing (construction · Health care · Political science · History · Medication Adherence and Compliance · Medicine · Nursing · Pharmaceutical Practices and Patient Outcomes · Pharmacy · Primary Care and Health Outcomes