Pharmacy Faculty, The University of Sydney, Sydney, New South Wales 2006, Australia.
Res Social Adm Pharm. 2011 Mar;7(1):27-38. doi: 10.1016/j.sapharm.2009.12.004. Epub 2010 Apr 10.
Community pharmacy is undergoing transformation with increasing pressure to build its capacity to deliver cognitive pharmaceutical services ("services"). The theoretical framework of organizational flexibility (OF) may be used to assess the capacity of community pharmacy to implement change programs and guide capacity-building initiatives.
To test the applicability of an existing scale measuring OF to the industry of community pharmacy in Australia.
A mail survey was used to test a preexisting scale measuring OF amended from 28 items to 20 items testing 3 underlying factors of operational, structural, and strategic flexibility in the Australian community pharmacy context. The sample was 2006 randomly-stratified community pharmacies. A confirmatory factor analysis was conducted to assess the validity and reliability of the 1-factor models for each underlying construct and the full measurement model.
Responses were received from a total of 395 (19.7%) community pharmacies. The 1-factor models of operational, structural, and strategic flexibility fit the data with appropriate respecification. Overall, the favorable fit of the individual factor constructs suggested that the multiple-factor measurement model should be tested. However, this model did not yield an interpretable response. Operational flexibility covaried negatively to the other factors, whereas structural and strategic flexibility shared covariance. Despite this, the results highlighting the individual factor fit suggest the constructs have application to pharmacy.
The individual OF constructs were useful in the development and initial testing of a scale adapted for community pharmacy. When further developed and validated, the scale could be used to identify group of pharmacies that require individualized assistance to build capacity and integrate services and other new endeavors.
社区药房正面临转型，需要加大力度提升提供认知药物服务（“服务”）的能力。组织灵活性（OF）理论框架可用于评估社区药房实施变革计划和指导能力建设举措的能力。
检验用于评估澳大利亚社区药房行业 OF 的现有量表的适用性。
采用邮寄问卷调查法，检验经过修订的、源自 28 项测题的 20 项测题的 OF 量表，以评估澳大利亚社区药房环境下运营、结构和战略灵活性的 3 个潜在因素。样本为 2006 家随机分层的社区药房。采用验证性因子分析评估各潜在结构和全测量模型的单因子模型的有效性和可靠性。
共收到 395 家（19.7%）社区药房的回复。运营、结构和战略灵活性的单因子模型均适用于数据的适当重新指定。总体而言，各因子结构的良好拟合表明，应进一步检验多因子测量模型。然而，该模型并未产生可解释的响应。运营灵活性与其他因素呈负相关，而结构和战略灵活性则具有共同的协方差。尽管如此，强调各因子结构适用性的结果表明，这些结构可应用于药房。
OF 的各个构成部分在为社区药房定制量表的开发和初步测试中非常有用。进一步开发和验证后，该量表可用于识别需要个性化援助以提升能力和整合服务及其他新举措的药房群体。
