Faculty of Pharmacy & Pharmaceutical Sciences, University of Alberta, 3-171 Edmonton Clinic Health Academy, Edmonton, Alberta, Canada.
Res Social Adm Pharm. 2013 Jul-Aug;9(4):384-95. doi: 10.1016/j.sapharm.2012.05.014. Epub 2012 Jul 25.
Legislation to expand the scope of practice for pharmacists to include authority to independently prescribe medications in Alberta, Canada was announced in 2006 and enacted in April 2007. To date, very little research has explored public views of pharmacist prescribing.
This study analyzes newspaper media coverage of pharmacist prescribing 1 year before and 2 years after prescribing was implemented.
News items related to pharmacist prescribing were retrieved from 2 national, Canadian newspapers and 5 local newspapers in Alberta over a 3-year period after the announcement of pharmacist prescribing. A purposive sample of 66 texts including news items, editorials, and letters were retrieved electronically from 2 databases, Newscan and Canadian Newsstand. This study uses social positioning theory as a lens for analyzing the discourse of pharmacist prescribing.
The results demonstrate a binary positioning of the debate on pharmacist prescribing rights. Using social positioning theory as a lens for analysis, the results illustrate self- and other-positioning of pharmacists' expected roles as prescribers. Themes related to the discourse on pharmacist prescribing include qualifications, diagnosis, patient safety, physician support, and conflict of interest. Media representations of pharmacist prescribing point to polarized views that may serve to shape public, pharmacist, physician, and others' opinions of the issue.
Multiple and contradictory views of pharmacist prescribing coexist. Pharmacists and pharmacy organizations are challenged to bring clarity and consistency about pharmacist prescribing to better serve the public interest in understanding options for health care services.
2006 年，加拿大艾伯塔省宣布扩大药剂师的执业范围，使其有权独立开处药方，该立法于 2007 年 4 月生效。迄今为止，很少有研究探讨公众对药剂师开处方的看法。
本研究分析了在宣布药剂师开处方后的 1 年和 2 年后，报纸媒体对药剂师开处方的报道。
在宣布药剂师开处方后的 3 年内，从 2 家加拿大全国性报纸和 5 家艾伯塔省当地报纸中检索与药剂师开处方相关的新闻报道。从 2 个数据库（Newscan 和 Canadian Newsstand）中以电子方式检索到 66 篇新闻报道、社论和信件作为目的抽样。本研究使用社会定位理论作为分析药剂师开处方话语的视角。
研究结果表明，关于药剂师开处方权利的辩论存在二元定位。使用社会定位理论作为分析视角，结果表明，药剂师作为处方者的预期角色的自我定位和他者定位。与药剂师开处方论述相关的主题包括资格、诊断、患者安全、医生支持和利益冲突。对药剂师开处方的媒体报道表明，存在两极化的观点，这可能有助于塑造公众、药剂师、医生和其他人对该问题的看法。
多种相互矛盾的观点并存。药剂师和药房组织面临挑战，需要对药剂师开处方问题提供清晰和一致的信息，以更好地服务于公众对医疗服务选择的理解。
