Gilbert L
Department of Sociology, University of Witwatersrand, Johannesburg, South Africa.
Soc Sci Med. 1998 Jul;47(2):153-64. doi: 10.1016/s0277-9536(98)00022-7.
This paper examines the role expansion of community pharmacy in South Africa against the background of phenomena such as professional dominance and boundary encroachments. The study demonstrates pharmacy's thrust towards an extended and more meaningful role, making a clear distinction between the role extension concerning the granting of additional powers to prescribe medications, and that of a wider range of activities. It confirms previous claims that the opposition from the medical profession is particularly fierce when it relates to the pharmacist's ability to prescribe. The successful granting of special permits to a selected group of pharmacists to practice an extended role can be explained by the fact that it has been restricted to rural, under-served areas. The developments to date signify a partial success by the pharmacy profession towards its role extension. However, this is likely to remain limited due to the forces operating against it. Considering this context, the development of "health centres" might prove to be an alternative venue for the integration of pharmacists into the health care team.
本文在专业主导和边界侵蚀等现象的背景下，审视了南非社区药房角色的扩展。该研究表明药房正朝着更广泛、更有意义的角色迈进，明确区分了赋予开具药物额外权力的角色扩展与更广泛活动范围的角色扩展。它证实了先前的说法，即当涉及药剂师的处方能力时，来自医学专业的反对尤为激烈。向选定的一组药剂师成功授予特殊许可以履行扩展角色，可以解释为这仅限于农村、服务不足的地区。迄今为止的发展表明药房专业在角色扩展方面取得了部分成功。然而，由于存在阻碍其发展的力量，这可能仍然有限。考虑到这种背景，“健康中心”的发展可能被证明是将药剂师融入医疗团队的另一个场所。
