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International Journal of Clinical Pharmacy

, Volume 41, Issue 2, pp 478–487 | Cite as

Community pharmacists’ opinions and practice of pharmaceutical care at chain pharmacy and independent pharmacy in China

  • Xiaoyu Xi
  • Yuankai Huang
  • Qianni Lu
  • Carolina Oi Lam Ung
  • Hao HuEmail author
Research Article
  • 124 Downloads

Abstract

Background Whether Chinese community pharmacists in chain pharmacies and independent pharmacies provide the same type and quality of pharmaceutical care has not been fully investigated. Objective This study aimed to investigate community pharmacists’ understanding, attitude, practice and perceived barriers of pharmaceutical care at chain pharmacies and independent pharmacies in China. Setting Community pharmacies in China. Method A questionnaire survey was conducted in 27 provinces (autonomous regions) and 4 municipality cities in China. Main outcome measure Chinese community pharmacists’ understanding, attitude, practice and perceived barriers of pharmaceutical care. Results The respondent pharmacists’ understanding of pharmaceutical care was only moderate, though they showed a positive attitude towards providing the service. The respondent pharmacists from both chain and independent pharmacies provided more basic pharmaceutical service than advanced pharmaceutical care. Regarding barriers to providing pharmaceutical care, the respondent pharmacists identified the main barriers as a lack of physical space, slow introduction of pharmacist law, lack of patient acceptance of pharmaceutical care, and lack of face-to-face communication with patients. Pharmacists at chain pharmacies had a better understanding of and attitude toward pharmaceutical care and practiced more advanced pharmaceutical care than pharmacists at independent pharmacies. Conclusion Chinese community pharmacists’ understanding and practice of pharmaceutical care in China needs improvement. Compared with pharmacists at chain pharmacies, pharmacists at independent pharmacies face more challenges in providing pharmaceutical care. Specific efforts should be made to improve pharmacist competence, increase patient acceptance and shape a better operative environment for community pharmacies, especially for independent pharmacies.

Keywords

Chain pharmacy China Community pharmacist Community pharmacy Independent pharmacy Pharmaceutical care 

Notes

Acknowledgements

The authors thank all the data collection assistants who provided help in data collection.

Funding

The authors received no specific funding for this work.

Conflicts of interest

All the authors declare that they have no conflict of interest.

Supplementary material

11096_2019_802_MOESM1_ESM.docx (17 kb)
Supplementary material 1 (DOCX 18 kb)
11096_2019_802_MOESM2_ESM.docx (21 kb)
Supplementary material 1 (DOCX 22 kb)

References

  1. 1.
    Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47(3):533–43.Google Scholar
  2. 2.
    Briesacher B, Corey R. Patient satisfaction with pharmaceutical services at independent and chain pharmacies. Am J Health Syst Pharm. 1997;54(5):531.Google Scholar
  3. 3.
    Kalsekar I, Sheehan C, Peak A. Utilization patterns and medication adherence in patients with type 2 diabetes: variations based on type of pharmacy (chain vs. independent). Res Soc Adm Pharm. 2007;3(4):378–91.Google Scholar
  4. 4.
    Fang Y, Yang S, Zhou S, Jiang M, Liu J. Community pharmacy practice in China: past, present and future. Int J Clin Pharm. 2013;35(4):520–8.Google Scholar
  5. 5.
    Lv B, Yao F, Wang L, Gao W, Yang Q, Yang C, et al. Comparison of retail pharmacies supervision and pharmaceutical care mode between China and some countries and regions. Chin Pharm. 2016;4:569–72 (in Chinese).Google Scholar
  6. 6.
    Fang Y, Yang S, Feng B, Ni Y, Zhang K. Pharmacists’ perception of pharmaceutical care in community pharmacy: a questionnaire survey in Northwest China. Health Soc Care Commun. 2011;19(2):189–97.Google Scholar
  7. 7.
    Song M, Ung CO, Hu H, Wang Y. Community pharmacists’ perceptions about pharmaceutical care of OTC western medicine: a survey in Harbin of China. Int J Clin Pharm. 2015;37(6):1014.Google Scholar
  8. 8.
    Wang Y, Pan Z, Lv C. Discussion on how to improve the pharmaceutical service level of retail pharmacy in China. J Clin Med Lit. 2015;21:4514–6 (in Chinese).Google Scholar
  9. 9.
    Chinese Domestic Trade Department, Strategic Opinions on Operational Management of Chain Stores (Internal Trade Politics Law [1997] No. 24),1997-03-27.Google Scholar
  10. 10.
    Li Y. Local legislation study on the supervision and administration of pharmaceutical retailers—taking shanghai as research objects. Shanghai: Fudan University; 2008.Google Scholar
  11. 11.
    Annual Report 2016 Annual Statistics Food and Drug Administration. China Food and Drug Administration, http://xxgk.gdda.gov.cn/publicfiles/business/htmlfiles/gddaxxgk/s4765/201706/339371.htm. Accessed 25 June 2018.
  12. 12.
    Jin Z, Zheng M, Zhang J, Zhao M. Investigation on pharmaceutical care of chain drug stores in Chengdu from the consumers’ angle. Chin Pharm. 2017;30:4194–7 (in Chinese).Google Scholar
  13. 13.
    El Hajj MS, Al-Saeed HS, Khaja M. Qatar pharmacists’ understanding, attitudes, practice and perceived barriers related to providing pharmaceutical care. Int J Clin Pharm. 2016;38(2):330–43.Google Scholar
  14. 14.
    Dunlop JA, Shaw JP. Community pharmacists’ perspectives on pharmaceutical care implementation in New Zealand. Pharm World Sci. 2002;24(6):224–30.Google Scholar
  15. 15.
    Rossing C, Hansen EH, Krass I. The provision of pharmaceutical care in Denmark: a cross-sectional survey. J Clin Pharm Ther. 2003;28(4):311–8.Google Scholar
  16. 16.
    Mehralian G, Rangchian M, Javadi A, Peiravian F. Investigation on barriers to pharmaceutical care in community pharmacies: a structural equation model. Int J Clin Pharm. 2014;36(5):1–8.Google Scholar
  17. 17.
    Uema SA, Vega EM, Armando PD, Fontana D. Barriers to pharmaceutical care in Argentina. Pharm World Sci. 2008;30(3):211–5.Google Scholar
  18. 18.
    Aburuz S, Al-Ghazawi M, Snyder A. Pharmaceutical care in a community-based practice setting in Jordan: where are we now with our attitudes and perceived barriers? Int J Pharm Pract. 2012;20(2):71–9.Google Scholar
  19. 19.
    Ngorsuraches S, Li SC. Thai pharmacists’ understanding, attitudes, and perceived barriers related to providing pharmaceutical care. Am J Health Syst Pharm. 2006;63(21):2144.Google Scholar
  20. 20.
    Hughes CM, Hawwa AF, Scullin C, Anderson C, Bernsten CB, Björnsdóttir I, et al. Provision of pharmaceutical care by community pharmacists: a comparison across Europe. Pharm World Sci. 2010;32(4):472–87.Google Scholar
  21. 21.
    Rossing C, Hansen EH, Traulsen JM, Krass I. Actual and perceived provision of pharmaceutical care in Danish community pharmacies: the pharmacists’ opinions. Pharm World Sci. 2005;27(3):175–81.Google Scholar
  22. 22.
    Bell HM, McElnay JC, Hughes CM, Woods A. Provision of pharmaceutical care by community pharmacists in Northern Ireland. Am J Health Syst Pharm. 1998;55(19):2009–13.Google Scholar
  23. 23.
    Chisholm MA, Martin BC. Development of an instrument to measure student attitudes concerning pharmaceutical care. Am J Pharm Educ. 1997;61(4):374–9.Google Scholar
  24. 24.
    Tang G, Li D, Yuan S. Good pharmacy practice (2005 edition)(part 1). Chin J Hosp Pharm. 2006;26(5):503–6 (in Chinese).Google Scholar
  25. 25.
    Tang G, Li D, Yuan S. Good pharmacy practice (2005 edition)(part 2). Chin J Hosp Pharm. 2006;6:643–50 (in Chinese).Google Scholar
  26. 26.
    Tang G, Li D, Yuan S, Chang M, Zhu Z, Lu L, et al. Good pharmacy practice (2005 edition)(part 3). Chin J Hosp Pharm. 2006;26(7):783–5.Google Scholar
  27. 27.
    Brown CM, Barner JC, Shepherd MD. Issues and barriers related to the provision of pharmaceutical care in community health centers and migrant health centers. J Am Pharm Assoc. 2003;43(1):75–7.Google Scholar
  28. 28.
    American Society of Health-System Pharmacists. ASHP guidelines on a standardized method for pharmaceutical care. Am J Health Syst Pharm. 1996;53(14):1713–6.Google Scholar
  29. 29.
    Zhang F, Xu X. Comparative analysis of Chinese and Canadian clinica pharmacy curricula. Pharm Educ. 2017;33(3):30–4 (in Chinese).Google Scholar
  30. 30.
    Tan L, Wei J, Pan Y, Liu W, Yang B, Liu L, et al. Discussion on the teaching reform of clinical pharmacy undergraduate course. Educ Teach Forum. 2017;24:241–2 (in Chinese).Google Scholar
  31. 31.
    Chen X, Zhang G, Li Y, Zhao Y. Problems and countermeasures of qualification regulation of licensed pharmacists in China. Med Soc. 2017;30(1):15–8 (in Chinese).Google Scholar
  32. 32.
    Worley MM, Schommer JC, Brown LM, Hadsall RS, Ranelli PL, Stratton TP, et al. Pharmacists’ and patients’ roles in the pharmacist-patient relationship: are pharmacists and patients reading from the same relationship script? Res Soc Adm Pharm. 2007;3(1):47–69.Google Scholar
  33. 33.
    Gong S, Mo Z. Living situation and survival strategies of the retail pharmacy in modern business and New Medical Reform. Manag Obs. 2015;31:166–8 (in Chinese).Google Scholar
  34. 34.
    Jin Z, Ma Y, Gu J, Xue W, Zhao M. Investigate and analysis on weakening of pharmacy service function in drugstores. Chin Pharm. 2014;12:12–4 (in Chinese).Google Scholar
  35. 35.
    Mossialos E, Courtin E, Naci H, Benrimoj S, Bouvy M, Farris K, et al. From, “retailers” to health care providers: transforming the role of community pharmacists in chronic disease management. Health Policy. 2015;119(5):628–39.Google Scholar
  36. 36.
    Scahill SL, Tracey MS, Sayers JG, Warren L. Being healthcare provider and retailer: perceiving and managing tensions in community pharmacy. J Pharm Pract Res. 2018;48(3):251–61.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.National Development Research Center of Licensed PharmacistChina Pharmaceutical UniversityNanjingChina
  2. 2.State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical SciencesUniversity of MacauTaipaChina

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