Experts’ Perspectives on Emboldening Proactive Practice Competency of Thailand Community Pharmacists

Authors

  • Bhanubhong Prommalee Kanchanabhishek Institute of Medical and Public Health Technology, Faculty of Public Health and Allied Health Sciences, Praboromaratchanok Institute, Sai Noi, Nonthaburi, 11150, Thailand
  • Wannisa Raksamat Kanchanabhishek Institute of Medical and Public Health Technology, Faculty of Public Health and Allied Health Sciences, Praboromaratchanok Institute, Sai Noi, Nonthaburi, 11150, Thailand

Abstract

Objective: To examine perspectives emboldening proactive practice competency of Thailand community pharmacists. Method: Qualitative study with phenomenological approach was conducted. Semi-structured in-depth face-to-face interviews using open-ended guiding questions was conducted on site and online platforms. Data were collected from 2024 May to June. A purposive sampling and snowballing techniques was used to recruit 12 potential participants. A thematic analysis was subsequently evaluated to classify the information into themes and subthemes. Results: Several perspectives were indicated for emboldening proactive practice competency of Thailand community pharmacists, i.e., proud elite, views closed to medical profession liability (e.g., diagnosis, physical examination, etc.), uplifting professional values (e.g., challenging in dealing with complicated, chronic diseases and NCDs cases in drugstores). Conclusion: Since the perspectives affected individual’s actions and task performances, this study thus highlighted novel perspectives emboldening proactive practice competency of Thailand community pharmacists that are different from general standard pharmacy practices. The results could be strategies for developing the pharmacy profession corresponding to the patient's expectation and society. Key words: proactive practice, Community Pharmacy, qualitative research

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References

Wise A, MacIntosh E, Rajakulendran N, Khayat Z. Transforming health: Shifting from reactive to proactive and predictive care. 2016. (Accessed on Sep. 6, 2024, at www.marsdd.com/our-story/transforming-health-shifting-from-reactive-to-proactive-and-predictive-care/)

Newby B. Expanding the role of pharmacy technicians to facilitate a proactive pharmacist practice. Am J Health-System Pharm 2019;76(6): 398-402. (doi: 10.1093/ajhp/zxy065)

Patel T. Medication nonadherence: time for a proactive approach by pharmacists. Can Pharm J 2021;154(5):292-296. (doi: 10.1177/ 17151 635211034216)

Ferreri SP, Hughes TD, Snyder ME. Medication therapy management: current challenges. Integr Pharm Res Pract 2020;9:71-81. (doi: 10.2147/ IPRP.S179628)

Nurminen N. The impact of employees' competencies on the work ability. Dissertation. Finland. Tampere University, 2023.

Luangkanchana P. Factors that influence consumers on purchasing in standalone drugstore in Bangkok, Thailand. Dissertation. Bngkok. Mahidol University, 2017.

Ploylearmsang C, Kanjanasilp J, Kessomboon N, et al. Hospital pharmacy practice and the way forward for pharmacy education in Thailand. Can J Hosp Pharm 2019;72(1):34-41.

Kelling SE. Exploring accessibility of community pharmacy services. Innov Pharm 2015;6(3):1-3.

Parinyarux P, Wongpoowarak P, Dhippayom T, Kitikannakorn N. Customer expectation survey on the competency of community pharmacists and future service. Thai Bull Pharm Sci 2020;15(1):67-80. (in Thai)

Maidment I, Young E, MacPhee M, et al. Rapid realist review of the role of community pharmacy in the public health response to Covid-19. Br Med J Open 2021;11(6):1-14.

Anderson C, Zhan K, Boyd M, Mann C. The role of pharmacists in general practice: A realist review. Res Soc Admin Pharm 2019;15(4): 338-345. (doi: 10.1016/j.sapharm.2018.06.001)

Yotsombut K, Duangchan P, Nakpun T. Client attitudes toward marketing mix potentially influencing intention to use services of a pharmacy school affiliated community pharmacy. Thai Pharm Health Sci J 2021;16(2):102-108.

Phunarin P, Sriprang S, Srithong K, Chairojkanjana K. The worries and fear of people in Pathum Thani to pharmacies. Payap Univ J 2017;27(1):215-231. (in Thai)

Parinyarux P, Dhippayom T, Wongpoowarak P, Kitikannakorn N. Development of community pharmacy competencies. J Pharm Technol 2022;38(3):183-190. (doi: 10.1177/87551225221081370)

Suwannaprom P, Suttajit S, Eakanunkul S, et al. Development of pharmacy competency framework for the changing demands of Thailand's pharmaceutical and health services. Pharm Pract (Granada) 2020;18(4):1-11.

Puengrung S. Needs analysis and development of professional development program for Thai community pharmacists. Dissertation. Bangkok. Chulalongkorn University, 2018.

Parinyarux P, Yotsombut K. Customers' satisfaction toward drugstore facilities and services based on the good pharmacy practice standard in Thailand. Pharm Pract (Granada) 2022;20(1):1-7. (doi: 10.18549/ PharmPract.2022.1.2601)

Kellar J, Singh L, Bradley-Ridout G, et al. How pharmacists perceive their professional identity: a scoping review and discursive analysis. Int J Pharm Pract 2021;29(4):299-307. (doi: 10.1093/ijpp/riab020)

Waei OM, Teng PK, Wai KT. Patient loyalty towards the pharmacist. Adv Soc Sci Educ Human Res 2021;570:420-426. (doi: 10.2991/assehr. k.210805.067)

Atif M, Razzaq W, Mushtaq I, et al. Pharmacy services beyond the basics: A qualitative study to explore perspectives of pharmacists towards basic and enhanced pharmacy services in Pakistan. Int J Environ Res Public Health 2020;17(7):1-15.

Spencer LM, Spencer SM. Competence at work: Models for superior performance. New York, NY. John Wiley & Sons, 1993.

Chaiprakarn S. The impact of prices, services, and facilities on customer satisfaction at drug stores in Thailand. Cape Forum 2023;1(2):304-320.

Owens CT, Baergen R. Pharmacy practice in high-volume community settings: barriers and ethical responsibilities. Pharmacy 2021;9(74):1-10.

Tanchareon N. Factors influencing Thai consumer's purchase intention towards online drug purchase. Dissertation. Bangkok. Mahidol University, 2023.

Elvey R, Hassell K, Hall J. Who do you think you are? pharmacists' perceptions of their professional identity. Int J Pharm Pract 2013;21(5): 322-332. (doi: 10.1111/ijpp.12019)

Karwaki TE. Establishing a patient-pharmacist relationship: clarifying duties and improving patient care. Baylor Law Rev 2020;72(3):507-563.

Shen AK, Peterson A. The pharmacist and pharmacy have evolved to become more than the corner drugstore: a win for vaccinations and public health. Hum Vacc Immunother 2020;16(5):1178-1180. (doi: 10. 1080/21645515.2019.1660119)

Wongsuphasawat K, Kittisopee T, Powpaka S. The relative importance of store attributes on consumers responses toward drugstore: the moderating effect of buying purposes. Thai J Hosp Pharm 2008;18(1): 11-26.

Rutter PM, Harrison T. Differential diagnosis in pharmacy practice: time to adopt clinical reasoning and decision making. Res Soc Admin Pharm 2020;16(10):1483-1486. (doi: https://doi.org/10.1016/j.sapharm.2020. 02.020)

Sanyal C, Husereau DR. Community-based services by pharmacists: A systematic review of cost-utility analyses. Value Health 2019; 22(12):1450-1457. (doi: https://doi.org/10.1016/j.jval.2019.08.013)

Tannenbaum C, Tsuyuki RT. The expanding scope of pharmacists’ practice: implications for physicians. Can Med Assoc J 2013; 185(14):1228-1232. (doi: 10.1503/cmaj.121990)

Latter S, Blenkinsopp A, Smith A, et al. Evaluation of nurse and pharmacist independent prescribing. England. University of Southampton, 2011. (Accessed on Jul. 15, 2022, at https://eprints. soton.ac.uk/184777/3/ENPIPfullreport.pdf)

Cherian J, Gaikar V, Paul R, Pech R. Corporate culture and its impact on employees’ attitude, performance, productivity, and behavior: An investigative analysis from selected organizations of the United Arab Emirates (UAE). J Open Innov Technol Market Complex 2021;7(1):1-27.

Helmy T. Corporate culture and its impact on a successful organization. 2023. (Accessed on Sep. 2, 2024, at www.linkedin.com/pulse/corporate-culture-its-impact-successful-organization-tamer-tamer/September, 2024)

Shye S, Haber I. Challenge theory: The structure and measurement of risky binary Choice Behavior. Appl Econ Finance 2020;7(2):33-50.

Anakin MG, Duffull SB, Wright DFB. Therapeutic decision-making in primary care pharmacy practice. Res Soc Admin Pharm 2021;17(2):326-331. (doi: https://doi.org/10.1016/j.sapharm.2020.04.005)

Mertens JF, Kempen TGH, Koster ES, Deneer VHM, Bouvy ML, van Gelder T. Cognitive processes in pharmacists’ clinical decision-making. Res Soc Admin Pharm 2024;20(2):105-114. (doi: https://doi.org/10. 1016/j.sapharm.2023.10.007)

White A. From comfort zone to performance management: Understanding development and performance. Belgium. White & MacLean Publishing, 2009. (Accessed on Jul. 15, 2022, at https:// gingermood.com/wp-content/uploads/2019/07/White-A.-2009.-From-comfort-zone-to-performance-management.-White-MacLean-Publishing. -.pdf)

Luetsch K, Scuderi C. Experiences of medical dominance in pharmacist-doctor interactions - An elephant in the room? Res Soc Admin Pharm 2020;16(9):1177-1182. (doi: https://doi.org/10.1016/j.sapharm.2019.12. 013)

Zhou P, Rosenberg MW. “Old friend and powerful cadre”: doctor-patient relationships and multi-dimensional therapeutic landscapes in China's primary hospitals. Health Place 2021;72:1-12. (doi: https://doi.org/10. 1016/j.healthplace.2021.102708)

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Published

2025-03-31