Perception of community pharmacists towards the barriers to enhanced pharmacy services in the healthcare system of Dubai: a quantitative approach
Main Article Content
Community Pharmacy Services, Professional Practice, Attitude of Health Personnel, Pharmacies, Pharmacists, United Arab Emirates
Background: In many developing countries, pharmacists are facing many challenges while they try to enhance the quality of services provided to patients approaching community pharmacies.
Objective: To explore perception of community pharmacists in Dubai regarding the obstacles to enhanced pharmacy services using a part of the results from a nation-wide quantitative survey.
Methods: A questionnaire was distributed to 281 full-time licensed community pharmacists in Dubai. The questionnaire had 5 inter-linked sections: demographic information, information about the pharmacy, interaction with physicians, pharmacists’ current professional role, and barriers to enhanced pharmacy services.
Results: About half of the respondents (45.4%, n=90) agreed that pharmacy clients under-estimate them and 52.5% (n=104) felt the same by physicians. About 47.5% (n=94) of the respondents felt that they are legally unprotected against profession’s malpractice. Moreover, 64.7% (n=128) stated that pharmacy practice in Dubai turned to be business-focused. In addition, 76.8% (n=252) found that one of the major barriers to enhanced pharmacy services is the high business running cost. Pharmacists screened tried to prove that they are not one of the barriers to optimized pharmacy services as 62.7% (n=124) disagreed that they lack appropriate knowledge needed to serve community and 67.7% (n=134) gave the same response when asked whether pharmacy staff lack confidence when treating consumers or not.
Conclusions: Although being well established within the community, pharmacists in Dubai negatively perceived their own professional role. They stated that there are number of barriers which hinder optimized delivery of pharmacy services like under-estimation by pharmacy clients and other healthcare professionals, pressure to make sales, and high running cost.
2. Peterson M, Kelly N. Managing pharmacy practice: principles, strategies, and systems. Boca Raton, Fl, CRC Press; 2004.
3. Niquille A, Lattmann C, Bugnon O. Medication reviews led by community pharmacists in Switzerland: a qualitative survey to evaluate barriers and facilitators. Pharm Pract (Granada). 2010;8(1):35-42.
4. Hasan S, Sulieman H, Chapman C, Stewart K, Kong DC. Community pharmacy in the United Arab Emirates: characteristics and workforce issues. Int J Pharm Pract. 2011 Dec;19(6):392-9. doi: 10.1111/j.2042-7174.2011.00134.x
5. Rosenthal M, Austin Z, Tsuyuki R. Are pharmacists the ultimate barrier to pharmacy practice change? Can Pharm J. 2010;143:37-42.
6. Austin Z, Gregory PA, Martin JC. Negotiation of interprofessional culture shock: the experiences of pharmacists who become physicians. J Interprof Care. 2007;21(1):83-93.
7. Shuck AA, Phillips CR. Assessing pharmacy students’ learning styles and personality types: a ten-year analysis. Am J Pharm Educ 1999;63:27-33.
8. Berbatis C. Survey of Australia's community pharmacists 2002. Perth: Curtin University; 2002.
9. Raosoft. An online sample size calculator. Available: http://www.raosoft.com/samplesize.html (accessed 25 June 2014).
10. DSC. 2013. Statistical year book 2013. Available: http://dsc.gov.ae/EN/Publications/Pages/PublicationsList.aspx?PublicationId=1&Year=2013 (accessed 12 July 2014).
11. SPSS.IBM SPSS client version manual. Available: http://www-01.ibm.com/support/docview.wss?uid=swg27021213 (accessed 27 June 2014).
12. Smith F. Research methods in pharmacy practice, London: Pharmaceutical Press; 2002.
13. MOE. UAE federal law number 8 of 1984 concerning commercial companies. Available: http://www.economy.gov.ae/Arabic/DoingBusinessUAE/Pages/FederalLaw-1984-8.aspx (accessed 22 July 2014).
14. KHAN A. Pharmacy Education and Healthcare. Available: http://www.gcu.edu.pk/Library/NI_Feb07.htm (accessed 3 Nov 2013).
15. Antoun R, Salameh P. [Satisfaction of pharmacists in Lebanon and the prospect for clinical pharmacy]. East Mediterr Health J. 2009;15:1553-1563.
16. Safaeian L, Mostafavi SA, Changiz T, Mirzadeh M. Pharmacists’ opinions and self-reporting performance regarding the professional tasks and responsibilities in Isfahan, Iran. J Educ Health Promot. 2014;3:2. doi: 10.4103/2277-9531.127544
17. Riley K. Enhanced medication management services in the community. Can Pharm J. 2013;46:162-168.
18. Axworthy S, MacKinnon NJ. Perceived importance and self-assessment of the skills of Canada's health-system pharmacy managers. Am J Health Syst Pharm. 2002;59(11):1090-1097.
19. Rieck A, Pettigrew S. How physician and community pharmacist perceptions of the community pharmacist role in Australian primary care influence the quality of collaborative chronic disease management. Qual Prim Care. 2013;21(2):105-111.
20. Salari P, Namazi H, Abdollahi M, Khansari F, Nikfar S, Larijani B, Araminia B. Code of ethics for the national pharmaceutical system: Codifying and compilation. J Res Med Sci. 2013;18(5):442-448.
21. Aljadhey H. Experience and future of introductory pharmacy practice training in developing countries: example of Saudi Arabia. Am J Pharm Educ. 2012;76(10):205. doi: 10.5688/ajpe7610205