Characterizing specialized compounding in community pharmacies |
| |
| Authors: | Jennifer Anne Giam Andrew J. McLachlan Ines Krass |
| |
| Affiliation: | 1. Faculty of Pharmacy, The University of Sydney, Pharmacy Building (A15), Sydney, NSW 2006, Australia;2. Centre for Education and Research on Aging, Concord RG Hospital, Building 76, Concord NSW 2139, Australia;1. School of Pharmacy, The University of Queensland, Brisbane, Queensland, Australia;2. Griffith Health Institute and Centre for Applied Health Economics, School of Medicine, Griffith University, Queensland, Australia;3. Centre of National Research on Disability and Rehabilitation Medicine, Griffith Health Institute, Griffith University, Queensland, Australia;4. Griffith Health Institute, Griffith University, Queensland, Australia;5. Faculty of Medical and Health Sciences, University of Auckland, New Zealand;6. School of Pharmacy, Griffith Health Institute, Griffith University, Gold Coast, Queensland, Australia;1. Melinta Therapeutics Inc, Lincolnshire, Illinois;2. PPD, Austin, Texas;3. Pharma Start LLC, Northbrook, Illinois;1. College of Clinical Pharmacy, Dammam University, Saudi Arabia;2. School of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor 47500, Malaysia;1. Department of Pharmacology and Clinical Neuroscience, Umeå University, SE-90187, Umeå, Sweden;2. School of Medicine, The University of Notre Dame Australia, NSW, Australia |
| |
| Abstract: | BackgroundCompounding is a traditional role of pharmacists that declined with the availability of manufactured medicines. Compounding is now increasingly offered by community pharmacies as a specialized service, and there are calls for regulatory and practice standard changes. However, the characteristics of specialized compounding are not well understood.ObjectivesThe objective of this study was to conduct an in-depth exploration of the motivations, experiences, and practices of pharmacists who deliver “specialized compounding services” in Australian pharmacies.MethodsIn-depth interviews of 18 pharmacists responsible for compounding in pharmacies offering specialized compounding were conducted using a semistructured interview guide based on an organizational framework. Participants were selected using purposive sampling. Characteristics of specialized compounding practice compared with routine compounding and routine dispensing were explored. Interviews were audiotaped and transcribed verbatim, then analyzed using the method of “constant comparison” to identify emergent themes.ResultsPharmacists providing specialized compounding reported that compared with their prior routine practice, they used a greater variety of ingredients and dosage forms for more clinical conditions, used different equipment and processes, and had upgraded facilities for handling compounded products. Patient and physician interactions were more involved and in the case of physicians, more collaborative compared with routine dispensing. Participants reported feeling more empowered in their roles, with improved professional satisfaction.ConclusionsPharmacists in specialized compounding pharmacies report greater collaboration and interaction with prescribers and patients compared with their routine compounding and dispensing. This contributed to perceptions of empowerment and increased professional satisfaction. Specialized compounding may also be an avenue for reprofessionalization. The organization of compounding as a specialized service should be considered in proposed changes to compounding regulations and practice standards. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
