In most jurisdictions , pharmacists are regulated separately from
physicians. That is, the legislation stipulates that the practice
of prescribing must be separate from the practice of dispensing.
These jurisdictions also usually specify that only pharmacists may
supply scheduled pharmaceuticals to the public, and that pharmacists
cnnot form business partnerships with physicians or give them "kickback"
payments.In the minority of jurisdictions doctors are allowed to
dispense drugs themselves andthe practiceof pharmacy is integrated
with that of the phyicianThe reason for the majority rule is the
high risk of a onflict of interest. Otherwise, the physician has
a financial self-interest in "diagnosing" as many conditions
as possible, and in exaggerating their seriousness, because he can
then sell more medications to the patient. Such self-interest directly
conflicts with the patient's interest in obtaining cost-effective
medication.
Community Pharmacy
A pharmacy (commonly the chemist; or drugstore in the ; or Apothecary,
historicallis the place where most pharmacists practice the profession
of pharmacy.cnds more time communicating with patient.There is a
requirement that all pharmacies must have a pharmacist on-duty at
all times it is open. In many jurisdictions it is also a requirement
hat the owner of a pharacy must be a registered pharmacist. This
latter requirement has been revokd in many jurisdictions, such that
many retailers (including grocery stores and mass merchandisers)
now include a pharmacy as department of their store.
Hospital Pharmacy
In much the same way that hospital pharmacists have different roles
to community pharmacists, hospital pharmacies have different roles
to community pharmcies. Some pharmacists in hospital pharmacies
may have more complex clinical medication management issues whereas
pharmacists in community pharmacies often have more coex business
and customer relations issues.Unlike communi pharmacies, which are
usually indpendently owned, hospital pharmacis can usually be found
within the premises of the hospital. Hospital pharmacies usually
stock a larger range of medications, including more specialized
medications, than would be feasible in the ommunity setting. Traditionally,
hospital pharmacies have also prepared various injectable preparations
such as saline, total parenteral nutrition and other drug infusions;
but there has been a trend to outsource these functions to specialised
pharmaceutical companies.
The future of pharmacy
In the coming decades pharmacists will become more integral parts
of the health care system. Rather than simply a dispenser of medication,
pharmacists will b paid for their cognitive skills. This paradigm
shift has already commenced in some countries, for instance pharmacists
in Australia receive remuneration from the Australian Government
for conducting comprehensive Home Medicines Reviews. Many niversities
are altering their programs to increase emphasise in fields such
as pharmcotherapeutics, clinicalpharmacy, nuclear pharmacy, disease
state management, etc.
In most jurisdictions pharmacists are regulated separately
from physicians. That is, the legislation stipulates that the practice
of prescribing must be separate from the practice of dispensing.
These jurisdictions also usually specify that only pharmacists may
supply scheduled pharmaceuticals to the public, and that pharmacists
cannot form business partnerships with physicians or give them "kickback"
payments.
In the minority of jurisdictions doctors are allowed
to dispense drugs themselves and the practice of pharmacy is integrated
with that of the physician.
The reason for the majority rule is the high risk
of a conflict of interest. Otherwise, the physician
has a financial self-interest in "diagnosing"
as many conditions as possible, and in exaggerating
their seriousness, because he can then sell more medications
to the patient. Such self-interest directly conflicts
with the patient's interest in obtaining cost-effective
medication.
prescribing from dispensing vitamin tablets drug store pharmacies
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