In most jurisdictions such as the United State, pharmacists are
regulated separately from phycians. 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 such as China, doctors
are allowed to dispense drugs themselves and the practice of pharmacy
is integrated 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.
Community Pharmacy
A pharmacy commonly the chemist; or drugstore in the Apothecary,
historically is the place where most pharmacists practice the profession
of pharmacy. It is community pharmacy where the dichotomy of the
profession existshealth professionals who are also retailers.
Community pharmacies usually consist of a retail storefront,
with a dispensary where medications are stored and dispensed. The
dispensary is subject to pharmacy legislation; with requirements
for storage conditions, texts, equipment, etc., specified in legislation.
Where it was once the case that pharmacists stayed dispensary compounded/dispensed
medications; there has been an increasing trend towards the use
of trained dispensary technicians while the pharmacist spends more
time communicating with patients.
There is a requirement that all pharmacies must have
a pharmacist on-duty at all times it is open. In many it is also
a requirement that the owner of a pharmacy must. This latter requirement
has been revoked in many jurisdictions, such that many retailers
including grocery stores and mass merchandisers now include a pharmacy
as department of their store.
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