A qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency: The prism of social practice theory

Objectives: While healthcare systems struggle to manage the COVID-19 pandemic, community pharmacies have changed the way in which they serve society by ensuring the availability of primary-level medical care. This study aims to examine the rearrangement of service provision at community pharmacies t...

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Autores principales:	Kadi Lubi, Kristiina Sepp, Hedvig Rass, Kristiine Roostar, Daisy Volmer
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	COVID-19 pandemic Emergency situation Community pharmacy service Social practice theory Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/5b391ca860d74472b07c22653eed4f90
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spelling	oai:doaj.org-article:5b391ca860d74472b07c22653eed4f902021-11-04T04:41:44ZA qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency: The prism of social practice theory2666-535210.1016/j.puhip.2021.100212https://doaj.org/article/5b391ca860d74472b07c22653eed4f902021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666535221001373https://doaj.org/toc/2666-5352Objectives: While healthcare systems struggle to manage the COVID-19 pandemic, community pharmacies have changed the way in which they serve society by ensuring the availability of primary-level medical care. This study aims to examine the rearrangement of service provision at community pharmacies through the prism of social practice theory. Study design: Qualitative in-depth semi-structured interviews. Methods: In total, 21 community pharmacists, 3 hospital pharmacists and 10 experts in Estonia were interviewed. For data analysis, two-dimensional thematic textual analysis was performed according to four types of practices proposed in social practice theory and based on temporal distinction. Results: The findings of this study reveal that, in order to maintain and improve community pharmacy service provision during the pandemic, there have been changes to all aspects of practice elements, including practical understandings, rules and teleological structures. The majority of challenges were experienced because of necessary changes to the habitual ways of providing pharmacy services, indicating resistance to these changes and reinforcing the need to continue existing ‘practice-bundles’. Limited access to healthcare services during the COVID-19 pandemic has resulted in community pharmacists becoming the primary (and only) accessible healthcare contact; thus, leading to a shift in awareness about the role of pharmacists. Conclusions: Although large-scale changes may result in the dissolvement of practice-bundles and require readiness to adjust current methods of service provision, dissolution is a gradual process. There is an urgent need to support pharmacists in managing the challenges of rearranging service provision, such as immediate organisational changes, lack of information and changing resources.Kadi LubiKristiina SeppHedvig RassKristiine RoostarDaisy VolmerElsevierarticleCOVID-19 pandemicEmergency situationCommunity pharmacy serviceSocial practice theoryPublic aspects of medicineRA1-1270ENPublic Health in Practice, Vol 2, Iss , Pp 100212- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 pandemic Emergency situation Community pharmacy service Social practice theory Public aspects of medicine RA1-1270
spellingShingle	COVID-19 pandemic Emergency situation Community pharmacy service Social practice theory Public aspects of medicine RA1-1270 Kadi Lubi Kristiina Sepp Hedvig Rass Kristiine Roostar Daisy Volmer A qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency: The prism of social practice theory
description	Objectives: While healthcare systems struggle to manage the COVID-19 pandemic, community pharmacies have changed the way in which they serve society by ensuring the availability of primary-level medical care. This study aims to examine the rearrangement of service provision at community pharmacies through the prism of social practice theory. Study design: Qualitative in-depth semi-structured interviews. Methods: In total, 21 community pharmacists, 3 hospital pharmacists and 10 experts in Estonia were interviewed. For data analysis, two-dimensional thematic textual analysis was performed according to four types of practices proposed in social practice theory and based on temporal distinction. Results: The findings of this study reveal that, in order to maintain and improve community pharmacy service provision during the pandemic, there have been changes to all aspects of practice elements, including practical understandings, rules and teleological structures. The majority of challenges were experienced because of necessary changes to the habitual ways of providing pharmacy services, indicating resistance to these changes and reinforcing the need to continue existing ‘practice-bundles’. Limited access to healthcare services during the COVID-19 pandemic has resulted in community pharmacists becoming the primary (and only) accessible healthcare contact; thus, leading to a shift in awareness about the role of pharmacists. Conclusions: Although large-scale changes may result in the dissolvement of practice-bundles and require readiness to adjust current methods of service provision, dissolution is a gradual process. There is an urgent need to support pharmacists in managing the challenges of rearranging service provision, such as immediate organisational changes, lack of information and changing resources.
format	article
author	Kadi Lubi Kristiina Sepp Hedvig Rass Kristiine Roostar Daisy Volmer
author_facet	Kadi Lubi Kristiina Sepp Hedvig Rass Kristiine Roostar Daisy Volmer
author_sort	Kadi Lubi
title	A qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency: The prism of social practice theory
title_short	A qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency: The prism of social practice theory
title_full	A qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency: The prism of social practice theory
title_fullStr	A qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency: The prism of social practice theory
title_full_unstemmed	A qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency: The prism of social practice theory
title_sort	qualitative study of the challenges in rearranging community pharmacy service provision during the covid-19 public health emergency: the prism of social practice theory
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/5b391ca860d74472b07c22653eed4f90
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A qualitative study of the challenges in rearranging community pharmacy service provision during the COVID-19 public health emergency: The prism of social practice theory

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