The Role of Technology in Shaping the Professional Future of Community Pharmacists: The Case of the Electronic Prescription Service in the English National Health Service

Information and communication technology (ICT) has been extensively proposed in the last decade as a means to reform, modernize, and reshape national health systems around the globe. In so doing, it inevitably changes work practices, and may have longer term consequences for health care professions. This paper considers how ICT may shape the professional future of community pharmacists by drawing on ongoing research into a national project in England to establish the electronic transmission of prescriptions between doctors and pharmacies. The project illustrates how technology opens up various possibilities that may influence pharmacists’ professional standing in the future by shaping their work practices, jurisdictions, roles, values, power, and boundaries. Our aim is not to evaluate these subtle and contra dictory changes but to develop an appropriate analytical frame work, and to contribute to the debate concerning the role of technology in shaping professional futures.

[1]  Mike Chiasson,et al.  Pushing the contextual envelope: developing and diffusing IS theory for health information systems research , 2004, Inf. Organ..

[2]  Lars Mathiassen,et al.  Contextual dynamics during health information systems implementation: an event-based actor-network approach , 2008, Eur. J. Inf. Syst..

[3]  P. Bissell,et al.  Consumerism and professional work in the community pharmacy , 2002 .

[4]  G. Walsham.  Making a World of Difference: IT in a Global Context , 2001 .

[5]  D. Ashcroft,et al.  Professional status in a changing world: The case of medicines use reviews in English community pharmacy. , 2010, Social science & medicine.

[6]  Michael D. Myers,et al.  A Set of Principles for Conducting and Evaluating Interpretive Field Studies in Information Systems , 1999, MIS Q..

[7]  John Clarke,et al.  The Managerial State: Power, Politics and Ideology in the Remaking of Social Welfare , 1999 .

[8]  Siobhan McCann,et al.  Perceived interprofessional barriers between community pharmacists and general practitioners: a qualitative assessment. , 2003, The British journal of general practice : the journal of the Royal College of General Practitioners.

[9]  Jean Gayton Carroll,et al.  The Gold Standard: The Challenge of Evidence-Based Medicine and Standardization in Health Care , 2004 .

[10]  Mark Exworthy,et al.  Professionals as managers across the public sector , 1998 .

[11]  R. Flynn.  Clinical governance and governmentality , 2002 .

[12]  S. Timmermanns,et al.  The Challenge of Evidence-Based Medicine and Standardization in Health Care , 2003 .

[13]  Jane Broadbent,et al.  Professionals and the New Managerialism in the Public Sector , 2000 .

[14]  A. Stinchcombe.  Information and Organizations , 2019 .

[15]  S. Halford,et al.  Professionals and the new managerialism in the public sector , 1998 .

[16]  A. Giddens.  The consequences of modernity , 1990 .

[17]  W. Wiegand.  : The System of Professions: An Essay on the Division of Expert Labor , 1990 .

[18]  Damian Hodgson,et al.  ‘Putting on a Professional Performance’: Performativity, Subversion and Project Management , 2005 .

[19]  Barbara Garson,et al.  The Electronic Sweatshop: How Computers Are Transforming the Office of the Future into the Factory of the Past , 1988 .

[20]  N. Barber,et al.  Understanding pharmacists' values: a qualitative study of ideals and dilemmas in UK pharmacy practice. , 2009, Social science & medicine.

[21]  Marc Berg,et al.  Extending the understanding of computerized physician order entry: Implications for professional collaboration, workflow and quality of care , 2007, Int. J. Medical Informatics.

[22]  J. Steyaert,et al.  Governing in the information age , 2000 .

[23]  H. Perkin,et al.  The rise of professional society , 1989 .

[24]  Wiebe E. Bijker,et al.  Science in action : how to follow scientists and engineers through society , 1989 .

[25]  Sally Sieloff Magnan,et al.  Research Design: Qualitative and Quantitative Approaches , 1997 .

[26]  N. Barber.  The pharmaceutical gaze - The defining feature of pharmacy? , 2005 .

[27]  Shoshana Zuboff,et al.  In the Age of the Smart Machine: The Future of Work and Power , 1989 .

[28]  P R Oppenheimer,et al.  New clinical roles for pharmacists: a study of role expansion. , 1986, Social science & medicine.

[29]  B. Doolin.  Narratives of Change: Discourse, Technology and Organization , 2003 .

[30]  M. Gane,et al.  Foucault's new domains , 1995 .

[31]  Richard E. Morehouse,et al.  Beginning Qualitative Research: A Philosophical and Practical Guide , 1994 .

[32]  Trisha Greenhalgh,et al.  THE DEVIL ’ S IN THE DETAIL Final report of the independent evaluation of the Summary Care Record and HealthSpace programmes Executive summary , 2010 .

[33]  A. Amos,et al.  The New Genetics: Professionals' Discursive Boundaries , 1997 .

[34]  David Lyon,et al.  Identifying Citizens: ID Cards as Surveillance , 2009 .

[35]  M. Calnan,et al.  The reprofessionalisation of community pharmacy? An exploration of attitudes to extended roles for community pharmacists amongst pharmacists and General Practioners in the United Kingdom. , 2001, Social science & medicine.

[36]  T. Johnson.  Professions and Power , 1972 .

[37]  H. Perkin,et al.  The rise of professional society: England since 1880 , 1990 .

[38]  A. Abbott.  The System of Professions: An Essay on the Division of Expert Labor , 1988 .

[39]  J. Hisnanick.  In the age of the smart machine: The future of work and power , 1989 .

[40]  Wanda J. Orlikowski,et al.  Studying Information Technology in Organizations: Research Approaches and Assumptions , 1991, Inf. Syst. Res..

[41]  D. Bates,et al.  Improving safety with information technology. , 2003, The New England journal of medicine.

[42]  S. Ackroyd,et al.  Archetype Theory and the Changing Professional Organization: A Critique and Alternative , 2003 .

[43]  C. Langley,et al.  The corporatization of community pharmacy: implications for service provision, the public health function, and pharmacy's claims to professional status in the United Kingdom. , 2009, Research in social & administrative pharmacy : RSAP.

[44]  Marc Berg,et al.  Rationalizing Medical Work: Decision-support Techniques and Medical Practices , 2022 .

[45]  S. Wilson,et al.  Pharmacy professionalism: a systematic analysis of contemporary literature , 2010 .

[46]  Theo Vurdubakis,et al.  Chasing Shadows: Control, Virtuality and the Production of Trust , 2001 .

[47]  M. Bovens,et al.  From Street‐Level to System‐Level Bureaucracies: How Information and Communication Technology is Transforming Administrative Discretion and Constitutional Control , 2002 .

[48]  Brian P. Bloomfield,et al.  INFORMATION TECHNOLOGY, CONTROL AND POWER: THE CENTRALIZATION AND DECENTRALIZATION DEBATE REVISITED* , 1992 .

[49]  P. du Gay.  Enterprise and its Futures: A Response to Fournier and Grey , 2000 .