Written by Emily Carter
Published in Vol 6 Issue 2, 2026
Community pharmacy is increasingly positioned as a public-health setting, yet expertise, service reach, and professional trust do not themselves establish influence over the commercial and policy conditions shaping population health. This conceptual article develops a Collective Political-Agency Framework explaining how distributed pharmacy expertise can become legitimate public-health influence. It distinguishes professional capability from political access, voice, representation, agenda-settin
Written by Lucas Meyer
Published in Vol 6 Issue 2, 2026
Patient-safety regulation in pharmacy commonly places substantial responsibility on individual pharmacists while many conditions that shape safe practice are determined elsewhere. Staffing establishments, skill mix, workload allocation, performance targets, workflow design, information access, and the practical room to exercise professional judgment may be controlled by owners, corporate structures, managers, regulators, or combinations of these actors. This article develops a Regulatory-Governa
Written by Nina Larsen
Published in Vol 6 Issue 2, 2026
Pharmacy remuneration commonly attaches financial recognition to discrete activities or completed encounters, even when medication-related need persists beyond the point at which the billable event ends. This creates a potential mismatch between the unit of payment and the longitudinal work required to make care effective. This conceptual and policy article develops a Continuity-Oriented Remuneration Framework for examining that mismatch. The framework separates five questions that payment syste
Written by David Park
Published in Vol 6 Issue 2, 2026
Medication management in multimorbidity can require choosing among several legitimate aims rather than maximizing one clinical endpoint. Patients may value symptom control, independence, longevity, treatment simplicity, affordability, and freedom from adverse effects, while clinicians must consider safety, expected benefit, feasibility, and continuity. These aims may become mutually constraining when one medication decision advances some priorities while compromising others. This article develop
Written by Sarah Mitchell
Published in Vol 6 Issue 2, 2026
Medication-safety interventions are often judged by whether they are implemented and remain present, yet continued existence is an incomplete account of sustainability. Safer practice has to be reproduced through recurrent work: routines enacted, exceptions managed, knowledge transferred, conditions monitored, and adaptations kept compatible with the safety functions they are meant to protect. This article develops a Practice-Theory Persistence–Erosion Model explaining how medication-safety impr
Written by Thomas Weber
Published in Vol 6 Issue 2, 2026
To synthesize review-level evidence on pharmacy-delivered vaccination and preventive screening while distinguishing effectiveness, equity reporting, healthcare integration and continuity, methodological quality, and dependence created by overlapping primary studies. Umbrella review of systematic reviews and structured evidence syntheses concerning pharmacist- or community-pharmacy-delivered vaccination and preventive screening. Reporting followed PRISMA 2020 and overview-of-reviews principles wh
Written by Anna Kowalska
Published in Vol 6 Issue 2, 2026
To interpret how socially marginalized people experience stigma, disclosure, dignity, and belonging in community-pharmacy encounters and to construct a higher-order explanation through reciprocal and refutational translation. Meta-ethnography conducted using Noblit-and-Hare interpretive logic and contemporary eMERGe reporting principles. Eight PubMed-indexed discovery searches were executed on 14 September 2026 and supplemented by citation chaining and targeted verification. Searches addressed s
Written by Julia Berg
Published in Vol 6 Issue 2, 2026
Medication self-management is commonly described as an individual capability, behaviour, or responsibility, yet medicines are often managed through distributed practical, cognitive, relational, and organisational work performed by patients, family caregivers, and health services. This critical interpretive synthesis examined how contemporary medication self-management literature distributes, obscures, or normalises that work and how assumptions of independence shape its representation. Searches
Written by Peter Nagy
Published in Vol 6 Issue 2, 2026
Interprofessional education (IPE) is widely used to prepare health-professions learners for collaborative practice, yet evidence that educational gains translate into negotiated professional roles and shared medication decisions in clinical settings remains fragmented.To integrate quantitative and qualitative evidence concerning interprofessional pharmacy education, role negotiation, and translation from educational outcomes into collaborative medication decision-making in practice.A mixed-metho
Written by Elena Petrova
Published in Vol 6 Issue 2, 2026
Extreme heat and flooding can threaten medicine integrity, interrupt medicine supply and access, and increase the difficulty of reaching communities already affected by geographic, socioeconomic, or health-related vulnerability. This rapid review examined evidence relevant to community-pharmacy protection of medicines, continuity of supply and access, communication with vulnerable communities, operational preparedness, and coordination with other services during extreme heat and flooding. A rapi
Written by Emily Carter
Published in Vol 6 Issue 2, 2026
Medication safety education frequently assesses whether pharmacy students recognize medication-related problems and apply appropriate procedures, yet safe professional judgment also requires deciding when available information warrants challenging another person's decision. Recognition, interpretation, professional challenge, escalation, and accountable follow-through constitute related educational capabilities with different evidentiary and organizational requirements. This conceptual artic
Written by Sophie Dubois
Published in Vol 6 Issue 2, 2026
Continuing professional development (CPD) is intended to support pharmacists' professional growth and improve practice, yet participation, reflective learning, and knowledge acquisition do not consistently translate into sustained changes in clinical behaviour. Existing educational and implementation frameworks identify important determinants of learning and behavioural change but provide a less explicit account of how acquired learning becomes an authorized, enacted, and maintained professi
Written by Laura Mendez
Published in Vol 6 Issue 2, 2026
Medication reconciliation is commonly organized around identifying discrepancies between medication lists and producing an accurate record at transitions of care. Yet a documented list may conceal disagreements about prescribing intent, medication supply, actual patient use, and responsibility for unresolved uncertainty. These disagreements become consequential when information moves between professionals and organizations with different knowledge, clinical authority, and opportunities for verif
Written by Michael Osei
Published in Vol 6 Issue 2, 2026
Persistent medicine shortages expose community pharmacies to recurrent changes in product availability, therapeutic choices, medication information and professional responsibilities. These disturbances create opportunities for medication errors when substitution decisions, clinical verification and patient communication occur under changing conditions. This article develops a shortage-responsive medication safety framework through a critical conceptual synthesis of literature on pharmaceutical s
Written by Sarah Mitchell
Published in Vol 6 Issue 2, 2026
Performance incentives in community pharmacy can support timely dispensing, service availability, and organizational sustainability, yet their ethical acceptability depends on how performance expectations interact with pharmacists’ patient-safety obligations. This normative policy analysis examines the conditions under which dispensing targets and related productivity measures can coexist with independent clinical judgment. Drawing on evidence concerning pharmacy quality, dispensing safety, prof
Written by Julia Berg
Published in Vol 6 Issue 2, 2026
Digital technologies are reshaping how community pharmacies deliver health-promotion information, support preventive interventions, and maintain contact with patients. Although these arrangements may extend service availability, their equity implications depend on whether people with unequal digital resources can participate meaningfully, exercise informed choice, and sustain relationships with pharmacy professionals. This article develops an original non-empirical equity framework for technolog
Written by Peter Novak
Published in Vol 6 Issue 2, 2026
Medication incident reporting provides community pharmacies with opportunities to identify unsafe practices, yet the organizational arrangements required to convert local reports into shared preventive action remain insufficiently specified. Independently operated pharmacies may contribute information to common reporting systems while retaining separate authority over staffing, workflow modification, professional supervision, and implementation. This article develops a conceptual organizational
Written by Grace Okafor
Published in Vol 6 Issue 2, 2026
To examine educational interventions addressing pharmacy learners' recognition and management of prescribing and dispensing errors, with particular attention to demonstrated performance, retention of learning, and transfer into clinical and pharmacy practice. A systematic review was conducted in accordance with PRISMA 2020. PubMed/MEDLINE, Scopus, and ERIC were searched for literature published from 2017 through 2025 using terms for pharmacy education, medication errors, prescribing, dispens
Written by Aisha Rahman
Published in Vol 6 Issue 2, 2026
Community pharmacies offer opportunities to deliver preventive care to populations experiencing geographical, financial, cultural, linguistic and organizational barriers to healthcare. However, service availability, initial attendance and sustained participation represent different outcomes. Understanding how outreach influences these outcomes requires attention to the circumstances in which services operate and the reasoning of people who encounter them. To examine how, why, for whom and under
