Factors affecting service delivery within community pharmacy in the United Kingdom

Thornley, Tracey (2006) Factors affecting service delivery within community pharmacy in the United Kingdom. PhD thesis, University of Nottingham.

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Aims of study

The overall aim of this study was to investigate factors affecting service delivery within a national pharmacy chain, from the perspective of pharmacists and consumers, using asthma services as an example. Data were collected to explore the current environment and opportunities available to pharmacy, the factors affecting service

delivery, and to identify recommendations for future service models. The impact of the design and route of service implementation were studied through two different types of asthma services.


The brief intervention in asthma was designed centrally and implemented nationally, whilst the asthma service was designed and implemented locally by a group of pharmacists. A triangulation of qualitative and quantitative methods were used throughout this study, including an omnibus survey, audits, mystery customer research, customer and pharmacist interviews, and a review of the dispensing data.


A total of 81 facilitators, 45 barriers and 23 motivators were identified. In addition to extending those factors that had been previously recognised within the literature, new factors were also identified. Firstly, the route and design of service implementation to

promote local ownership and responsibility for delivery of services was found to be a key factor, as was having flexibility in the length and content of service delivery. Clear and visible benefits to the pharmacists delivering the service, the customers accessing the service, and the pharmacy organisation were also found to play an

important role in the delivery of services.


This is the first large scale study of its kind to look at all the factors involved from the perspective of both customers and pharmacists, and many of the facilitators and barriers identified extend beyond those provided within the current literature. The

motivators identified within the previous studies have been from the perspective of pharmacists only. This study has looked at the perspective of not only pharmacists, but also the motivators to customers and the service provider. Based on all the factors

identified throughout this study, a number of recommendations have been made for future service delivery.

Item Type: Thesis (University of Nottingham only) (PhD)
Supervisors: Anderson, Claire
Keywords: Community Pharmacy, Facilitators, Barriers, Motivators, Factors affecting service delivery, Pharmacy services, Asthma
Subjects: R Medicine > RS Pharmacy and materia medica
Faculties/Schools: UK Campuses > Faculty of Science > School of Pharmacy
Item ID: 10241
Depositing User: EP, Services
Date Deposited: 24 Apr 2007
Last Modified: 16 Oct 2017 12:06
URI: https://eprints.nottingham.ac.uk/id/eprint/10241

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