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Pastoral power in the community pharmacy: a Foucauldian analysis of services to promote patient adherence to new medicine use

Waring, Justin; Latif, Asam; Boyd, Matthew; Barber, Nick; Elliott, Rachel

Authors

Justin Waring

Asam Latif

Nick Barber

Rachel Elliott



Abstract

Community pharmacists play a growing role in the delivery of primary healthcare. This has led manyto consider the changing power of the pharmacy profession in relation to other professions and patient groups. This paper contributes to these debates through developing a Foucauldian analysis of the changing dynamics of power brought about by extended roles in medicines management and patient education. Examining the New Medicine Service, the study considers how both patient and pharmacist subjectivities are transformed as pharmacists seek to survey patient’s medicine use, diagnose non-adherence to prescribed medicines, and provide education to promote behaviour change. These extended roles in medicines management and patient education expand the ‘pharmacy gaze’ to further aspects of patient health and lifestyle, and more significantly, established a form of ‘pastoral power’ as pharmacists become responsible for shaping patients’ self-regulating subjectivities. In concert, pharmacists are themselves enrolled within a new governing regime where their identities are conditioned by corporate and policy rationalities for the modernisation of primary care.

Journal Article Type Article
Publication Date Jan 2, 2016
Journal Social Science & Medicine
Print ISSN 0277-9536
Electronic ISSN 0277-9536
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 148
APA6 Citation Waring, J., Latif, A., Boyd, M., Barber, N., & Elliott, R. (2016). Pastoral power in the community pharmacy: a Foucauldian analysis of services to promote patient adherence to new medicine use. Social Science and Medicine, 148, https://doi.org/10.1016/j.socscimed.2015.11.049
DOI https://doi.org/10.1016/j.socscimed.2015.11.049
Keywords Community pharmacy; Medicines management; Extended services; Power; Foucault; England
Publisher URL http://www.sciencedirect.com/science/article/pii/S0277953615302550
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





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