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Negotiating inter‐professional interaction: playing the general practitioner‐pharmacist game
Author(s) -
Bradley Fay,
Ashcroft Darren M.,
Crossley Nick
Publication year - 2018
Publication title -
sociology of health and illness
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 97
eISSN - 1467-9566
pISSN - 0141-9889
DOI - 10.1111/1467-9566.12656
Subject(s) - pharmacist , negotiation , discretion , pharmacy , set (abstract data type) , public relations , work (physics) , isolation (microbiology) , psychology , nursing , sociology , social psychology , medicine , political science , computer science , law , engineering , mechanical engineering , social science , microbiology and biotechnology , biology , programming language
Abstract Despite a mutual interest in optimising the benefits of medication for patients, the general practitioner ( GP ) and community pharmacist ( CP ) often work in isolation from one another, both physically and figuratively. Sources of tension include pharmacy's ‘shopkeeper’ image, traditional medical hierarchies and potential encroachment on professional boundaries. This article examines GP and CP perceptions of their interactions and negotiations and, drawing on the works of Stein and Goffman, identifies a set of ‘unwritten’ rules, termed the ‘ GP ‐pharmacist game’, which involves the concept of ‘face‐work’. Qualitative interviews with 20 GP s and 23 CP s located in four geographically and demographically different areas in England were conducted during 2010–11. Key rules of the game include the pharmacist avoiding blaming the GP , using discretion in front of patients, and balancing the necessity and frequency of the communication. This article argues that whilst adhering to the ‘ GP ‐pharmacist game’ may avoid conflict and ‘get the job done’, it may also constrain efforts to meet wider health care policy aims of a more collaborative relationship.