Professional charge is not clear: patrons believe that they can receive counselling without
being charged
Patients may feel more comfortable in a pharmacy setting rather than a clinic
environment
Changes occurring in the community pharmacy setting
Availability of new drugs
Ageing population
Alternative dispensing systems: automated dispensing, domiciliary services, mail order,
internet services
Change to non-prescription medicine status
Challenges in the community pharmacy setting
Financial viability
Preservation of market share as opposed to competition from supermarkets, internet
pharmacy and other sources to get drugs
Cost containment
Keeping up with ethical and legal considerations; the misconception that having a good
business aspect is inconsistent with good clinical practice is very often discussed
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