Barriers to change in regulated channel environments: Pharmacists\u27 prescribing

Abstract

Based on attitude-behavior theory and its extensions, the authors develop and test a model of pharmacists\u27 intentions to prescribe medication under the Florida Pharmacists Self-Care Consultant Law. Data from a random sample of 490 Florida retail pharmacists, one of the few states where independent prescribing is currently allowed, revealed that frequency of past prescribing directly affects behavioral intentions. Also revealed are the underlying attitudinal and normative effects on frequency of past behavior. Post-behavioral reactions reinforce negative attitudes and the pharmacist\u27s perception of the law\u27s intent operates through perceived subjective norms. Suggestions for increasing pharmacists\u27 prescribing, implications for service delivery channels, and future research directions are drawn from the findings

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