Jeroen van de Pol

10 Chapter 1 oriented community pharmacists to start thinking of offering care related services to patients related to dispensing. In the 1970s and 1980s developments weremade regarding clinical pharmacy and viewing the community pharmacists more as a healthcare provider instead of a retailer. From the 2000s, developments regarding non-dispensing services (better known as CPS) took form in daily practice [18, 19]. Developments regarding CPS were deemed desirable to put more emphasis on the expertise of community pharmacists [20, 21]. See Figure 2 for a schematic overview. Figure 2: Schematic overview of developments within community pharmacy practice over the years. Percentages are indicative. Community pharmacy practice is still within a transitional phase, in which the primary focus of the profession is being shifted from traditional tasks such as dispensing and compounding of medicines leading towards the provision of CPS (non-dispensing services). This transitional phase encompassesmultiple changes for the community pharmacy profession, both within the community pharmacy in tasks to be performed, as well as on the outside regarding topics such as the call to curb the ever-increasing healthcare costs [22] and concomitantly seek reimbursement for new pharmacy services. As any professional, healthcare professionals who do not recognize the need to constantly adapt their practice to the demands of their changing environment run the risk of becoming redundant over time. Therefore, change management is probably one of the most important challenges within healthcare and therefore also for community pharmacy practice. To keep up with changes occurring in healthcare and developments within society, healthcare professionals and policymakers have to consider and respond to a wide variety of demands from different stakeholders. It is sometimes even stated that healthcare is considered to be continuously developing with new and emerging insights and information presenting itself in an ever increasing pace [23]. Demands

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