Int J Pharm Pract 2000:8:237-46

Department of Social Pharmacy, The Royal Danish School of Pharmacy, Universitetsparken 2, DK-2100 Copenhagen, Denmark L. S. Nørgaard, PhD(pharm), assistant professor E. W. Sørensen, MSc(pharm), associate professor J. M. Morgall, PhD, associate professor

Correspondence: Dr Nørgaard lsn@dfh.dk

Original Papers

Social constructivist analysis of a patient medication record experiment — why a good idea and good intentions are not enough

LOTTE S. NØRGAARD, ELLEN W. SØRENSEN and JANINE M. MORGALL

Objective — To explain the limited success of a local patient medication record (PMR) experiment in pharmacy practice in Denmark from a social constructivist perspective and to promote a discussion among pharmacy practice researchers of how on-going social constructivist analysis can be used to manage experiments in pharmacy practice.
Method — A secondary social constructivist analysis of data collected during and after a local experiment on the development and use of PMRs. Data were analysed using three specific social constructivist concepts. The data consisted of 93 qualitative interviews with elderly medicine users with a PMR, 10 qualitative interviews with representatives from health professionals participating in the experiment, and documentary evidence from a research report.
Key findings — Eight relevant social groups were identified in the PMR experiment. The groups attached different meanings to the same PMR, such as: threat; totally useless; important tool for preventing drug-related problems, promoting interdisciplinary co-operation and carrying out pharmaceutical care; unnecessary interference in private affairs; security; good checklist. The relevant social groups also had different opinions about responsibility, duty to inform patients about the PMR, and need for and co-ordination of the PMR.
Conclusion — The analysis supports an important social constructivist point, namely, that the outcome of a technological development is not given a priori; rather, it is driven by the interests of various social groups. Ongoing identification and assessment of these social groups is recommended to focus future experiments.