Table 1 Overview of emerging categories, sub-categories, sub-themes and overarching theme
Manifest meaning | Latent meaning | |
|---|---|---|
Categories (in bold) and sub-categories (plain text) | Sub-themes | Overarching theme |
Health system barriers that the patients face in accessing care | Maintaining equilibrium between ethics, law and economy | Undervalued medicines’ professionals struggling with agency related and structural barriers to meet their deontological duties |
Access to medical professionals implies various extra costs | ||
Financial barriers to take antibiotics correctly | ||
Social situations that affect vulnerable populations | ||
Prevention is not a focus of the system and is expensive | ||
The patient’s health comes first | ||
Facing negative incentives that determine a pharmacist to push the limits of law | ||
Distrust in state institutions | Antibiotic resistance problem rooted in a low social capital environment | |
A flawed law that is often bent or broken | ||
Ministry of Public Health –a challenged institution | ||
A strained relationship between the state and the pharmacists | ||
Unreliable statistics | ||
Pharmacists –theoretical roles that are not translated into practice | ||
Suffering from an image deficit at all levels including among themselves | ||
The pharmacist perceived as a salesperson | ||
The pharmacist assistant – sometimes used to the detriment of the medical act | ||
Pharmacists university education is questionable | ||
Pharmacists continuous education rarely targeting antibiotics and mostly focusing on the commercial aspects of the profession | ||
High rates of antibiotic consumption and antibiotic resistance (ABR) a collective fault for a neglected but serious issue | ||
ABR a low-visibility problem | ||
High antibiotic consumption a shared blame | ||
Working in silos | ||
Limited or degraded institutional collaboration with the doctors | ||
Distrust in the doctors resources to carry out a good quality medical act | ||
Education is needed | Wanting to fulfil their educational role | |
Patients have a low level of health literacy | ||
Patients having incorrect conduct in pharmacies when it comes to antibiotics | ||
Questionable sources of getting medical information | ||
Education of the patient- a sustainable solution | ||
Pharmacists have the potential to educate | ||
Pharmacy an accessible and welcoming environment | ||
Pharmacists used to fostering their diplomatic abilities | ||
Pharmacist a voice in the community | ||