Search

Tammy's All Things History

Bringing the Past to Life!

Category

American Pharmacy

Evolution of American Pharmacy


Out with the Old, in with the NewImage result for modern pharmacy

Beginning in 1950 pharmacy begin to change in many ways due to advances in technology. Just twenty years earlier pharmacists still compounded prescription medications. But with new technology and innovative pharmaceutical practices, the profession saw a twenty-five percent decrease in the need for compounding. New marketing techniques allowed for the production of packaged ready-made drugs. As a result, large pharmaceutical companies sprang up to keep up with demand.

Post World War II

Image result for food drug cosmetic act 1938

After the second world war ended in 1945, many veterans dealt with drug addiction and became susceptible to adverse reactions due to taking dangerous medications. Government agencies together with watch groups worked to monitor the problem and find ways to reduce unnecessary injury and death resulting from the consumption of unmonitored drugs. Lawmakers addressed the issue by passing strict guidelines for the use and dispense of medication.  Later in 1951 Congressman, Frank B. Keefe, of Wisconsin, put forth an amendment to the 1938 Federal Food, Drug, and Cosmetic Act. This change defined the difference between over the counter and behind the counter meds.

1950s

Image result for generic drugs

This decade saw a growth in the availability of medications. Penicillin hit the market. Hospitals developed a system that allowed a pharmacist to dispense a generic product that mimicked a name brand product. Many pharmaceutical manufacturers’ protested this idea arguing that this would open up an unfair competitive product but complied with the law anyway.

1960s

Pharmaceutical centers begin with Eugene V. White who turned his drug store into an office type setting. He set the example for other pharmacy professionals to follow. Pharmacists’ role evolved to acting as a pharmaceutical consultant to customers. As a consultant, the pharmacist could apply more efficient safety controls for patients. Consulting was fruitful and lead to an ethics code established by the American Pharmacist Association and later cooperation with Medicare and Medicaid. As a result, expert pharmacists became the first line of inspection for accuracy and the communication of drug information between regulators and consumers. Third-party programs such as insurance agencies also required a pharmacist’s observation for accuracy and the necessity of prescriptions but still influenced consumers to purchase name brand drugs. Because of this, a thorough set up of further laws were in enacted to protect consumers.

1970s

Image result for computer history

Computers added relief to the pharmacy with the replacement of paperwork and tracked harmful drug interactions, doses, etc., thus improving prescription care for patients.

1980s

Image result for walmart

It seemed that over night, Walmart stores opened up in small towns across America and impacted small businesses to include corner drug stores. Many of these mall drug stores closed. A new demand for mail service prescriptions appeared as well. Managed patient care also became the norm. Pharmacies in the middle between patient and management companies needed to find ways to evolve with the times and so, pharmacy store management firms were created.

The 1990s and Beyond

Image result for future of technology

Pharmacists worked to meet the demand of growing populations in need of pharmaceutical care. The pharmacy today is run by a bunch of support positions. Pharmacists are at the top of this management. As the new technologies, innovations and improvements are made in medical care, the support for pharmacy operation does as well.

The Future of Pharmacy

Image result for wave of future

What will pharmacies look like in the future? What innovations can be created to speed up the waiting period for customers and their medications? How can we lower cost for these prescriptions for the consumer? What is the future role of pharmacist technicians and the pharmacists themselves?

These are a few questions to contemplate about when thinking about the future of pharmacy and may predict how the pharmacy profession will evolve for generations to come.

References:

Higby, Gregory J. “The Continuing Evolution of American Pharmacy Practice, 1952–2002.” Journal of the American Pharmaceutical Association (1996), vol. 42, no. 1, 2002, pp. 12–15., doi:10.1331/108658002763538017.

All pictures courtesy of Google Images.

Advertisements

American Pharmacy: Art to Profession


Image result for american pharmacy 1920

Between 1902 and 1952 the American pharmacy transformed from an age-old art to a respected profession. Before the turn of the twentieth century, anyone trained as a druggist through apprenticeship could work in the store as a clerk. They could earn a qualification through state exams. From there opportunity arose to obtain a small pharmaceutical business. Lack of oversight and monitoring of drug manufacturing caused an increase in the circulation of fake drugs in and out of the stores. Pharmacists worked together to come up with a system to legitimize their trade and businesses. New York was the first to lead the way in requiring state board certification proceeded by at least two years of college. Soon all the states followed suit until the whole country united pharmaceutical standards (1).

Image result for no jobs 1929

Even though most pharmacists had been the sole proprietors of their businesses and worked long hours each day, hiring assistants became a temporary fix. Because the pharmacist could not operate and manage the store properly at the same time,  cheap manufacturing caused problems in customer service areas. Pharmacists failed to keep with demand for a quality product, and popularity of assistants in the stores diminished. Further problems arose about legal qualifications of pharmacy assistants. The positions of those helpers phased out in the 1920s (2).

Image result for old drug stores 1920s

Image result for old drug stores 1920s

The corner drug store phenomenon ended abruptly by the introduction of retail chains taking over several of the businesses. Walgreens was one of the first chains to do this in the first part of the century. The mass production of manufactured drugs entered the market and stifled the need for compounding. Pre-Made drugs were readily available in supermarkets. Smaller drug stores could mot compete for customers, and only a few remained in operation (3).

Image result for cheap drugs 1920s

In 1929 pharmacists began selling “generic home remedies.” These labeled medicines included the pharmacists’ name, photo, and signature. They then marketed touted the drugs as an innovative, and a new way for people to treat symptoms at home. Some of these medicines were not legitimate, however. To combat this and save their businesses, pharmacists patented their medicinal creations (4).

Image result for closed drug stores 1930s

Soda fountains entered the pharmacies during prohibition and soon became very popular. Medicines that contained alcohol were consumed inside the pharmacy only. After WWII and due to a lack of personnel to run them, the fountain counters began to disappear, and the ones that remained lost popularity in the 1960s (5).

Image result for hospital pharmacy in 1920

In the 1930s pharmacists occasionally worked in hospitals. But by the 1940s the number of hospital pharmacists’ increased their presence by interning. Hospital pharmacy eased the burden of busy medical staff, and in 1947, the United States government passed the Hospital Survey and Construction Act. This act stressed the need to operate public health centers and provided a one-stop shop medical care facility where folks could get the best care for their medical needs. This act allowed pharmacists to practice their craft in a professional setting and gain public respect for the profession (6).

Between 1902 and 1947 the American Pharmacy changed from an age-old art practiced by those who artfully crafted medicine to a recognized and respected profession. The pharmaceutical trade grew because pharmacists’ changed their methods with the changing times. What had commonly worked in the past, now collided with innovative thinking and creative ideas to broaden the reach to those who needed it. Pharmacists changed their old ways of doing business and in doing so created the opportunity for themselves and those who would take up the profession in the future.

1.Glenn Sonnedecker, The American Practice of Pharmacy, 1902-1952, in Gregory Higby and Elaine Condouris Stroud, American Pharmacy (1852-2002): A Collection of Historical Essays (Madison, WI: American Institute of the History of Pharmacy, 2005), 5.

2. Ibid, 6.

3. Ibid, 7.

4. Ibid.

5. Ibid, 8.

6. Ibid, 9-10.

All photos courtesy of Google Images.

 

Create a free website or blog at WordPress.com.

Up ↑

%d bloggers like this: