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Gaceta Sanitaria

Print version ISSN 0213-9111


DIAZ-PORTILLO, Sandra P et al. Working conditions in outpatient clinics adjacent to private pharmacies in Mexico City: perspective of physicians. Gac Sanit [online]. 2017, vol.31, n.6, pp.459-465.  Epub Nov 30, 2020. ISSN 0213-9111.


To analyse the working conditions of physicians in outpatient clinics adjacent to pharmacies (CAFs) and their organizational elements from their own perspective.


We carried out an exploratory qualitative study. Semi-structured interviews were conducted with 32 CAF physicians in Mexico City. A directed content analysis technique was used based on previously built and emerging codes which were related to the experience of the subjects in their work.


Respondents perceive that work in CAFs does not meet professional expectations due to low pay, informality in the recruitment process and the absence of minimum labour guarantees. This prevents them from enjoying the benefits associated with formal employment, and sustains their desire to work in CAF only temporarily. They believe that economic incentives related to number of consultations, procedures and sales attained by the pharmacy allow them to increase their income without influencing their prescriptive behaviour. They express that the monitoring systems and pressure exerted on CAFs seek to affect their autonomy, pushing them to enhance the sales of medicines in the pharmacy.


Physicians working in CAFs face a difficult employment situation. The managerial elements used to induce prescription and enhance pharmacy sales create a work environment that generates challenges for regulation and underlines the need to monitor the services provided at these clinics and the possible risk for users.

Keywords : Pharmacies; Physicians' offices; Employment; Drug prescriptions; Conflict of interest; Mexico.

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