title: Main challenges facing the pharmaceutical sector in Buchanan County, Virginia: a pilot study.
abstract: BACKGROUND
  Little is known about the challenges facing the pharmaceutical sector in rural counties in the USA. The aim of this pilot study is to determine the main challenges facing the pharmaceutical sector and suggestions for improving the sector in Buchanan County, a poor and marginalized county in Central Appalachia, Virginia.
  
  
  METHODS
  This cross-sectional study used the drop-by survey based on the first step of the modified Delphi Interview Technique. A convenience sample of healthcare professionals in Buchanan County were asked to complete a self-administered survey instrument between May and August 2011.
  
  
  RESULTS
  A total of 16 healthcare professionals including six pharmacists completed the survey. The respondents had worked for an average of 13.4 (SD=10.7) years in the County (range: 1-33 years). The main challenges facing the pharmaceutical sector were drug abuse (n=11), doctor shopping by patients (n=9), early refills (n=7) and drug shortage (n=6). Respondents suggested increased patient education by pharmacists (n=6) and better coordination and communication between pharmacy and doctor (n=6) to improve the pharmaceutical sector in the County.
  
  
  CONCLUSIONS
  Drug abuse, doctor shopping, early refills and drug shortage are the main challenges facing the pharmaceutical sector in Buchanan County. Concerted efforts are required to solve these problems. More research is required to confirm these findings.
authors.affiliation: Appalachian College of Pharmacy, Oakwood, Virginia, USA. pgavaza@gmail.com
authors.forename: Paul
authors.initials: P
authors.lastname: Gavaza
authors.forename: Wenfei
authors.initials: W
authors.lastname: Yan
authors.forename: Jennifer
authors.initials: J
authors.lastname: Campbell
mesh_terms: D001061:Appalachian Region; D002983:Clinical Competence / Q000706:statistics & numerical data; D003157:Community Pharmacy Services / Q000592:standards; D003430:Cross-Sectional Studies; D003697:Delphi Technique; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D057970:Inappropriate Prescribing / Q000706:statistics & numerical data; D008297:Male; D010865:Pilot Projects; D011203:Poverty; D055553:Prescription Drugs / Q000600:supply & distribution; D011785:Quality Assurance, Health Care / Q000379:methods / Q000592:standards*; D019035:Rural Health Services / Q000592:standards; D012424:Rural Population; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014768:Virginia; D000078329:Workforce
chemical_list: D055553:Prescription Drugs