title: The I-Tribe Community Pharmacy Practice Model: professional pharmacy unshackled.
abstract: OBJECTIVE
  To describe a mechanism by which pharmacists could create a disruptive innovation to provide professional primary care services via a Web-based delivery model.
  
  
  CONCLUSIONS
  Several obstacles have prevented pharmacists from using available technology to develop business models that capitalize on their clinical skills in primary care. Community practice has experienced multiple sustaining innovations that have improved dispensing productivity but have not stimulated sufficient demand for pharmacy services to disrupt the marketplace and provide new opportunities for pharmacists. Pharmacists are in a unique position to bridge the gap between demand for basic primary medical care and access to a competent medical professional. Building on the historic strengths of community pharmacy practice, modern pharmacists could provide a disruptive innovation in the marketplace for primary care by taking advantage of new technology and implementing the I-Tribe Community Pharmacy Practice Model (I-Tribe). This model would directly connect pharmacists to patients through an interactive, secure Web presence that would liberate the relationship from geographic restrictions.
  
  
  CONCLUSIONS
  The I-Tribe is a disruptive innovation that could become the foundation for a vibrant market in pharmacist professional service offerings. The I-Tribe model could benefit society by expanding access to primary medical care while simultaneously providing a new source of revenue for community practice pharmacists. Entrepreneurial innovation through I-Tribe pharmacy would free pharmacists to become the care providers envisioned by the profession's thought leaders.
authors.affiliation: School of Pharmacy, Wingate University, 515 N. Main St., Wingate, NC 28174, USA. galston@wingate.edu
authors.forename: Greg L
authors.initials: GL
authors.lastname: Alston
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Waitzman
mesh_terms: D003157:Community Pharmacy Services / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D020407:Internet; D010594:Pharmacies / Q000458:organization & administration*; D010595:Pharmacists / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*