At is my pleasure to discuss the role of national pharmacy organizations in fostering the practice philosophy of pharmaceutical care. Let me begin with a caveat. I have invested substantial time and energy in bringing my own organization board with the concept. Hence, I am hardly a disinterested observer. Nevertheless, I have tried, in preparing these remarks, to be objective; you will have to decide for yourself how well that goal has been achieved. An issue that has interested me for a long time is the extent to which, and the pace at which, a professional organization can influence change in the practice of pharmacy. In the framework of the of model of Everett Rogers,1 can a pharmacy association be an effective, forceful change agent? This is the underlying question I address in this paper, using pharmaceutical care as a case study. Research on the diffusion of innovations shows that (1) the time it takes for innovations to be adopted varies but the overall pattern of adoption is predictable, innovation to innova-
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