“…Three reasons for the barriers to development of the pharmacist's professional actions may be identified in the literature under analysis: (1) The pharmacist and the pharmaceutical occupation, for instance, the pharmacist's lack of knowledge on drugs and their uses (Paul et al, 2007) or on oral health (Dickinson, Howlett, Bulman, 1995;Maunder, Landes, 2005), conflict of roles in the community pharmacy due to the need to sell goods (LloydWilliams, 2003), lack of skills and specific training for actions in health promotion, and therefore qualification and training programs for pharmacists are needed (O'Loughlin et al, 1999; Vinholes, Alano, Galato, 2009); furthermore, personal impairments such as fear, resistance to new concepts and lack of self-reliance, the characteristics that have been largely referred to in the case of pharmacists (Boyle, Coffey, Palmer, 2004;Sunderland et al, 2006). (2) The pharmacy and work organization, such as lack of proper remuneration, extensive actions to be accomplished (Aquilino et al, 2003;George et al, 2010) and the consequent lack of time (Patwardhan, Chewning, 2009), lack of proper instruments for the required actions (O'Loughlin et al, 1999), communication and role conflicts, lack of physical space and privacy for patient advice (Foster, Smith, 1998;O'Loughlin et al, 1999;Nichols-English, Poirier, 2000). (3) The health service fragmentation, for instance, lack of integration between health teams and patients (Dickinson, Howlett, Bulman, 1995) and lack of recognition of the pharmacist's role by other health professionals and by the population (O'Loughlin et al, 1999).…”