How organizational context affects bioethical decision-making: Pharmacists' management of gatekeeping processes in retail and hospital settings

► Demonstrates that organizational setting affects how healthcare providers make ethical decisions. ► Empirically examines how pharmacists make ethical decisions in daily practice in retail and hospital settings. ► Reveals that pharmacists engage in four key gatekeeping processes: medical, legal, fiscal, and moral. ► Addresses how organizations shape professional hierarchies, patient and provider proximity, and information access.