Global Strategies to Strengthen Community Pharmacists in Providing Primary Healthcare Services: Scoping Review
DOI:
https://doi.org/10.51412/psnnjp.2025.29Keywords:
Community Pharmacy, Pharmaceutical care, Patients, reviewAbstract
Background: Community pharmacists (CPs) are pivotal in healthcare delivery; they are the first point of contact for healthcare services and are trusted by patients. Their role goes beyond the dispensing of medications to encompass emergency care and management, health promotion, and management of chronic diseases. The review aimed to explore strategies to strengthen the role of CPs in global primary healthcare service provision.
Methods: The search followed a framework described by Arksey and O'Malley, subsequently expanded by Levac et al.. An extensive search of relevant academic databases yielded 4530 articles for review. Three databases (PubMed, Embase, Google Scholar) were searched using a combination of keywords and controlled vocabulary terms related to “primary healthcare services”, “community
pharmacist”, and “strengthening strategies.” They were combined using Boolean Operators ('AND', 'OR', 'NOT'). Selection and elimination based on the eligibility criteria identified 18 relevant articles. Data analysis entailed a systematic approach, including the categorisation of strategies and the identification of common themes across the regions.
Results: The review demonstrated various strategies in different parts of the world, particularly policy support, professional development, collaboration, financial incentives, and public health initiatives. For instance, Portugal, the United States, and Canada demonstrated examples of policy and legislative support that allow pharmacists to expand their roles. In addition, financial conditions, seen in Indonesia, Canada, and the Netherlands, play a crucial role in the sustainability of pharmacist-led services. Britain, Europe, Portugal, Sudan, and Nigeria revealed the potential of pharmacists in public health, including health promotion and disease prevention.
Conclusion: The review highlighted the significance of integrating CPs into primary healthcare roles that could potentially improve access, quality, and equity in the healthcare system. However, the issue of regulatory barriers, the necessity of capacity building, and financial reimbursement have to be recognised as current challenges requiring much effort and collaboration.
References
The Role of Community Pharmacists in Patient Safety (2021) Available from: https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety. Accessed Jan 23, 2024
Moose PJ, Branham AP (2014) Pharmacists as Influencers of Patient Adherence. Pharmacy Times. Available from:
https://www.pharmacytimes.com/view/pharmacists-as-influencers-of-patient-adherence-. Accessed Jan 23, 2024
Deloitte Insights (2023) The role community pharmacies can play in reducing health inequities. Available from:
https://www2.deloitte.com/us/en/insights/industry/health-care/reduce-health-disparities.html. Accessed Jan 23, 2024
Pharmacists can increase patient trust through aligned content (2023) Available from: https://www.wolterskluwer.com/en/expert-
insights/pharmacists-can-increase-patient-trust-through-aligned-content. Accessed Jan 23, 2024
United Nations General Assembly (2015) Transforming our world: the 2030 Agenda for Sustainable Development. Available from:
https://www.itu.int/en/ITU-T/Workshops-and-Seminars/2022/0808/Documents/Shailendra%20 Kumar%20Mishra%20.pdf. Accessed Jan 29,
World Health Organisation, UNICEF (2018) Declaration of Astana. Global Conference on Primary Health Care. Astana, Kazakhstan. Available from: https://www.who.int/publications/i/item/WHO-HIS-SDS-2018.61
Udoh A, Ernawati DK, Akpan M, Galbraith K, Bates I (2020) Pharmacies and primary care: A global development framework. Bulletin of the
World Health Organisation, 98(11): 809–811. https://doi.org/10.2471/BLT.19.248435
Isenor JE, Cossette B, Murphy AL, Breton M, Mathews M, Moritz LR, et al. (2023) Community pharmacists' expanding roles in supporting
patients before and during COVID-19: An exploratory qualitative study. International Journal of Clinical Pharmacy, 45(1): 64–78.
https://doi.org/10.1007/s11096-022-01430-7
DiPietro Mager NA, Bright DR (2022) Promising practices and pockets of excellence: Community pharmacists supporting wellness for reproductive-age women. Health Services Research, 57 (6): 1384 – 1389. https://doi.org/10.1111/1475-6773.14057
Motlohi NF, Wiafe E, Mensah KB, Padayachee N, Petrus R, Bangalee V (2023) A systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases: the perceptions of patients. Systematic Reviews, 12(1): 160. https://doi.org/10.1186/s13643-023-02338-7
Strand MA (2020) Community Pharmacists' Contributions to Disease Management During the COVID-19 Pandemic. Preventing Chronic Disease, 17. https://doi.org/10.5888/pcd17.200317
Raiche T, Pammett R, Dattani S, Dolovich L, Hamilton K, Kennie-Kaulbach N, et al. (2020) Community pharmacists' evolving role in Canadian primary health care: a vision of harmonization in a patchwork system. Pharmacy Practice, 18 (4): 2171. https://doi.org/10.18549/PharmPract.2020.4.2171
Ribeiro N, Mota-Filipe H, Guerreiro MP, da CFA (2020) Primary health care policy and vision for community pharmacy and pharmacists in Portugal. Pharmacy Practice, 18(3): 1–7. https://doi.org/10.18549/PharmPract.2020.3.2043
Salgado TM, Rosenthal MM, Coe AB, Kaefer TN, Dixon DL, Farris KB (2020) Primary healthcare policy and vision for community pharmacy and pharmacists in the United States. Pharmacy Practice, 18 (3) . https://doi.org/10.18549/PharmPract.2020.3.2160
Suleiman MA, Abdulwase I, Tukur KA, Umar ZB, Muhammad SS, Ladan MM, et al. (2023) Evaluating the competency of community pharmacists in identifying and managing malnourished patients: A cross sectional survey. Exploratory Research in Clinical and Social Pharmacy, 100341. https://doi.org/10.1016/j.rcsop.2023.100341
Mohamed SSE, Mahmoud AA, Ali AA (2013) Involvement of Sudanese community pharmacists in public health activities. International Journal of Clinical Pharmacy, 35(3): 393–400. https://doi.org/10.1007/s11096-012-9745-9
Hedima EW, Okoro RN (2023) Primary health care roles of community pharmacists in low- and middle-income countries: A protocol for a mixed methods systematic review. Journal of the American Pharmacists Association, 63(5): 1448 – 1451. https://doi.org/10.1016/j.japh.2023.06.011
Agomo CO (2012) The role of community pharmacists in public health: a scoping review of the literature. Journal of Pharmacy Health Services Research, 3 (1): 25 – 33. https://doi.org/10.1111/j.1759-8893.2011.00074.x
Emenike AN, Agwuna FO, Aniefuna CV, Adebisi YA (2023) The Roles of Pharmacists in Responding to Public Health Emergencies: A
Case of COVID-19. Journal of Health Reports and Technology, 9 (3). https://doi.org/10.5812/jhrt-131405
Daly CJ, Quinn B, Mak A, Jacobs DM (2020) Community Pharmacists' Perceptions of Patient Care Services within an Enhanced Service Network. Pharmacy, 8 (3): 172. https://doi.org/10.3390/pharmacy8030172
Navarrete J, Yuksel N, Schindel TJ, Hughes CA (2021) Sexual and reproductive health services provided by community pharmacists: a scoping review. BMJ Open, 11 (7): e047034. https://doi.org/10.1136/bmjopen-2020-047034
Shen AK, Tan AS (2022) Trust, influence, and community: Why pharmacists and pharmacies are central for addressing vaccine hesitancy. Journal of the American Pharmacists Association, 62 (1): 305 – 308. https://doi.org/10.1016/j.japh.2021.10.001
Centers for Disease Control and Prevention (2022) The federal retail pharmacy program for COVID-19 vaccination. Available from: [URL
not provided]
Arksey H, O'Malley L (2005) Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8 (1): 19 – 32. https://doi.org/10.1080/1364557032000119616
Levac D, Colquhoun H, O'Brien KK (2010) Scoping studies: advancing the methodology. Implementation Science, 5 (1): 69.
https://doi.org/10.1186/1748-5908-5-69
Agomo CO, Portlock J, Ogunleye J (2017) Barriers in the public health role of community pharmacists: a qualitative study. Journal of Pharmacy Health Services Research, 8(4): 261–267. https://doi.org/10.1111/jphs.12189
Airaksinen M, Toivo T, Jokinen L, Savela E, Parkkamaki S, Sandler C, et al. (2021) Policy and vision for community pharmacies in Finland: A
roadmap towards enhanced integration and reduced costs. Pharmacy Practice, 19(1): 1–10. https://doi.org/10.18549/PharmPract.2021.1.2288
Amador-Fernandez N, Jenkinson SP, Berger J (2023) Vision and practice of self-care for community pharmacy in Switzerland. Exploratory Research in Clinical and Social Pharmacy, 9: 100253. https://doi.org/10.1016/j.rcsop.2023.100253
Anderson S (2007) Community pharmacy and public health in Great Britain, 1936 to 2006: how a phoenix rose from the ashes. Journal of
Epidemiology and Community Health, 61(10): 844 – 848. https://doi.org/10.1136/jech.2006.055442
Basheti IA, Mhaidat NM, Alqudah R, Nassar R, Othman B, Mukattash TL (2020) Primary health care policy and vision for community pharmacy and pharmacists in Jordan. Pharmacy Practice, 18 (4). https://doi.org/10.18549/PharmPract.2020.4.2184
Paudyal V, Fialova D, Henman MC, Hazen A, Okuyan B, Lutters M, et al. (2021) Pharmacists' involvement in COVID-19 vaccination across
Europe: a situational analysis of current practice and policy. International Journal of Clinical Pharmacy, 43 (4): 1139 – 1148.
https://doi.org/10.1007/s11096-021-01301-7
Gastelurrutia MA, Faus MJ, Martínez-Martínez F (2020) Primary health care policy and vision for community pharmacy and pharmacists in Spain. Pharmacy Practice, 18 (2). https://doi.org/10.18549/PharmPract.2020.2.1999
de Gier JJ (2000) Clinical pharmacy in primary care and community pharmacy. Pharmacotherapy, 20(10 Pt 2): 278S–281S.
https://doi.org/10.1592/phco.20.16.278S.35005
Sepp K, Tuula A, Bobrova V, Volmer D (2021) Primary health care policy and vision for community pharmacy and pharmacists in Estonia.
Pharmacy Practice, 19 (2). https://doi.org/10.18549/PharmPract.2021.2.2404
Gulpinar G, Uzun MB (2022) Examining community pharmacists' intention to provide pharmacist-driven vaccination services: A structural equation modelling. Vaccine, 40 (1): 67 – 75. https://doi.org/10.1016/j.vaccine.2021.11.044
Hess K, Bach A, Won K, Seed SM (2022) Community Pharmacists Roles During the COVID-19 Pandemic. Journal of Pharmacy Practice, 35 (3): 469 – 476. https://doi.org/10.1177/0897190020980626
Hermansyah A, Wulandari L, Kristina SA, Meilianti S (2020) Primary health care policy and vision for community pharmacy and pharmacists in Indonesia. Pharmacy Practice, 18(3). https://doi.org/10.18549/PharmPract.2020.3.2085
Haines SL, DeHart RM, Hess KM, Marciniak MW, Mount JK, Phillips BB, et al. (2010) Report of the 2009-2010 Professional Affairs Committee: pharmacist integration in primary care and the role of academic pharmacy. American Journal of Pharmaceutical Education, 74(10): S5.
https://doi.org/10.5688/aj7410S5
Kristina SA, Ridhayani F, Rahmadani MA, Serawaidi NPA, Wahyudi A (2021) Practice and opinion of pharmacists toward disposal of unused medicines in Indonesia. International Journal of Pharmaceutical Research, 13(1): 2909–2915. https://doi.org/10.31838/ijpr/2021.13.01.434
Pantasri T (2022) Expanded roles of community pharmacists in COVID-19: A scoping literature review. Journal of the American Pharmacists
Association, 62 (3): 649 – 657. https://doi.org/10.1016/j.japh.2021.12.013
Chong JBK, Yap CYH, Tan SLL, Thong XR, Fang Y, Smith HE (2023) General practitioners' perceptions of the roles of community pharmacists and their willingness to collaborate with pharmacists in primary care. Journal of Pharmaceutical Policy and Practice, 16(1): 114.
https://doi.org/10.1186/s40545-023-00613-5
Karampatakis GD, Patel N, Stretch G, Ryan K (2024) Integration and impact of pharmacists in general practice internationally: A rapid review. Journal of Health Services Research & Policy, 29 (1): 56 – 67. https://doi.org/10.1177/13558196231179831
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