Barriers and facilitators affecting the implementation of community pharmacist–led professional services in Organisation for Economic Co-operation and Development member countries: a scoping review in the context of expanded scope.
Objectives Community pharmacists are expanding their practice to provide more consumer-focused professional services to support rising healthcare demands. Despite strong evidence supporting the benefits of pharmacist-led services, their uptake remains inconsistent. This review examines the factors t...
| Publicado en: | International Journal of Pharmacy Practice Vol. 34; no. 4; pp. 344 - 358 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196038194&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196038194 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09617671 1311 jtl: International Journal of Pharmacy Practice issn: 09617671 maglogo: N pubinfo: dt: Aug2026 vid: 34 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 196038194 196038194 196038194 10.1093/ijpp/riaf120 196038194 ppf: 344 ppct: 14 formats: tig: atl: Barriers and facilitators affecting the implementation of community pharmacist–led professional services in Organisation for Economic Co-operation and Development member countries: a scoping review in the context of expanded scope. aug: au: Karia, Ajay Mahendrarai Chen, Lilian Norman, Richard Robinson, Suzanne (Griffiths), Ruth Webster Sim, Tin Fei affil: School of Population Health, Curtin University, Perth, WA 6102, Australia sug: subj: Pharmacists Psychosocial Factors Community Health Services Psychosocial Factors Pharmacy, Retail Psychosocial Factors Program Implementation Organisation for Economic Co-Operation and Development Developed Countries Human Scoping Review Checklists Medline Embase Scope of Practice Implementation Science Primary Health Care Non-Medical Prescribing Health Care Reform Time Workload Physicians, Family Health Knowledge Salaries and Fringe Benefits Professional Role Motivation Health Care Delivery Collaboration Intraprofessional Relations Health Services Accessibility Health Services Needs and Demand Outcomes (Health Care) ab: Objectives Community pharmacists are expanding their practice to provide more consumer-focused professional services to support rising healthcare demands. Despite strong evidence supporting the benefits of pharmacist-led services, their uptake remains inconsistent. This review examines the factors that affect the implementation of community pharmacist–led professional services. Methods A scoping review of studies published between 2005 and 2024 was conducted using the PRISMA guidelines. Inclusion criteria focused on studies assessing stakeholder experiences of implemented services. Study quality was assessed using the Mixed-Method Appraisal Tool (MMAT). Thematic synthesis was applied to extract and categorize key findings. Key findings Thirty-six studies were included in the final analysis. Fifteen were based in European countries, 12 in Oceanic regions, and eight in North America. Time constraints, workload pressures, general practitioner resistance, limited consumer awareness, and remuneration concerns hindered implementation. Facilitators included clear role definitions, motivated staff, structured service delivery models, enhanced collaboration with healthcare professionals, and financial incentives. Conclusions Community pharmacists have the potential to provide expanded professional services and practise to their full scope to enhance healthcare accessibility and patient outcomes. Multilevel approaches that address logistic, collaborative, systematic, and financial challenges are needed. Future research should focus on large-scale evaluations and long-term impacts to build a stronger evidence base for pharmacist-led professional services. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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