Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory Study
| Autor: | Maja Radovanlija, Marziyeh Zare, Adriana-Elena Tăerel, Payam Peymani, Michael J. Scott, Mariola Drozd, Alena Tatarević, Cristina Rais, Carmen Pacadi, Magdalena Kuzelova, Anita Tuula, Liisa Jõhvik, Arijana Meštrović, Gyöngyvér Soós, Indre Trečiokienė, Magdalena Waszyk-Nowaczyk, Réka Viola, Marje Oona, Ieva Rutkovska, Piotr Merks, Daisy Volmer |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Service (business)
Polypharmacy Medication use MUR medication review barriers pharmacist community pharmacy Leadership and Management business.industry Health Policy Pharmacist Exploratory research Public policy Health Informatics Pharmacy Article Health Information Management Nursing Medicine Thematic analysis business |
| Zdroj: | Healthcare Volume 9 Issue 9 Healthcare, Basel : MDPI, 2021, vol. 9, no. 9, art. no. 1207, p. [1-11] Healthcare, Vol 9, Iss 1207, p 1207 (2021) |
| ISSN: | 2227-9032 |
| DOI: | 10.3390/healthcare9091207 |
| Popis: | Polypharmacy is a common issue in patients with chronic diseases. Eastern-European countries and Iran are exploring possibilities for implementing the Medication Use Review (MUR) as a measure for optimizing medication use and ensuring medication safety in polypharmacy patients. The aim of this study was to gain insights into the development of the community pharmacy sector and map facilitators and barriers of MUR in Eastern Europe and Iran. The representatives of the framework countries received a questionnaire on community pharmacy sector indicators, current and future developments of pharmacies, and factors encouraging and hindering MUR. To answer the questionnaire, all representatives performed document analysis, literature review, and qualitative interviews with key stakeholders. The socio-ecological model was used for inductive thematic analysis of the identified factors. Current community pharmacist competencies in framework countries were more related to traditional pharmacy services. Main facilitators of MUR were increase in polypharmacy and pharmaceutical waste, and access to patients’ electronic list of medications by pharmacists. Main barriers included the service being unfamiliar, lack of funding and private consultation areas. Pharmacists in the framework countries are well-placed to provide MUR, however, the service needs more introduction and barriers mostly on organizational and public policy levels must be addressed. |
| Databáze: | OpenAIRE |
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