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Stakeholders' views and experiences of pharmacist prescribing: a systematic review.

Jebara, Tesnime; Cunningham, Scott; MacLure, Katie; Awaisu, Ahmed; Pallivalapila, Abdulrouf; Stewart, Derek

Authors

Tesnime Jebara

Katie MacLure

Ahmed Awaisu

Abdulrouf Pallivalapila

Derek Stewart



Abstract

AIMS: The aims of this systematic review were to: (1) critically appraise, synthesize and present the available evidence on the views and experiences of stakeholders on pharmacist prescribing and; (2) present the perceived facilitators and barriers for its global implementation. METHODS: Medline, CINAHL, International Pharmaceutical Abstracts, PsychArticles and Google Scholar databases were searched. Study selection, quality assessment and data extraction were conducted independently by two reviewers. A narrative approach to data synthesis was undertaken due to heterogeneity, the nature of study types and outcome measures. RESULTS: Sixty-five studies were identified, mostly from the UK (n=34), followed by Australia ( n=13), Canada (n=6) and USA (n=5). Twenty-seven studies reported pharmacists' perspectives, with fewer studies focusing on patients' (n=12), doctors' (n=6), the general public's(n=4), nurses' (n=1), policymakers' ( n=1) and multiple stakeholders' (n=14) perspectives. Most reported positive experiences and views, regardless of stage of implementation. The main benefits described were: ease of patient access to healthcare services, improved patient outcomes, better use of pharmacists' skills and knowledge, improved pharmacist job satisfaction, and reduced physician workload. Any lack of support for pharmacist prescribing was largely in relation to: accountability for prescribing, limited pharmacist diagnosis skills, lack of access to patient clinical records, and issues concerning organizational and financial support. CONCLUSION: There is an accumulation of global evidence of the positive views and experiences of diverse stakeholder groups and their perceptions of facilitators and barriers to pharmacist prescribing. There are, however, organizational issues to be tackled which may otherwise impede the implementation and sustainability of pharmacist prescribing.

Citation

JEBARA, T., CUNNINGHAM, S., MACLURE, K., AWAISU, A., PALLIVALAPILA, A. and STEWART, D. 2018. Stakeholders' views and experiences of pharmacist prescribing: a systematic review. British journal of clinical pharmacology [online], 84(9), pages 1883-1905. Available from: https://doi.org/10.1111/bcp.13624

Journal Article Type Review
Acceptance Date Apr 24, 2018
Online Publication Date Jun 5, 2018
Publication Date Aug 13, 2018
Deposit Date Aug 27, 2018
Publicly Available Date Jun 6, 2019
Journal British journal of clinical pharmacology
Print ISSN 0306-5251
Electronic ISSN 1365-2125
Publisher Wiley Open Access
Peer Reviewed Peer Reviewed
Volume 84
Issue 9
Pages 1883-1905
DOI https://doi.org/10.1111/bcp.13624
Keywords Clinical pharmacy; Prescribing; Systematic review
Public URL http://hdl.handle.net/10059/3096