Providing inclusive care and empowering people with dementia as a clinical pharmacist: a qualitative study of clinical pharmacist's experiences.

Abstract

Objectives: Dementia is a growing global health concern, significantly impacting primary care settings, where the majority of care for people with dementia is provided. Underserved and vulnerable groups, who often face disparities in access to care are at greater risk of this strain. Clinical pharmacists are well-positioned to provide care but their potential contribution to enhancing person-centred and inclusive care for people with dementia is largely unexplored. The aims are to explore the views and experiences of primary care based clinical pharmacists in providing inclusive care to people with dementia in the community.

Method: We conducted 13 semi-structured interviews with primary care clinical pharmacists in England in 2023-2024, which were analysed using reflexive thematic analysis.

Results: Two overarching themes were developed from the interviews: 1) involving patients in decision-making, ensuring person-centered care and 2) the prevalence of health inequalities and the impact on patient care.

Conclusion: Taking a personalised and person-centred approach clinical pharmacists can engage with patients and carers in decision-making. This can empower people, particularly those from minoritised or disadvantaged groups, to take an active role in their care. This may help with medication adherence but also build trust, potentially leading to better quality and more equitable care. Personalised care should consider cultural beliefs and preferences to reduce misunderstandings or stigma and improve the overall experience for individuals, helping to reduce disparities.