International Journal of Pharmacy Practice最新文献

{"title":"The Aged Care On-site Pharmacist (ACOP): a new initiative in residential aged care in Australia.","authors":"Mustafa Atee, Rebecca Lloyd, Thomas Morris","doi":"10.1093/ijpp/riag057","DOIUrl":"https://doi.org/10.1093/ijpp/riag057","url":null,"abstract":"","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between pharmacy medication reconciliation proportions and polypharmacy statuses in older adults.","authors":"Megumi Kajino, Atsushi Miyawaki, Akira Okada, Hideo Yasunaga","doi":"10.1093/ijpp/riag042","DOIUrl":"https://doi.org/10.1093/ijpp/riag042","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the variation in medication reconciliation proportions among pharmacies and evaluate the association between pharmacy medication reconciliation proportions and patient-level polypharmacy.</p><p><strong>Methods: </strong>Using a nationwide Japanese claims database, we identified patients aged ≥75 years who visited a pharmacy in 2019. We compared patients' polypharmacy statuses between pharmacies with high medication reconciliation proportions (upper 10% pharmacy-level medication reconciliation proportions adjusted for patient characteristics) and those with low proportions (lower 90%). The primary outcome was patient-level polypharmacy, defined as regularly receiving prescriptions for ≥6 oral medications. Secondary outcomes included the number of prescribed medications, hyper-polypharmacy (≥10 oral medications), and the use of potentially inappropriate medications (PIMs). We constructed multivariate linear regression models adjusted for patient characteristics, pharmacy characteristics, and medical institution fixed effects.</p><p><strong>Key findings: </strong>In 2019, 1 250 707 patients aged ≥75 years received prescriptions for ≥1 medication at 5817 pharmacies. Among them, 383 461 (30.7%) and 88 080 (7.0%) patients regularly received prescriptions for ≥6 and ≥10 medications, respectively, and 419 163 (33.5%) patients were prescribed PIMs. The mean number of prescribed medications was 4.0 (standard deviation, 3.4). After confounder adjustment, there was no significant difference in the polypharmacy prevalence between pharmacies with low and high medication reconciliation proportions (adjusted difference, -0.48 percentage points; 95% confidence interval, -1.09 to 0.14 percentage points; P = .13). No significant differences were observed in the secondary outcomes.</p><p><strong>Conclusions: </strong>Polypharmacy prevalence did not differ according to pharmacy-level medication reconciliation proportions, suggesting that these proportions may not be appropriate as a quality indicator for reducing polypharmacy among older adults.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to vaccination delivery in community pharmacy practice: a cross-sectional study of pharmacists in Greece.","authors":"Aliki Peletidi, Theodoros Kakoulidis-Varelas, Emmanouil-Andreas Christakis, Vasilis Birlirakis, Petros Charalampous, Michael Petrides","doi":"10.1093/ijpp/riag051","DOIUrl":"https://doi.org/10.1093/ijpp/riag051","url":null,"abstract":"<p><strong>Objectives: </strong>Vaccination is vital to public health, yet community pharmacists (CPs) face many challenges in its delivery. As highly accessible healthcare professionals, pharmacists play an essential role in promoting vaccination through education, counselling, and administration, thereby improving immunization coverage and preventing disease. This study aimed to identify and categorize the barriers faced by CPs in Greece when providing vaccination services, focusing on challenges related to patients, governmental policies, pharmacists, and interprofessional collaboration.</p><p><strong>Methods: </strong>A quantitative cross-sectional study was conducted using a 24-item questionnaire developed after an extensive literature review. The survey was distributed to CPs in Athens between October and December 2024, with 234 responses collected. The instrument assessed difficulties concerning vaccine administration, patient interactions, regulatory barriers, and professional collaboration. Qualitative insights were also gathered through informal discussions. Ethical approval was granted by the Pharmaceutical Association of Attica, which also endorsed the study.</p><p><strong>Key findings: </strong>Four major barriers were identified: patient-related issues (e.g. hesitancy, misinformation), government-related obstacles (e.g. regulatory gaps, inadequate remuneration), pharmacist-specific challenges (e.g. limited training, workload), and weak interprofessional collaboration. Younger pharmacists (≤50 years) and those with ≤10 years of experience were more likely to report vaccine hesitancy (P = .008) and to have received additional training (P = .006). Early-career pharmacists also frequently cited understaffing as a major issue (P = .015).</p><p><strong>Conclusion: </strong>Despite significant barriers, CPs in Greece remain highly motivated to promote vaccination. Strengthening regulation, interprofessional cooperation, and continuous pharmacist training could enhance vaccine uptake and consolidate pharmacists' contribution to public health.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New Zealand pharmacist prescribers: a descriptive study of roles and practice.","authors":"Jiayi Gong, Adam Wright-St Clair, Amy Hai Yan Chan, Jeff Harrison, Rhys Ponton","doi":"10.1093/ijpp/riag054","DOIUrl":"https://doi.org/10.1093/ijpp/riag054","url":null,"abstract":"<p><strong>Objectives: </strong>This study assessed the clinical specialization and practising profile, roles and responsibilities, career support, and burnout status (including work-life compatibility) of current pharmacist prescribers (PPs) in New Zealand (NZ).</p><p><strong>Method: </strong>Of the 67 registered PPs by the NZ Pharmacy Council, 64 were eligible to participate. This study employed an online survey to explore the background, clinical specialization, practice setting, career support, work-life compatibility, and burnout status of PPs. Quantitative data were analysed using descriptive statistics.</p><p><strong>Key findings: </strong>Of the 64 eligible PPs, 39 currently practising prescribers participated (60.9%). More than two-thirds (69.2%) had 15 or more years of pharmacist experience, and nearly half (46.2%) worked across multiple clinical areas managing long-term conditions. A third worked a full-time equivalent of 0.8 or more. PPs were most likely to be dissatisfied with remuneration (54.3%) and career progression (40.0%). Of the 39 current PPs, 31 (79.5%) completed the work-life alignment and burnout survey. PPs had better alignment with their work environment than control norms across most domains, except for fairness and values. Over a third (38.7%) were classified as 'Overextended'; however, no participant met the criteria for 'Burnout.'</p><p><strong>Conclusions: </strong>This study presents the first comprehensive practice profile of PPs in NZ. The findings indicate variability in clinical roles, specialization areas, and levels of experience. While no participants met the criteria for burnout, a notable proportion exhibited signs of overextension, particularly in relation to emotional exhaustion.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of tablet splitting for paediatric dosing: mass and content uniformity.","authors":"Claire Hodkinson, Mike Edge, Grant Kelly, Peter White, Hussain Mulla","doi":"10.1093/ijpp/riag055","DOIUrl":"https://doi.org/10.1093/ijpp/riag055","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the accuracy of tablet splitting for paediatric dosing by assessing mass and content uniformity.</p><p><strong>Methods: </strong>Whole, half, and quarter tablets of mercaptopurine, azathioprine, and spironolactone were prepared using a manual tablet splitter. Fragment mass and quarter-tablet drug content were assessed against European Pharmacopoeia criteria.</p><p><strong>Key findings: </strong>Split fragments showed high variability (coefficient of variation 8.6%-23.3%). Most failed European Pharmacopoeia mass uniformity criteria. Content analysis revealed only 50%-70% of quarters complied with acceptance limits, with ranges of 52%-133% of claim.</p><p><strong>Conclusions: </strong>Tablet splitting introduces substantial dose variability undetectable by weighing alone. Where possible, low-strength tablets or alternative formulations should be preferred.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of pharmacy practice research in the Dutch pharmacy education continuum.","authors":"Thomas G H Kempen, Marle Gemmeke, Elisabeth Y Bijlsma, Toine C G Egberts, Daphne Philbert, Marcel L Bouvy","doi":"10.1093/ijpp/riag053","DOIUrl":"https://doi.org/10.1093/ijpp/riag053","url":null,"abstract":"<p><p>Pharmacy practice research is vital for evidence-based pharmaceutical care. Despite broad recognition of its value, it is unclear how pharmacy practice research skills should systematically be addressed in pharmacy education. This paper elaborates on how research is embedded in undergraduate, graduate, and postgraduate pharmacy education in the Netherlands and how this is put into pharmacy practice, and provides recommendations for further development of pharmacy practice research education. Utrecht University is taken as an example for undergraduate and graduate pharmacy education in the Netherlands. The bachelor's phase provides a strong scientific foundation and systematic training in research skills, while the master's emphasizes clinical and practice-oriented learning. Pharmacy practice research assignments are embedded throughout master-level rotations in community and hospital pharmacies, engaging students and supervising pharmacists in real-world research. This model familiarizes future pharmacists early on by engaging with practice-based research questions, collecting and interpreting data, and reflecting on their implications. After graduation, research and quality improvement remain core components of postgraduate specialization for both community and hospital pharmacists, although time pressures and workload limit routine involvement in practice-based research. Strengthening national coordination of research priorities, systematically linking student projects to high-quality practice research, and investing in doctor of philosophy pathways for community pharmacists could build sustainable research capacity. Together, these measures would more closely integrate education, research, and practice and thereby advance evidence-based pharmaceutical care in the Netherlands.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a community pharmacy-based cardiovascular disease risk screening service in Saudi Arabia: a multi-stakeholder nominal group technique consensus study.","authors":"Solafa M W Noorsaeed, Hadi Almansour, Natalie Weir, Amanj Kurdi","doi":"10.1093/ijpp/riag049","DOIUrl":"https://doi.org/10.1093/ijpp/riag049","url":null,"abstract":"<p><strong>Objectives: </strong>to develop a community pharmacy-based cardiovascular disease (CVD) risk screening service in Saudi Arabia (SA) through stakeholder involvement.</p><p><strong>Methods: </strong>A modified nominal group technique (m-NGT) consensus method was employed, integrating a pre-meeting questionnaire for idea generation and an in-person NGT meeting (conducted on 7th February 2025) for discussion, ranking, and consensus formation. Purposive sampling was adopted to recruit stakeholders from SA, including experts in CVD, health and pharmaceutical policy, and service delivery. Ideas regarding service-targeted populations, screening processes, and post-screening interventions were collected from a literature review and pre-meeting questionnaire. Experts ranked these ideas, with higher scores indicating higher priority. A consensus level of 70% was considered acceptable. An inductive thematic analysis was performed for the discussion.</p><p><strong>Key findings: </strong>Six experts participated in the NGT meeting. The prioritised age group was ≥40 years, with the top 5 priorities for those with or on treatment for comorbidities, with a family history, or any risk factors, on medications that cause CV harm, without pre-existing comorbidities and not on treatment. The top 5 screening processes included calculating CVD risk scores, collecting patient data, performing point-of-care and anthropometric measurements, and assessing medication adherence. The top 3 interventions included providing education, physician referrals, and medication therapy management with follow-ups. A 100% consensus was achieved. Two main themes were identified: (i) drivers of strategic decision-making and (ii) facilitators for sustainable implementation.</p><p><strong>Conclusion: </strong>This study outlines a potential service model; however, further research is needed to achieve national consensus on it and support its future implementation.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Theoretically informed focus group study on pharmacists' perceptions of the identification, management and documentation of drug related problems in community pharmacy.","authors":"Danielle Hochhold, Lotte Stig Nørgaard, Derek Stewart, Anita Elaine Weidmann","doi":"10.1093/ijpp/riag048","DOIUrl":"https://doi.org/10.1093/ijpp/riag048","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to apply the Theoretical Domains Framework (TDF) to describe community pharmacists' perspectives on the identification, management, and documentation of drug-related problems (DRPs).</p><p><strong>Methods: </strong>A qualitative focus group study using purposive sampling of community pharmacists across 8 Austrian Federal States. The interview guide comprised discussion points and prompts mapped to TDF domains, focusing on participants' perceptions of the identification and management of DRPs in daily practice. Transcripts were independently coded by two researchers using the TDF to examine behaviours related to DRP identification, management, and documentation.</p><p><strong>Key findings: </strong>23 participants across four focus groups described professional identity and active involvement in the identification and management of DRPs, despite the lack of formalised procedures. Highly personalised practices and self-directed learning compensated for limited structured clinical training. DRP management was shaped by legal constraints, communication barriers, cognitive overload, and technical limitations. Participants expressed the need for integrated documentation systems, strengthened interprofessional collaboration, and enhanced education to support more systematic practice.</p><p><strong>Conclusions: </strong>This focus group research demonstrated that Austrian community pharmacists lack the systemic support necessary to formalise the identification and management of DRPs. The results highlighted the need for standardised documentation to enable DRP management, improve communication with healthcare providers, and promote the growth of professional roles.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and barriers to the integration and optimization of primary care pharmacy practice in British Columbia.","authors":"Arwa Nemir, Anupama Salil, Anita I Kapanen, Peter J Zed","doi":"10.1093/ijpp/riag050","DOIUrl":"https://doi.org/10.1093/ijpp/riag050","url":null,"abstract":"<p><strong>Objectives: </strong>The Pharmacists in Primary Care Network (PCN) Program integrated Primary Care Clinical Pharmacists (PCCPs) as core members of the interprofessional team (IPT) in PCNs across British Columbia (BC). Our objective was to evaluate stakeholders' perspectives and experiences with integrating PCCPs into team-based care within PCNs in BC describing the facilitators and barriers to pharmacist integration.</p><p><strong>Methods: </strong>This evaluation utilized qualitative research methods and was informed by Qualitative Description methodology. Participants were invited to participate in individual and focus group interviews and included UBC program team members, health authority pharmacy representatives, PCN administrators, and PCCPs.</p><p><strong>Key findings: </strong>Facilitators included: (i) working in a blended model of care; (ii) UBC program team supports and resources; (iii) PCN-related facilitators, (iv) collaboration between stakeholders; and (v) prior practice experience of the PCCP. Barriers included: (i) PCCP's role clarity; (ii) PCCPs integrating into multiple clinics; (iii) resistance to PCCP co-location hindering relationships with IPT members; (iv) prescriber-initiated referral requirement; (v) technology challenges; and (vi) system-related factors.</p><p><strong>Conclusions: </strong>Broad systemic barriers to the new team-based primary care model in BC challenged PCCP integration along with the evolution and development of the entire IPT. Pharmacist integration was challenged by barriers that stemmed from the lack of understanding of their role and scope and what resources were needed to support them in their role, especially at the PCN level. Understanding the facilitators while addressing the underlying barriers is critical to achieving optimal integration, supporting the satisfaction of PCCPs, and optimizing the provision of team-based patient-centered primary care in BC.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmaceutical care for critically ill COVID-19 patients in an intensive care unit in Manaus, Brazil.","authors":"Larissa Gomes Aguiar, Dayse Rabelo de Souza Dos Santos, Igor Rafael Dos Santos Magalhães","doi":"10.1093/ijpp/riag047","DOIUrl":"https://doi.org/10.1093/ijpp/riag047","url":null,"abstract":"<p><strong>Objectives: </strong>The COVID-19 outbreak placed unprecedented pressure on health systems, particularly in the Brazilian Amazon. This study describes the pharmaceutical care provided to critically ill patients with COVID-19 in a large referral hospital in Manaus, Brazil.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was conducted between April 2020 and March 2021 using electronic health records of adult intensive care unit (ICU) patients with confirmed COVID-19.</p><p><strong>Key findings: </strong>Among 129 patients assessed, polypharmacy was nearly universal and high-alert medications were frequently prescribed. Clinical pharmacists documented 226 interventions, mainly related to prophylaxis and discontinuation of unnecessary medicines.</p><p><strong>Conclusions: </strong>Embedding clinical pharmacists in ICU teams enhanced medication safety during the pandemic.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}