Menzies Health Institute Queensland, Griffith University, Brisbane, Qld, Australia.
School of Pharmacy and Pharmacology, Griffith University, Gold Coast, Qld, Australia.
Community Dent Oral Epidemiol. 2022 Oct;50(5):339-349. doi: 10.1111/cdoe.12651. Epub 2021 Apr 23.
To explore the scope of dental and oral health care (DOHC) provided by the pharmacy profession and associated outcomes, and attitudes of pharmacy staff and other key stakeholders about pharmacy involvement in this context.
A scoping review of full-text articles describing outcomes related to pharmacy staff/student involvement in, knowledge of or attitudes towards DOHC in any setting, and stakeholder perspectives was conducted. Articles written in English were searched for using PubMed, EMBASE, EBSCO, International Pharmaceutical Abstracts, Education Resources Information Centre, Web of Science, Google Scholar, and ProQuest for Dissertations and Theses. No date restrictions were used. Key outcomes were mapped: role and practice, knowledge and attitudes, and training and education.
Seventy studies met the inclusion criteria: 49 were conducted in developed countries; 60 were quantitative in design; and 38 involved community pharmacy settings only. Pharmacists and pharmacy support staff commonly managed DOHC inquiries (n = 13), including the provision of advice and products with or without a further referral. Integrated pharmacist-led services in dental settings (n = 4) showed improved prescribing and quality use of medicines but low community pharmacy referrals were identified in studies involving mystery shoppers with potential oral cancer (n = 7). DOHC promotion programmes delivered by pharmacy staff and collaborations with dentists were limited. There was interest from the pharmacy profession for a role in DOHC; however, knowledge gaps were reported and needs for further training identified. Consumer participant DOHC outcomes were not reported.
Community pharmacists and pharmacy staff were interested in an expanded role in DOHC; however, this scoping review identified lack of knowledge and sub-optimal practice as potential barriers. Research on development, implementation and evaluation of DOHC-related services and practice by pharmacy staff was scarce. Further evidence of consumer-related oral health outcomes and their perceptions of the role of pharmacy is needed.
探索药剂师在口腔健康护理（DOHC）方面的服务范围和相关结果，以及药剂师和其他主要利益相关者对药剂师在这方面参与的态度。
对描述药剂师在任何环境中参与、了解或对 DOHC 的态度，以及利益相关者观点的全文文章进行了范围审查。使用 PubMed、EMBASE、EBSCO、国际药学文摘、教育资源信息中心、Web of Science、Google Scholar 和 ProQuest 检索了以英文撰写的文章，检索内容包括论文和专题论文。未对日期进行限制。主要结果包括：角色和实践、知识和态度、培训和教育。
符合纳入标准的研究有 70 项：其中 49 项在发达国家进行；60 项设计为定量研究；38 项仅涉及社区药房环境。药剂师和药房支持人员通常管理 DOHC 咨询（n=13），包括提供建议和产品，无论是否进一步转介。牙科环境中由药剂师主导的综合服务（n=4）显示出改善了处方和药物的合理使用，但在涉及具有潜在口腔癌的神秘顾客（n=7）的研究中，发现社区药房转诊率较低。由药房工作人员提供的 DOHC 推广计划和与牙医的合作有限。药剂师对在 DOHC 中扮演角色表现出兴趣；但是，报告了知识差距，并确定了进一步培训的需求。没有报告消费者参与者的 DOHC 结果。
社区药剂师和药房工作人员对在 DOHC 中扩大作用感兴趣；但是，本次范围审查确定了缺乏知识和不理想的实践可能是障碍。关于药剂师开展和实施 DOHC 相关服务和实践的研究很少。需要进一步证明消费者相关的口腔健康结果及其对药房作用的看法。
