Department of Pharmacy Practice, Lahore Pharmacy College, Lahore Medical and Dental College, University of Health Sciences, Lahore, Pakistan.
Department of Pharmacology, Lahore Pharmacy College, Lahore Medical and Dental College, University of Health Sciences, Lahore, Pakistan.
J Pak Med Assoc. 2021 Mar;71(3):950-965. doi: 10.47391/JPMA.058.
Medicine use review is a tool to improve medication adherence and safety. Current narrative review was planned to explore global policies and practices of medicine use review by community pharmacists in chronic diseases and its impact and way forward for low- and middle-income countries. Key words, such as ″medicine use review″, ″medication therapy management″ and ″community pharmacy″ were used for search on PubMed and CINAHL databases for articles published from 2004 to 2019. Medicine use review has opened an avenue of ongoing collaboration between community pharmacists and general practitioners. High-income countries have witnessed a gradual yet cautious adoption of these services through effective policy shift. In terms of practices and impact, the situation in high-income countries was promising where on an average ″type-II″ medicine use review was widely in practice and had improved clinical, humanistic and economic outcomes in chronic disease. However, in low- and middle-income countries, a paucity of effective policies was noted. Nevertheless, an emergent recognition of the potential of community pharmacists to contribute to the management of chronic diseases was evident.
药物使用审查是提高用药依从性和安全性的一种工具。本综述旨在探讨全球社区药剂师在慢性病中进行药物使用审查的政策和实践，以及其对中低收入国家的影响和未来发展方向。使用“药物使用审查”、“药物治疗管理”和“社区药房”等关键词，在 PubMed 和 CINAHL 数据库中搜索 2004 年至 2019 年发表的文章。药物使用审查为社区药剂师和全科医生之间的持续合作开辟了道路。高收入国家通过有效的政策转变，逐渐但谨慎地采用了这些服务。就实践和影响而言，高收入国家的情况较为乐观，平均而言，“二类”药物使用审查广泛应用，并改善了慢性病的临床、人文和经济结局。然而，在中低收入国家，有效的政策相对较少。尽管如此，人们已经意识到社区药剂师在慢性病管理方面的潜在作用。
