Burnand Alice, Woodward Abi, Kolodin Vladimir, Manthorpe Jill, Jani Yogini, Orlu Mine, Bhanu Cini, Samsi Kritika, Vickerstaff Victoria, Wilcock Jane, Ward Jane, Rait Greta, Davies Nathan
Research Department of Primary Care and Population Health, Centre for Ageing Population Studies, University College London, London, UK.
Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, QMUL, London, UK.
BMC Prim Care. 2025 Jan 14;26(1):10. doi: 10.1186/s12875-024-02685-x.
As populations age globally, there is increasing prevalence of multiple long-term conditions, such as dementia, leading to many challenges. The burden on health and care services, economic pressures, and the necessity for innovative policies to better support older people and people with dementia becomes paramount. This review explores how clinical pharmacists working in UK primary care support older people and people with dementia.
Scoping review.
This review was conducted following the framework for scoping reviews in accordance with the Joanna Briggs Institute (JBI) methodology. The search of Scopus, EMBASE, CINAHL, Web of Science, PsycINFO, and Cochrane was initially conducted in September 2022, and updated in August 2024. Searches included literature exploring the landscape of clinical pharmacy services for older people in the UK, focusing on roles and services delivered, perceptions, and experiences.
A total of 30 articles were included. These detail the multifaceted responsibilities of clinical pharmacists in primary care for older people. Stakeholder perspectives, including healthcare professionals and patients, emphasised the positive outcomes of clinical pharmacist involvement, from reducing other practitioners' workloads to improving patient safety. However, communication gaps, concerns about competence from other healthcare professionals, and the need for clear role definitions emerged as challenges. Research focused on the experiences of underserved groups, such as people with dementia or from minority ethnic backgrounds, is lacking.
The review enhances our understanding of the primary care clinical pharmacist service in the UK and identifies gaps in evidence, emphasising the need for empirical studies on the experiences of older people with cognitive impairment and those from minority ethnic backgrounds. It provides insights into what makes an effective clinical pharmacist service, such as training and communication, which may help to inform international policy and practice and improve service provision globally.
随着全球人口老龄化，痴呆症等多种长期病症的患病率不断上升，带来了诸多挑战。健康和护理服务的负担、经济压力以及制定创新政策以更好地支持老年人和痴呆症患者的必要性变得至关重要。本综述探讨了在英国初级医疗保健机构工作的临床药剂师如何为老年人和痴呆症患者提供支持。
范围综述。
本综述按照乔安娜·布里格斯研究所（JBI）的方法，依据范围综述框架进行。最初于2022年9月对Scopus、EMBASE、CINAHL、Web of Science、PsycINFO和Cochrane进行了检索，并于2024年8月更新。检索内容包括探索英国老年人临床药学服务情况的文献，重点关注所提供的角色和服务、认知和经验。
共纳入30篇文章。这些文章详细阐述了临床药剂师在老年人初级医疗保健中的多方面职责。包括医疗保健专业人员和患者在内的利益相关者的观点强调了临床药剂师参与所带来的积极成果，从减轻其他从业者的工作量到提高患者安全性。然而，沟通差距、其他医疗保健专业人员对能力的担忧以及明确角色定义的必要性成为挑战。缺乏针对服务不足群体（如痴呆症患者或少数族裔背景人群）经历的研究。
本综述增进了我们对英国初级医疗保健临床药剂师服务的理解，并指出了证据方面的差距，强调需要对认知障碍老年人和少数族裔背景人群的经历进行实证研究。它提供了关于有效临床药剂师服务要素（如培训和沟通）的见解，这可能有助于为国际政策和实践提供参考，并改善全球的服务提供。
