Żuk Anna, Machuca Manuel
Faculty of Pharmacy, Medical Biotechnology and Laboratory Medicine, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Faculty of Health Sciences, Universidad Loyola Andalucia, Seville, Spain.
Integr Pharm Res Pract. 2025 Sep 2;14:113-136. doi: 10.2147/IPRP.S529641. eCollection 2025.
Pharmaceutical care is currently being implemented in Polish community pharmacies, but remains unsupported by state funding, limiting its widespread adoption. In Spain pharmacists there provide a wide range of pharmaceutical care services.
The aim of the work is to understand how other countries, such as Spain, have approached pharmaceutical care, which may offer potential strategies. Given this constant evolution and the challenges they face, a comprehensive review of current pharmaceutical care practices is necessary.
The study design was guided by Newman TV et al. Chosen review type was an umbrella review, which includes systematic reviews, narrative reviews, and meta-analyses concerning pharmacist-led interventions in the field of pharmaceutical care. Utilized PRISMA framework. Used the PubMed database, which includes MEDLINE-indexed articles. Search strategy initially identified 18,076 articles and abstracts. Articles were limited to English-language, free full-text systematic reviews or meta-analyses published between January 2019 and October 2024. The dataset was reduced to 3,016 articles. Ultimately, 13 articles were selected for final analysis.
Given the identified lack of funding and training gaps, Poland must address workforce shortages, strengthen interdisciplinary trust, and ensure proper remuneration for pharmacists. Drawing on Spain's experience, investing in pharmacist-led education and preventive services may significantly enhance care outcomes in community settings.
This review highlights key pharmaceutical services currently implemented in community pharmacies and identifies critical barriers that hinder their widespread adoption in Poland. The main tasks of pharmaceutical care are to reduce morbidity and mortality related to medications. These services are most often not provided due to the lack of additional remuneration for the pharmacist for their provision, which would serve as reimbursement for the cost of delivering these services. The results of this review will serve as a basis for developing future in-depth studies focused on the implementation and delivery of pharmaceutical care.
波兰社区药房目前正在实施药学服务，但仍未得到国家资金支持，这限制了其广泛应用。在西班牙，药剂师提供广泛的药学服务。
本研究旨在了解西班牙等其他国家在药学服务方面的做法，这可能会提供潜在策略。鉴于这种不断演变的情况以及他们面临的挑战，有必要对当前的药学服务实践进行全面回顾。
研究设计以纽曼·T·V等人的研究为指导。选择的综述类型是伞形综述，其中包括关于药剂师主导的药学服务领域干预措施的系统综述、叙述性综述和荟萃分析。采用PRISMA框架。使用了PubMed数据库，其中包括MEDLINE索引的文章。搜索策略最初识别出18,076篇文章和摘要。文章仅限于2019年1月至2024年10月发表的英文、免费全文系统综述或荟萃分析。数据集减少到3,016篇文章。最终，选择了13篇文章进行最终分析。
鉴于已发现的资金不足和培训差距，波兰必须解决劳动力短缺问题，加强跨学科信任，并确保药剂师获得适当报酬。借鉴西班牙的经验，投资于药剂师主导的教育和预防服务可能会显著提高社区环境中的护理效果。
本综述突出了目前在社区药房实施的关键药学服务，并确定了阻碍其在波兰广泛应用的关键障碍。药学服务的主要任务是降低与药物相关的发病率和死亡率。由于药剂师提供这些服务缺乏额外报酬，这些服务往往无法提供，而额外报酬可作为提供这些服务成本的补偿。本综述的结果将作为开展未来深入研究的基础，这些研究将聚焦于药学服务的实施和提供。
