Homayounifar Fatemeh, Khosravi Mohsen, Davar Ghazal, Negahdaripour Manica, Joulaei Hassan
Clinical Research Development Center, Amir Oncology Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251371825. doi: 10.1177/21501319251371825. Epub 2025 Sep 15.
INTRODUCTION/OBJECTIVES: Primary healthcare (PHC) is a comprehensive and efficient system that promotes people's health by providing a range of services in easily accessible locations. Integrating pharmacists into PHC has emerged as a promising approach to enhance healthcare delivery. This study aimed to explore the barriers to integrating community pharmacists into the various components of PHC.
A scoping review was conducted in 2024 reviewing the evidence published between 2000 and 2024. For such purpose, multiple databases were searched including PubMed, Scopus, ProQuest, Web of Science, and the Google Scholar.
A total of 90 studies were found to be eligible for inclusion. The study identified key challenges to pharmacists' integration in PHC across 6 areas: governance issues such as lack of trust and regulatory barriers; financial constraints and payment problems; workforce shortages and inadequate training; infrastructure and technology limitations; restricted access to health information; and service delivery problems including poor collaboration and fragmented care.
The study provided several barriers to pharmacists integration in PHC. In such context, the study proposed policymakers to fund sustainably, strengthen infrastructure, enact supportive policies, and promote collaboration, coordination, and expanded pharmacist roles.
引言/目标：初级卫生保健（PHC）是一个全面且高效的系统，通过在易于到达的地点提供一系列服务来促进人们的健康。将药剂师纳入初级卫生保健已成为一种有前景的改善医疗服务提供的方法。本研究旨在探讨将社区药剂师纳入初级卫生保健各个组成部分的障碍。
2024年进行了一项范围综述，回顾了2000年至2024年发表的证据。为此，检索了多个数据库，包括PubMed、Scopus、ProQuest、科学网和谷歌学术。
共发现90项研究符合纳入标准。该研究确定了药剂师融入初级卫生保健在6个领域的关键挑战：治理问题，如缺乏信任和监管障碍；财政限制和支付问题；劳动力短缺和培训不足；基础设施和技术限制；获取健康信息受限；以及服务提供问题，包括协作不佳和护理碎片化。
该研究提出了药剂师融入初级卫生保健的若干障碍。在此背景下，该研究建议政策制定者提供可持续资金、加强基础设施、制定支持性政策，并促进协作、协调以及扩大药剂师的职责。
