Silva Christian Eduardo Castro, Sarinho Beatriz Bernava, Bonafé Michelle, Lima Tácio de Mendonça, Rotta Inajara, Mendes Samara Jamile, Aguiar Patricia Melo, Visacri Marília Berlofa
Department of Pharmacy, School of Pharmaceutical Sciences, University of São Paulo, São Paulo 05508-000, SP, Brazil.
Department of Pharmacy and Pharmaceutical Administration, Faculty of Pharmacy, Federal Fluminense University, Niterói 24241-000, RJ, Brazil.
Pharmacy (Basel). 2025 Aug 24;13(5):113. doi: 10.3390/pharmacy13050113.
This study aimed to map the literature on the clinical role of pharmacists in the care of incarcerated people at correctional facilities and to identify gaps in this field. A scoping review was conducted on 30 July 2024, using the PubMed, Scopus, and LILACS databases. Gray literature was searched via Google Scholar, and references of included studies were manually reviewed. Primary studies of any design reporting pharmacists' clinical services and/or activities for incarcerated individuals were eligible. Study selection and data extraction were performed independently by two reviewers, with a third resolving disagreements. The search yielded 894 records, from which 27 studies were included. Most studies were conducted in the United States ( = 16; 59%) and France ( = 7; 26%). Eleven (41%) focused exclusively on male populations, and one (4%) on female inmates. Most studies addressed pharmacists' clinical roles in mental health conditions and substance use disorders ( = 9; 33%), infectious diseases ( = 5; 19%), and diabetes ( = 4; 15%). Clinical services and/or activities related to direct patient care were the most frequently reported ( = 18; 67%). Process measures were reported in 18 studies (67%), and clinical outcomes were the most common type of outcome ( = 13; 48%). This review highlights the pharmacist's clinical role in treating mental health conditions and substance abuse, infectious diseases, and diabetes in incarcerated care. It underscores the need for further research in low- and middle-income countries, on women's health, and on other prevalent conditions.
本研究旨在梳理关于药剂师在惩教设施中为被监禁人员提供护理的临床作用的文献，并找出该领域的空白。于2024年7月30日进行了一项范围综述，使用了PubMed、Scopus和LILACS数据库。通过谷歌学术搜索灰色文献，并对纳入研究的参考文献进行人工审阅。任何设计的报告药剂师为被监禁个体提供的临床服务和/或活动的原始研究均符合条件。由两名审阅者独立进行研究选择和数据提取，第三名审阅者解决分歧。搜索产生了894条记录，从中纳入了27项研究。大多数研究在美国（n = 16；59%）和法国（n = 7；26%）进行。11项研究（41%）仅关注男性人群，1项研究（4%）关注女性囚犯。大多数研究涉及药剂师在心理健康状况和物质使用障碍（n = 9；33%）、传染病（n = 5；19%）和糖尿病（n = 4；15%）方面的临床作用。与直接患者护理相关的临床服务和/或活动是最常被报告的（n = 18；67%）。18项研究（67%）报告了过程指标，临床结局是最常见的结局类型（n = 13；48%）。本综述强调了药剂师在被监禁人员护理中治疗心理健康状况、药物滥用、传染病和糖尿病方面的临床作用。它强调了在低收入和中等收入国家、妇女健康以及其他普遍存在的状况方面进行进一步研究的必要性。
