Systematic review of expanded practice in rural community pharmacy

Taylor, Selina, Cairns, Alice, and Glass, Beverley (2019) Systematic review of expanded practice in rural community pharmacy. Journal of Pharmacy Practice and Research, 49 (6). pp. 585-600.

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Aim: The aim of this study was to identify published evidence to inform the development of expanded practice services in rural community pharmacies.

Data sources: The search strategy was applied to the following electronic databases: MEDLINE, CINAHL, Emcare, Cochrane and Google Scholar.

Study selection: In all, 508 studies were evaluated against inclusion and exclusion criteria, with 29 eligible studies finally included in the review. Services provided needed to meet the described definition of ‘expanded practice’ and be applied in a rural community pharmacy setting. Expanded services were evaluated against at least one of the following: effectiveness, enablers, barriers and feasibility.

Results: The studies included in this review were conducted in the US (n = 15), Australia (n = 8), Canada (n = 2), New Zealand (n = 1), England (n = 1), Croatia (n = 1) and Ghana (n = 1). All studies were conducted within the past 22 years, with 11 published since 2015. Cardiovascular disease (n = 7), diabetes/metabolic syndrome (n = 4), respiratory disease (n = 6) and vaccinations (n = 5) were the most common diseases or health service targeted in the interventions. Study design varied, reflected in the methodological quality, which included experimental studies (n = 27) and retrospective observational cohort studies (n = 2). Expanded pharmacy services identified included delivery of immunisations and the screening and management of chronic and infectious diseases, such as osteoporosis, asthma, chronic obstructive pulmonary disease, malaria, diabetes and cardiovascular and kidney disease.

Conclusions: Pharmacists providing these services have an opportunity to improve health outcomes for rural populations.

Item ID: 61643
Item Type: Article (Research - C1)
ISSN: 2055-2335
Keywords: extended practice, models of care, pharmacies, pharmacy practice, remote, scope of practice
Copyright Information: © 2019 The Society of Hospital Pharmacists of Australia.
Date Deposited: 05 May 2020 19:34
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3214 Pharmacology and pharmaceutical sciences > 321403 Clinical pharmacy and pharmacy practice @ 50%
42 HEALTH SCIENCES > 4203 Health services and systems > 420321 Rural and remote health services @ 50%
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