nach oben

Journal of Public Health

Erschienen in:

14.03.2019 | Original Article

The impact of clinical pharmacy services in Nepal in the context of current health policy: a systematic review

verfasst von: Reyaj Mikrani, Muhammad Naveed, Aman Mikrani, Sufia Yasmeen, MD. Akabar, Zhou Xiaohui

Erschienen in: Journal of Public Health | Ausgabe 3/2020

Einloggen, um Zugang zu erhalten

Abstract

Aim

The necessity of clinical pharmacy services is increasing globally, and their provision is the upcoming direction of hospital pharmacists. The aim of this review was focused on the impact of clinical pharmacy services in the Nepalese healthcare setup.

Subjects and methods

The English-language databases of Web of Science, PubMed, ScienceDirect, and Cochrane Library were searched using the following keywords: ‘pharmacy’, ‘clinical pharmacy’, pharmaceutical services’, ‘pharmacists’, pharmaceutical care’, ‘pharmacy practice’, ‘hospital pharmacy’, ‘pharmaceutical interventions’, and ‘Nepal’. Eligibility for inclusion, risk of bias assessment, and data extraction from the included studies were determined by two authors, and a narrative synthesis was conducted.

Results

This review contained a total of 14 published articles. The included studies involved the counseling and educating of patients, working as a member of the healthcare team, detecting prescribing errors, suggesting clinicians or nurses, reviewing prescriptions on the ward, giving training and monitoring of the implementation of policies, etc. The outcome of these interventions showed a reduction in the direct healthcare cost, excessive use of medicines, and prescription errors, as well as improvement in the drug utilization pattern, knowledge, as well as satisfaction of patients.

Conclusion

In order to implement and enhance clinical pharmacy services, governmental, educational, and administrative support may be needed.

Nur mit Berechtigung zugänglich

Ansari M, Rao BS, Koju R, Shakya R (2005) Impact of pharmaceutical intervention on inhalation technique. Kathmandu Univ J Sci Eng Technol 1:1–8

Bista D, Saha A, Mishra P, Palaian S, Shankar PR (2009) Impact of educational intervention on the pattern and incidence of potential drug–drug interactions in Nepal. Pharm Pract (Granada) 7:242–247CrossRef

De Rijdt T, Willems L, Simoens S (2008) Economic effects of clinical pharmacy interventions: a literature review. Am J Health Syst Pharm 65:1161–1172. https://doi.org/10.2146/ajhp070506 CrossRefPubMed

Dingding C, Abbas M (2017) A critical review; the quest of clinical pharmacist in Pakistan government hospital, references USA and China hospital setting, to salvage the public health problems like diabetes. J Basic Clin Pharm 8:1–6CrossRef

Ghimirey A, Sapkota B, Shrestha S, Basnet N, Shankar PR, Sapkota S (2013) Evaluation of pharmacist counseling in improving knowledge, attitude, and practice in chronic kidney disease patients. SAGE Open Med 1:2050312113516111. https://doi.org/10.1177/2050312113516111 CrossRefPubMedPubMedCentral

Hepler CD, Strand LM (1990) Opportunities and responsibilities in pharmaceutical care. Am J Health Syst Pharm 47:533–543CrossRef

Higgins JPT, Green S (eds) (2011) Cochrane handbook for systematic reviews of interventions. The Cochrane Collaboration

Holloway KA, Gautam BR, Reeves BC (2001) The effects of different kinds of user fee on prescribing costs in rural Nepal. Health Policy Plan 16:421–427CrossRef

Holloway KA, Karkee S, Tamang A, Gurung YB, Pradhan R, Reeves BC (2008) The effect of user fees on prescribing quality in rural Nepal: two controlled pre-post studies to compare a fee per drug unit vs. a fee per drug item. Trop Med Int Health 13:541–547. https://doi.org/10.1111/j.1365-3156.2008.02032.x CrossRefPubMed

Isetts BJ, Schondelmeyer SW, Heaton AH, Wadd WB, Hardie NA, Artz MB (2006) Effects of collaborative drug therapy management on patients’ perceptions of care and health-related quality of life. Res Social Adm Pharm 2:129–142CrossRef

Kaboli PJ, Hoth AB, McClimon BJ, Schnipper JL (2006) Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med 166:955–964CrossRef

Kafle KK, Shrestha N, Karkee SB, Prasad RR, Bhuju GB, Das PL (2005) Intervention studies on rational use of drugs in public and private sector in Nepal. Nepal Med Coll J 7:47–50PubMed

Kafle KK, Bhuju GB, Karkee SB, Prasad RR, Shrestha N, Shrestha AD, Das PL, Chataut BD, Daud M (2009) An intervention improving prescribing practices and monitoring drugs availability in a district. Nepal Med Coll J 11:217–221PubMed

Khan GM, Badri P, Parbati T, Anita D, Atul A, Deepak P, Dipendra R, Himal B, Kabita G, Nirmala K (2016) Intervention on inhalation technique of rotahaler in patients with chronic obstructive pulmonary disease and asthma. Asian J Pharm Sci 11:81–82. https://doi.org/10.1016/j.ajps.2015.11.112 CrossRef

Li J, Li Z (2018) Differences and similarities in clinical pharmacy practice in China and the United States: a narrative review. Eur J Hosp Pharm 25:2–5. https://doi.org/10.1136/ejhpharm-2016-001195 CrossRefPubMed

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:b2700. https://doi.org/10.1136/bmj.b2700 CrossRefPubMedPubMedCentral

Penm J, Li Y, Zhai S, Hu Y, Chaar B, Moles R (2014) The impact of clinical pharmacy services in China on the quality use of medicines: a systematic review in context of China’s current healthcare reform. Health Policy Plan 29:849–872. https://doi.org/10.1093/heapol/czt067 CrossRefPubMed

Perez A, Doloresco F, Hoffman JM, Meek PD, Touchette DR, Vermeulen LC, Schumock GT (2009) Economic evaluations of clinical pharmacy services: 2001–2005. Pharmacotherapy 29:128CrossRef

Pickard AS, Hung S-Y (2006) An update on evidence of clinical pharmacy services’ impact on health-related quality of life. Ann Pharmacother 40:1623–1634. https://doi.org/10.1345/aph.1G653 CrossRefPubMed

Poudel RS, Shrestha S, Khatiwada D, Thapa S, Prajapati A, Thapa L, Baral R (2015) Prescription errors and pharmacist’s intervention at outpatient pharmacies of two teaching hospitals of central Nepal. World J Pharm Sci 3:448–452

Poudel RS, Piryani RM, Shrestha S, Prajapati A (2016) Benefit of hospital pharmacy intervention on the current status of dry powder inhaler technique in patients with asthma and COPD: a study from the Central Development Region, Nepal. Integr Pharm Res Pract 6:7–13. https://doi.org/10.2147/IPRP.S119202 CrossRefPubMedPubMedCentral

Ranjit E (2016) Pharmacy practice in Nepal. Can J Hosp Pharm 69:493–500PubMedPubMedCentral

Rauniar GP, Das BP, Manandhar TR, Bhattacharya SK (2014) Effectiveness of an educational feedback intervention on drug prescribing in dental practice. Kathmandu Univ Med J 10:30–35. https://doi.org/10.3126/kumj.v10i4.10991 CrossRef

Schumock GT, Butler MG, Meek PD, Vermeulen LC, Arondekar BV, Bauman JL (2003) Evidence of the economic benefit of clinical pharmacy services: 1996–2000. Pharmacotherapy 23:113–132CrossRef

Sharma S, Bhuvan KC, Alrasheedy AA, Kaundinnyayana A, Khanal A (2014) Impact of community pharmacy-based educational intervention on patients with hypertension in Western Nepal. Australas Med J 7:304–313. https://doi.org/10.4066/AMJ.2014.2133 CrossRefPubMedPubMedCentral

Shrestha N, Samir KC, Baltussen R, Kafle KK, Bishai D, Niessen L (2006) Practical approach to lung health in Nepal: better prescribing and reduction of cost. Trop Med Int Health 11:765–772. https://doi.org/10.1111/j.1365-3156.2006.01599.x CrossRefPubMed

Strand LM, Cipolle RJ, Morley PC, Frakes MJ (2004) The impact of pharmaceutical care practice on the practitioner and the patient in the ambulatory practice setting: twenty-five years of experience. Curr Pharm Des 10:3987–4001CrossRef

Upadhyay DK, Ibrahim MIM, Mishra P, Alurkar VM (2015) A non-clinical randomised controlled trial to assess the impact of pharmaceutical care intervention on satisfaction level of newly diagnosed diabetes mellitus patients in a tertiary care teaching hospital in Nepal. BMC Health Serv Res 15:57. https://doi.org/10.1186/s12913-015-0715-5 CrossRefPubMedPubMedCentral

Upadhyay DK, Ibrahim MIM, Mishra P, Alurkar VM, Ansari M (2016) Does pharmacist-supervised intervention through pharmaceutical care program influence direct healthcare cost burden of newly diagnosed diabetics in a tertiary care teaching hospital in Nepal: a non-clinical randomised controlled trial approach. Daru 24:6. https://doi.org/10.1186/s40199-016-0145-x CrossRefPubMedPubMedCentral

Viktil KK, Blix HS (2008) The impact of clinical pharmacists on drug-related problems and clinical outcomes. Basic Clin Pharmacol Toxicol 102:275–280. https://doi.org/10.1111/j.1742-7843.2007.00206.x CrossRefPubMed

Titel: The impact of clinical pharmacy services in Nepal in the context of current health policy: a systematic review
verfasst von: Reyaj Mikrani
Muhammad Naveed
Aman Mikrani
Sufia Yasmeen
MD. Akabar
Zhou Xiaohui
Publikationsdatum: 14.03.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Journal of Public Health / Ausgabe 3/2020
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-019-01042-y

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

The impact of clinical pharmacy services in Nepal in the context of current health policy: a systematic review

Abstract

Aim

Subjects and methods

Results

Conclusion

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Abstract

Aim

Subjects and methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2020

The epidemic trend and characteristics of tuberculosis for local population and migrants from 2010 to 2017 in Jiading, China

Gaps in infant and child mortality among social groups and its linkages with institutional delivery and child immunization using census and National Family Health Survey (2015-16)

Relation between obesity prevalence and the human development index and its components: an updated study on the Asian population

Child marriage and its association with morbidity and mortality of children under 5 years old: evidence from India

Screen time and adiposity among children and adolescents: a systematic review

Impact of tobacco smoke in HIV progression: a major risk factor for the development of NeuroAIDS and associated CNS disorders