A systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases: the perceptions of patients

Abstract Background Cardiovascular diseases are a leading cause of mortality globally. The modifiable risk factors can be measured and identified early at primary healthcare facilities. Community pharmacists present an opportunity for improved management of cardiovascular diseases and health outcome...

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Main Authors: Nthabiseng Florina Motlohi, Ebenezer Wiafe, Kofi Boamah Mensah, Neelaveni Padayachee, Ruwayda Petrus, Varsha Bangalee
Format: Article
Language:English
Published: BMC 2023-09-01
Series:Systematic Reviews
Subjects:
Online Access:https://doi.org/10.1186/s13643-023-02338-7
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author Nthabiseng Florina Motlohi
Ebenezer Wiafe
Kofi Boamah Mensah
Neelaveni Padayachee
Ruwayda Petrus
Varsha Bangalee
author_facet Nthabiseng Florina Motlohi
Ebenezer Wiafe
Kofi Boamah Mensah
Neelaveni Padayachee
Ruwayda Petrus
Varsha Bangalee
author_sort Nthabiseng Florina Motlohi
collection DOAJ
description Abstract Background Cardiovascular diseases are a leading cause of mortality globally. The modifiable risk factors can be measured and identified early at primary healthcare facilities. Community pharmacists present an opportunity for improved management of cardiovascular diseases and health outcomes. The systematic review aims to identify the roles of community pharmacists in preventing and controlling cardiovascular diseases and patients’ perceptions towards such functions. Methods A systematic review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The team searched MEDLINE, CINAHL via EBSCOhost, and Web of Science from January 2001 to December 2021 with a focus on studies reporting the role of community pharmacists in preventing and controlling cardiovascular diseases, and patients’ perceptions of such roles. Search terms included were ‘‘interventions,’’ ‘‘community pharmacists,’’ ‘‘patients,’’ ‘‘cardiovascular diseases,’’ ‘‘risk factors,’’ and “perceptions”. The quality of studies was appraised using the Joanne Briggs Institute checklist. Results A total of 45 studies met the inclusion criteria: 35 (78%) and 10 (22%) reported community pharmacists’ preventive and control roles, respectively. Generally, drug therapy monitoring, medicine and lifestyle counselling, and health education were most common roles, with pharmacist-initiated prescribing and social support least common. A total of 11 (24%) studies reported patients’ perceptions of community pharmacists’ contribution in preventing (73%, n = 8) and controlling (27%, n = 3) cardiovascular diseases. Patients were satisfied with community pharmacists’ services in 10 of 11 studies. Conclusions The findings highlight community pharmacists’ capability of providing primary healthcare services in preventing and controlling cardiovascular diseases and provide evidence for their inclusion in primary healthcare frameworks. Future research should assess the effectiveness of these roles and provide a comprehensive evaluation of clinical, humanistic, and economic outcomes. Systematic review registration Open Science Framework (OSF) registration https://doi.org/10.17605/OSF.IO/WGFXT .
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spelling doaj.art-44d74723654643dd88923d3a9bc0123a2023-11-19T12:31:07ZengBMCSystematic Reviews2046-40532023-09-0112112910.1186/s13643-023-02338-7A systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases: the perceptions of patientsNthabiseng Florina Motlohi0Ebenezer Wiafe1Kofi Boamah Mensah2Neelaveni Padayachee3Ruwayda Petrus4Varsha Bangalee5Discipline of Pharmaceutical Sciences, University of KwaZulu-NatalDiscipline of Pharmaceutical Sciences, University of KwaZulu-NatalDiscipline of Pharmaceutical Sciences, University of KwaZulu-NatalDepartment of Pharmacy and Pharmacology, University of WitwatersrandDiscipline of Psychology, University of KwaZulu-NatalDiscipline of Pharmaceutical Sciences, University of KwaZulu-NatalAbstract Background Cardiovascular diseases are a leading cause of mortality globally. The modifiable risk factors can be measured and identified early at primary healthcare facilities. Community pharmacists present an opportunity for improved management of cardiovascular diseases and health outcomes. The systematic review aims to identify the roles of community pharmacists in preventing and controlling cardiovascular diseases and patients’ perceptions towards such functions. Methods A systematic review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The team searched MEDLINE, CINAHL via EBSCOhost, and Web of Science from January 2001 to December 2021 with a focus on studies reporting the role of community pharmacists in preventing and controlling cardiovascular diseases, and patients’ perceptions of such roles. Search terms included were ‘‘interventions,’’ ‘‘community pharmacists,’’ ‘‘patients,’’ ‘‘cardiovascular diseases,’’ ‘‘risk factors,’’ and “perceptions”. The quality of studies was appraised using the Joanne Briggs Institute checklist. Results A total of 45 studies met the inclusion criteria: 35 (78%) and 10 (22%) reported community pharmacists’ preventive and control roles, respectively. Generally, drug therapy monitoring, medicine and lifestyle counselling, and health education were most common roles, with pharmacist-initiated prescribing and social support least common. A total of 11 (24%) studies reported patients’ perceptions of community pharmacists’ contribution in preventing (73%, n = 8) and controlling (27%, n = 3) cardiovascular diseases. Patients were satisfied with community pharmacists’ services in 10 of 11 studies. Conclusions The findings highlight community pharmacists’ capability of providing primary healthcare services in preventing and controlling cardiovascular diseases and provide evidence for their inclusion in primary healthcare frameworks. Future research should assess the effectiveness of these roles and provide a comprehensive evaluation of clinical, humanistic, and economic outcomes. Systematic review registration Open Science Framework (OSF) registration https://doi.org/10.17605/OSF.IO/WGFXT .https://doi.org/10.1186/s13643-023-02338-7Cardiovascular diseasesRoleCommunity pharmacistPrevention and controlPatientPerceptions
spellingShingle Nthabiseng Florina Motlohi
Ebenezer Wiafe
Kofi Boamah Mensah
Neelaveni Padayachee
Ruwayda Petrus
Varsha Bangalee
A systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases: the perceptions of patients
Systematic Reviews
Cardiovascular diseases
Role
Community pharmacist
Prevention and control
Patient
Perceptions
title A systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases: the perceptions of patients
title_full A systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases: the perceptions of patients
title_fullStr A systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases: the perceptions of patients
title_full_unstemmed A systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases: the perceptions of patients
title_short A systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases: the perceptions of patients
title_sort systematic review of the role of community pharmacists in the prevention and control of cardiovascular diseases the perceptions of patients
topic Cardiovascular diseases
Role
Community pharmacist
Prevention and control
Patient
Perceptions
url https://doi.org/10.1186/s13643-023-02338-7
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