Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory Study
Polypharmacy is a common issue in patients with chronic diseases. Eastern-European countries and Iran are exploring possibilities for implementing the Medication Use Review (MUR) as a measure for optimizing medication use and ensuring medication safety in polypharmacy patients. The aim of this study...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/9/1207 |
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| author | Anita Tuula Daisy Volmer Liisa Jõhvik Ieva Rutkovska Indre Trečiokienė Piotr Merks Magdalena Waszyk-Nowaczyk Mariola Drozd Alena Tatarević Maja Radovanlija Carmen Pacadi Arijana Meštrović Réka Viola Gyöngyvér Soós Cristina Rais Adriana-Elena Táerel Magdalena Kuzelova Marziyeh Zare Payam Peymani Marje Oona Michael Scott |
| author_facet | Anita Tuula Daisy Volmer Liisa Jõhvik Ieva Rutkovska Indre Trečiokienė Piotr Merks Magdalena Waszyk-Nowaczyk Mariola Drozd Alena Tatarević Maja Radovanlija Carmen Pacadi Arijana Meštrović Réka Viola Gyöngyvér Soós Cristina Rais Adriana-Elena Táerel Magdalena Kuzelova Marziyeh Zare Payam Peymani Marje Oona Michael Scott |
| author_sort | Anita Tuula |
| collection | DOAJ |
| description | Polypharmacy is a common issue in patients with chronic diseases. Eastern-European countries and Iran are exploring possibilities for implementing the Medication Use Review (MUR) as a measure for optimizing medication use and ensuring medication safety in polypharmacy patients. The aim of this study was to gain insights into the development of the community pharmacy sector and map facilitators and barriers of MUR in Eastern Europe and Iran. The representatives of the framework countries received a questionnaire on community pharmacy sector indicators, current and future developments of pharmacies, and factors encouraging and hindering MUR. To answer the questionnaire, all representatives performed document analysis, literature review, and qualitative interviews with key stakeholders. The socio-ecological model was used for inductive thematic analysis of the identified factors. Current community pharmacist competencies in framework countries were more related to traditional pharmacy services. Main facilitators of MUR were increase in polypharmacy and pharmaceutical waste, and access to patients’ electronic list of medications by pharmacists. Main barriers included the service being unfamiliar, lack of funding and private consultation areas. Pharmacists in the framework countries are well-placed to provide MUR, however, the service needs more introduction and barriers mostly on organizational and public policy levels must be addressed. |
| first_indexed | 2024-03-10T07:37:43Z |
| format | Article |
| id | doaj.art-6558cfea5808423fa130fb2cff11e719 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T07:37:43Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-6558cfea5808423fa130fb2cff11e7192023-11-22T13:18:34ZengMDPI AGHealthcare2227-90322021-09-0199120710.3390/healthcare9091207Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory StudyAnita Tuula0Daisy Volmer1Liisa Jõhvik2Ieva Rutkovska3Indre Trečiokienė4Piotr Merks5Magdalena Waszyk-Nowaczyk6Mariola Drozd7Alena Tatarević8Maja Radovanlija9Carmen Pacadi10Arijana Meštrović11Réka Viola12Gyöngyvér Soós13Cristina Rais14Adriana-Elena Táerel15Magdalena Kuzelova16Marziyeh Zare17Payam Peymani18Marje Oona19Michael Scott20Institute of Pharmacy, University of Tartu, 50411 Tartu, EstoniaInstitute of Pharmacy, University of Tartu, 50411 Tartu, EstoniaHospital Pharmacy, Tartu University Hospital, 50406 Tartu, EstoniaFaculty of Pharmacy, Riga Stradins University, LV-1007 Riga, LatviaPharmacy Center, Faculty of Medicine, Vilnius University, 01513 Vilnius, LithuaniaDepartment of Pharmacology and Clinical Pharmacology, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszyński University in Warsaw, 01-938 Warsaw, PolandDepartment of Pharmaceutical Technology, Pharmacy Practice Division, Poznan University of Medical Sciences, 60-780 Poznan, PolandDepartment of Humanities and Social Medicine, Medical University of Lublin, 20-093 Lublin, PolandIstrian Pharmacies, 52100 Pula, CroatiaPharmacy Rajić, 34000 Požega, CroatiaMandis Pharm Community Pharmacies, 10000 Zagreb, CroatiaPharma Expert Consultancy and Education, 10040 Zagreb, CroatiaFaculty of Pharmacy, University of Szeged, H-6720 Szeged, HungaryFaculty of Pharmacy, University of Szeged, H-6720 Szeged, HungaryFaculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, 020956 Bucharest, RomaniaFaculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, 020956 Bucharest, RomaniaDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Comenius University in Bratislava, 83232 Bratislava, SlovakiaHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz 7134845794, IranRady Faculty of Health Sciences, College of Pharmacy, University of Manitoba, Winnipeg, MB R3E 0T5, CanadaInstitute of Family Medicine and Public Health, University of Tartu, 50411 Tartu, EstoniaMedicines Optimisation Innovation Centre, Antrim BT41 2RL, UKPolypharmacy is a common issue in patients with chronic diseases. Eastern-European countries and Iran are exploring possibilities for implementing the Medication Use Review (MUR) as a measure for optimizing medication use and ensuring medication safety in polypharmacy patients. The aim of this study was to gain insights into the development of the community pharmacy sector and map facilitators and barriers of MUR in Eastern Europe and Iran. The representatives of the framework countries received a questionnaire on community pharmacy sector indicators, current and future developments of pharmacies, and factors encouraging and hindering MUR. To answer the questionnaire, all representatives performed document analysis, literature review, and qualitative interviews with key stakeholders. The socio-ecological model was used for inductive thematic analysis of the identified factors. Current community pharmacist competencies in framework countries were more related to traditional pharmacy services. Main facilitators of MUR were increase in polypharmacy and pharmaceutical waste, and access to patients’ electronic list of medications by pharmacists. Main barriers included the service being unfamiliar, lack of funding and private consultation areas. Pharmacists in the framework countries are well-placed to provide MUR, however, the service needs more introduction and barriers mostly on organizational and public policy levels must be addressed.https://www.mdpi.com/2227-9032/9/9/1207MURmedication reviewbarrierspharmacistcommunity pharmacy |
| spellingShingle | Anita Tuula Daisy Volmer Liisa Jõhvik Ieva Rutkovska Indre Trečiokienė Piotr Merks Magdalena Waszyk-Nowaczyk Mariola Drozd Alena Tatarević Maja Radovanlija Carmen Pacadi Arijana Meštrović Réka Viola Gyöngyvér Soós Cristina Rais Adriana-Elena Táerel Magdalena Kuzelova Marziyeh Zare Payam Peymani Marje Oona Michael Scott Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory Study Healthcare MUR medication review barriers pharmacist community pharmacy |
| title | Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory Study |
| title_full | Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory Study |
| title_fullStr | Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory Study |
| title_full_unstemmed | Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory Study |
| title_short | Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory Study |
| title_sort | factors facilitating and hindering development of a medication use review service in eastern europe and iran cross sectional exploratory study |
| topic | MUR medication review barriers pharmacist community pharmacy |
| url | https://www.mdpi.com/2227-9032/9/9/1207 |
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