Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

Impact of pharmacist services on economic, clinical, and humanistic outcome (ECHO) of South Asian patients : a systematic review

Tools
- Tools
+ Tools

Shrestha, Sunil, Shrestha, Rajeev, Ahmed, Ali, Sapkota, Binaya, Khatiwada, Asmita Priyadarshini, Christopher, Christina Malini, Thapa, Parbati, K.C., Bhuvan, Blebil, Ali Qais, Khanal, Saval and Paudyal, Vibhu (2022) Impact of pharmacist services on economic, clinical, and humanistic outcome (ECHO) of South Asian patients : a systematic review. Journal of Pharmaceutical Policy and Practice, 15 (1). 37. doi:10.1186/s40545-022-00431-1 ISSN 2052-3211.

[img]
Preview
PDF
WRAP-Impact-pharmacist-services-economic-clinical-humanistic-ECHO-South-Asian-patients-2022.pdf - Published Version - Requires a PDF viewer.
Available under License Creative Commons Attribution 4.0.

Download (1207Kb) | Preview
Official URL: https://doi.org/10.1186/s40545-022-00431-1

Request Changes to record.

Abstract

Background: Pharmacists in high-income countries routinely provide efficient pharmacy or pharmaceutical care services that are known to improve clinical, economic, and humanistic outcomes (ECHO) of patients. However, pharmacy services in low- and middle-income countries, mainly South Asia, are still evolving and limited to providing traditional pharmacy services such as dispensing prescription medicines. This systematic review aims to assess and evaluate the impact of pharmacists’ services on the ECHO of patients in South Asian countries. Methods: We searched PubMed/Medline, Scopus, EMBASE, CINAHL, and Cochrane Library for relevant articles published from inception to 20th September 2021. Original studies (only randomised controlled trials) conducted in South Asian countries (published only in the English language) and investigating the economic, clinical (therapeutic and medication safety), and humanistic impact (health-related quality of life) of pharmacists’ services, from both hospital and community settings, were included. Results: The electronic search yielded 430 studies, of which 20 relevant ones were included in this review. Most studies were conducted in India (9/20), followed by Pakistan (6/20), Nepal (4/20) and Sri Lanka (1/20). One study showed a low risk of bias (RoB), 12 studies showed some concern, and seven studies showed a high RoB. Follow-up duration ranged from 2 to 36 months. Therapeutic outcomes such as HbA1c value and blood pressure (systolic blood pressure and diastolic blood pressure) studied in fourteen studies were found to be reduced. Seventeen studies reported humanistic outcomes such as medication adherence, knowledge and health-related quality of life, which were found to be improved. One study reported safety and economic outcomes each. Most interventions delivered by the pharmacists were related to education and counselling of patients including disease monitoring, treatment optimisation, medication adherence, diet, nutrition, and lifestyle. Conclusion: This systematic review suggests that pharmacists have essential roles in improving patients’ ECHO in South Asian countries via patient education and counselling; however, further rigorous studies with appropriate study design with proper randomisation of intervention and control groups are anticipated.

Item Type: Journal Article
Subjects: R Medicine > RS Pharmacy and materia medica
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Pharmacists -- Social aspects -- South Asia, Pharmaceutical services -- Social aspects -- South Asia, Public health -- South Asia
Journal or Publication Title: Journal of Pharmaceutical Policy and Practice
Publisher: BioMed Central
ISSN: 2052-3211
Official Date: 10 May 2022
Dates:
DateEvent
10 May 2022Published
14 April 2022Accepted
Volume: 15
Number: 1
Article Number: 37
DOI: 10.1186/s40545-022-00431-1
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 27 May 2022
Date of first compliant Open Access: 27 May 2022
Related URLs:
  • http://creativecommons.org/licenses/by/4...

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics

twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us