Abstract:
Introduction:
Community pharmacists are responsible for providing information on the
appropriate use of medications and its possible contraindications, so every patient is able to receive the maximum benefit. The amount of control patients should have over their healthcare choices brings about many challenges to the community pharmacists. Thus, this systematic review seeks to answer, whether patients’ decision is adequate in providing the desirable quality of health outcome compared to pharmacists’ intervention
in the community pharmacy.
Methods:
Appropriate studies were identified based on a systematic search using the database of Medline and Scopus and subsequently, articles which cited the studies using Google Scholar and PubMed were also searched. The search included literatures published since year 2005 to year 2019. Selected parameters which include selection bias, detection bias, performance bias and attrition bias were properly assessed. All the appropriate data were narratively analyzed and synthesized.
Results:
Forest plot was generated to assess the effect of patient autonomy on the health outcome of patients attending community pharmacy. A total of 383 articles were screened and subsequently, 19 articles which met the inclusion criteria were reviewed. These 19 articles were identified to be fit for the inclusion according to the articles full text analysis. It was noticed that all the included studies were conducted in several countries worldwide.
Conclusion:
Our results suggested that all patients should be encouraged to optimize
their decision when acting. This decision should include all the shared information and mutual collaboration with the community pharmacist. It is concluded that, decisions are made through a typical consensus process, which includes the accurate views of both professionals (community pharmacists) and patients, specifically involving minor ailments which are prevalent in the community pharmacy setting.
Keywords: patient self-efficacy; patient expectation; patient choice; patient preference;
quality use of medicine; patient-centered care; pharmacist-patient interaction
