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[Current research status in pharmaceutical care].

J F Rangel Mayoral¹, J Luis Fernández, F J Liso Rubio

¹Servicio de Atención Farmacéutica Especializada, Hospital Infanta Cristina, Complejo Hospitalario Universitario, Badajoz. juanfrancisco.rangel@hifc.ses.jun-taex.es

Farmacia Hospitalaria : Organo Oficial De Expresion Cientifica De La Sociedad Espanola De Farmacia Hospitalaria

|December 15, 2005

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This systematic review found that most pharmaceutical care research had poor quality and lacked methodological rigor. Future studies should adopt standardized methods to improve the reliability and impact of pharmaceutical care research.

Area of Science:

Pharmaceutical Care Research
Evidence-Based Practice
Health Services Research

Background:

Pharmaceutical care research quality is crucial for evidence-based practice.
A comprehensive review of existing literature is needed to assess current research standards.

Purpose of the Study:

To systematically review pharmaceutical care research published between June 1999 and June 2004.
To evaluate the methodological quality and adherence to reporting guidelines in this body of research.

Main Methods:

A systematic literature search was conducted using Medline, Current Contents, Cochrane Library, IDIS, and Teseo.
Studies were categorized by evidence levels and recommendation grades, with quality assessed using the Jadad method.

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Main Results:

Out of 129 references, only 19.4% were randomized studies, and 7.1% were double-blind.
A significant majority (85.7%) of studies were assessed as poor quality.
Common study types included descriptive studies (39.5%) and patient trials (32.6%), with limited use of controlled, randomized clinical trials (CRCTs).

Conclusions:

Pharmaceutical care research requires more rigorous methodology and adherence to standardized reporting guidelines (e.g., Jadad, Consort).
Future research should prioritize prospective, multicenter, observational studies to effectively measure pharmaceutical care outcomes.
Incorporating health-related quality of life (e.g., SF-36) and patient satisfaction measures is recommended to enhance study impact.