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Interprofessional medication review in the outpatient setting: A mixed-method contextual analysis
Journal of the American Pharmacists Association : Japha
|November 6, 2025
Summary
Community pharmacists can improve medication safety through medication reviews (MRs). While accepted by patients and professionals, integrating this interprofessional service into daily routines requires further development for widespread implementation.
Area of Science:
- Implementation Science
- Primary Health Care
- Medication Safety
Background:
- Medication review (MR) is crucial for reducing drug-related problems and enhancing patient safety.
- Despite pharmacist training, MR implementation in outpatient settings is limited.
Purpose of the Study:
- To develop an Implementation Research Logic Model for an interprofessional MR service in outpatient settings.
- To pilot test the feasibility and acceptability of this service for primary care patients.
Main Methods:
- A mixed-methods approach using the Basel Approach for coNtextual ANAlysis framework.
- Included a scoping review, pilot study with general practitioner (GP) practices and community pharmacies, and qualitative interviews.
- Analysis of screening questionnaires, process indicators, and semi-structured interviews with healthcare professionals and patients.
Main Results:
- 172 patients screened, 23 referred for MR; reviews averaged 94 minutes, yielding 2.95 optimization suggestions.
- Healthcare professionals found the service idea valuable and were satisfied with training.
- Barriers included time constraints, increased workload, and team integration challenges.
Conclusions:
- The interprofessional MR service demonstrated high acceptance among healthcare professionals and patients.
- Further improvements in daily routine integration are needed to enhance feasibility.
- Findings will inform sustainable implementation of interprofessional MR in Swiss primary care.
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