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Advancing cardiology pharmacy practice: A position paper on physician-led, pharmacist-enabled model for sustainable

Daniel Benjamin Fletcher1, Guek Leng Loh2, Grace Chang Shu-Wen3

  • 1Department of Pharmacy, Changi General Hospital, Singapore, Singapore.

Annals of the Academy of Medicine, Singapore
|December 20, 2025
PubMed

Insights

Cardiology pharmacists are vital for optimizing cardiovascular care in Singapore, addressing medication safety and patient education. Enhancing their training and integrating digital tools are key priorities for future healthcare.

Area of Science:

  • Pharmacology
  • Public Health
  • Healthcare Management

Background:

  • Cardiovascular disease is a major health concern in Singapore, necessitating improved longitudinal care.
  • An ageing population and metabolic factors increase the demand for specialized cardiology pharmacy services.
  • Current limitations in specialist accreditation and service distribution hinder scalable delivery of care.

Purpose of the Study:

  • To outline key priorities for advancing cardiology pharmacy practice in Singapore.
  • To address challenges in medication optimization, care transitions, and patient education.
  • To propose a framework for a future-ready cardiovascular care ecosystem.

Main Methods:

  • Developed by the Pharmaceutical Society of Singapore Cardiology Pharmacy Working Group.
  • Utilized a multidisciplinary consensus approach guided by RIGHT and AGREE II principles.
  • Synthesized evidence from literature, national data, and institutional experience.

Main Results:

  • Cardiology pharmacists are crucial for medication safety, adherence, and dose optimization.
  • Identified gaps include delayed post-discharge follow-up and fragmented care coordination.
  • Challenges exist in telehealth implementation and specialist workforce development.

Conclusions:

  • Five priorities: workforce capability, post-discharge reviews, integrated care, digital enablement, and expanded roles.
  • Cardiology pharmacists are essential for a safe, coordinated cardiovascular care system.
  • A physician-led, pharmacist-enabled model aligns with national health goals.
Abstract

Keywords:
Healthier SGcardiology pharmacistdigital healthmultidisciplinary cardiovascular caretelehealthtransitions of careworkforce development

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