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Related Concept Videos

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Stratification in pharmaceutical care: a concept analysis.

Ramón Morillo-Verdugo1, Fiona McIntyre2, Enrique Contreras Macías3

  • 1Pharmacy, Hospital Universitario de Valme, Sevilla, Spain.

European Journal of Hospital Pharmacy : Science and Practice
|January 16, 2026
PubMed
Summary
This summary is machine-generated.

Stratification in pharmaceutical care needs clearer definition to improve patient follow-up and intervention allocation. This analysis clarifies its core attributes, distinguishing it from similar concepts for better implementation.

Keywords:
EDUCATION, PHARMACYEvidence-Based MedicineHealth PolicyPHARMACISTSQuality of Health Care

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Area of Science:

  • Pharmaceutical Care
  • Health Services Research
  • Concept Analysis

Background:

  • The application of stratification in pharmaceutical care is growing but lacks conceptual clarity.
  • Ambiguous definitions lead to inconsistent implementation and hinder the development of standardized tools.
  • Stratification is often confused with triage, clinical scoring, or prioritization.

Purpose of the Study:

  • To define and clarify the concept of stratification within pharmaceutical care.
  • To identify the defining attributes, antecedents, consequences, and empirical referents of stratification.

Main Methods:

  • A structured concept analysis using the Walker and Avant framework.
  • A comprehensive literature search of biomedical databases (2000-2025).
  • Thematic analysis of included empirical, theoretical, and conceptual articles.

Main Results:

  • Four defining attributes of stratification were identified: patient-centered segmentation, prioritization of care intensity, resource-sensitive allocation, and structured re-stratification.
  • Antecedents include clinical complexity, limited pharmacist availability, and the need for value-based care.
  • Consequences and empirical referents were identified, differentiating stratification from triage and risk scoring.

Conclusions:

  • This concept analysis provides a theory-based foundation for stratification in pharmaceutical care.
  • Clearer conceptualization supports consistency in developing and implementing patient prioritization models.
  • Improved understanding facilitates better evaluation of stratified care models across healthcare settings.