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Developing a Structured Framework for Pharmacist-Led Prescription Medication Counselling: A Scoping Review
Sunmin Lee1,2, Eonji Han1, Yeonwoo Jung1
1College of Pharmacy, Sunchon National University, Suncheon, Republic of Korea.
Patient Preference and Adherence
|May 8, 2026
Summary
This study developed a structured framework for pharmacist-led medication counselling, integrating procedural steps with patient-centered behaviors to improve its implementation in practice.
Area of Science:
- Pharmaceutical Care
- Health Services Research
Background:
- Medication counselling is crucial for safe and effective medication use but is often underimplemented.
- A structured approach is needed to standardize pharmacist-led medication counselling in routine practice.
Purpose of the Study:
- To map current practices of medication counselling.
- To develop a structured framework for pharmacist-led prescription medication counselling.
- To integrate procedural components with patient-centered operational behaviors.
Main Methods:
- Scoping review following PRISMA Extension guidelines.
- Searched MEDLINE, Embase, Cochrane Library, and grey literature (Jan 2015-Jan 2025).
- Used an adapted TIDieR framework for deductive extraction and content analysis for inductive synthesis.
Main Results:
- Identified six structural domains: patient identification, risk screening, information provision, understanding verification, adherence support, and documentation/referral.
- Identified four patient-centered operational features: context elicitation, tailored communication, interactive verification, and adherence support.
- Found variability in structural detail, especially for documentation and adherence.
Conclusions:
- Developed an integrated framework conceptualizing medication counselling as an operationalized service.
- The framework links procedural structure to observable patient-centered behaviors.
- Provides a foundation for standardizing, implementing, and evaluating medication counselling in practice.
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