Exploring the readiness of Pakistani pharmacists to become independent prescribers: A qualitative study

In Pakistan, overburdened healthcare system limits access to timely treatment which remains a critical challenge. Pharmacist independent prescribers (PIPs) could bridge this gap, especially in rural and underserved communities where doctors are scarce. This role has the potential to empower patients, reduces strain on physicians, and optimizes public health outcomes. The aim of this study to explore the perceptions of pharmacists in Pakistan regarding independent prescribing.

A qualitative study was conducted from September-November 2024. Purposive based sampling technique was used to conducted the interviews by a trained principal investigator in qualitative studies. Data were collected via face-to-face interviews with clinical/community pharmacists across various cities of Pakistan. All interviewed were analyzed by inductive thematic analysis technique and themes were generated.

A total of 25 interviews were conducted with interview durations ranging from 10 to 25 min with a mean of 17.5 mins. Six major themes emerged from the study that were: i) Importance of a pharmacist as independent prescriber, ii) Pharmacist confidence to accept this responsibility, iii) Role of the health care system of Pakistan, iv) Barriers regarding implementation of the PIP role, v) Improvements required in the health care system and vi) Willingness to undergo further training.

Pakistani pharmacists demonstrate a clear willingness, confidence and readiness to assume the role of independent prescriber, backed by their medication expertise and patient-care commitment. There is clear demand for specialized, one-year training programs to ultimately improve their skills and professional confidence.