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A systematic review of the outcome data supporting the Healthy Living Pharmacy concept and lessons from its implementation.

Jamal Nazar, Zachariah; Nazar, Hamde; White, Simon; Rutter, Paul

A systematic review of the outcome data supporting the Healthy Living Pharmacy concept and lessons from its implementation. Thumbnail


Authors

Zachariah Jamal Nazar

Hamde Nazar

Paul Rutter



Abstract

BACKGROUND:
The Healthy Living Pharmacy (HLP) project, launched in England, UK in 2009 was a novel approach of introducing public health services within community pharmacy to tackle local health inequalities. A national roll-out followed a reported successful pilot; subsequent local evaluations ensued.

OBJECTIVES:
To summarise reported outcomes and investigate contextual factors that indicate the presence, absence and maturity of implementation determinants, thus offering useful lessons to stakeholders in implementing future initiatives to achieve successful outcomes. METHODS: A systematic review was conducted to identify all publications reporting on the HLP project. All HLP articles and conference abstracts were considered for inclusion and were assessed for methodological quality. The Consolidated Framework for Implementation Research (CFIR) was utilised to identify potential implementation determinants reported. Each article was then analysed to identify reported economic, humanistic or clinical outcomes.

RESULTS:
The review included six peer-reviewed journal articles and 12 conference abstracts. Joanna Briggs Institute Qualitative Assessment and Review Instrument indicated deficiencies in methodological quality. Through adoption of the CFIR framework, the implementation determinants relevant to the implementation of HLP into community pharmacy were identified. A resonating issue emerged in that the absence of adopting an evidence-based implementation process limited the ability to capture meaningful outcome data. This resulted in a lack of evidence to support sustainability and the failure to address many of the well cited barriers, e.g. lack of awareness amongst patients, public and other healthcare professionals, and weak support for future investment in resource for training and dissemination.

CONCLUSIONS:
Healthcare systems are increasingly called on to adopt evidence-based interventions that improve quality, control costs, and maximize value, thus offering opportunity to accelerate the implementation of clinical pharmacy services and programs aimed at improving patient care. Interventions, such as the HLP project require focused efforts on implementation and evaluation of those implementation efforts to produce effective and lasting changes in complex health care systems.

Citation

Jamal Nazar, Z., Nazar, H., White, S., & Rutter, P. (2019). A systematic review of the outcome data supporting the Healthy Living Pharmacy concept and lessons from its implementation. PloS one, 14(3), Article e0213607. https://doi.org/10.1371/journal.pone.0213607

Journal Article Type Article
Acceptance Date Feb 25, 2019
Publication Date Mar 12, 2019
Journal PLoS One
Print ISSN 1932-6203
Publisher Public Library of Science
Peer Reviewed Peer Reviewed
Volume 14
Issue 3
Article Number e0213607
DOI https://doi.org/10.1371/journal.pone.0213607
Keywords healthy living pharmacy
Publisher URL https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213607

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