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The Forgotten Pillar: Enhancing Pharmacists’ Role in Pakistan

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Dr. Attiya Gul

Around the world, the role of pharmacists has expanded far beyond simply dispensing medications. In countries like the United States and across Europe, pharmacists are valued as key healthcare providers who actively participate in patient care. They manage complex medication regimens, provide chronic disease counseling, and, in some cases, even prescribe medications. This expanded role has significantly improved patient outcomes, reduced the workload on doctors, and contributed to more efficient healthcare systems.

In stark contrast, the situation in Pakistan paints a different picture. Despite the presence of well-qualified pharmacists, their role is often limited to dispensing medicines, with little involvement in direct patient care. This limited scope not only restricts their professional growth but also undermines the quality of healthcare that patients receive. Pharmacists in Pakistan are rarely included in clinical decision-making processes, where their expertise in medication management could greatly enhance patient outcomes. This exclusion represents a missed opportunity in a healthcare system that could greatly benefit from their knowledge and skills.

One of the primary reasons for this underutilization is the lack of supportive government policies. Unlike in the United States, where pharmacists are recognized and reimbursed for providing clinical services like medication therapy management, Pakistan’s policies do not support or encourage such roles. Without a structured framework to integrate pharmacists into broader healthcare teams, their potential remains largely untapped.

Moreover, public perception plays a significant role in this issue. In Pakistan, pharmacists are often viewed merely as dispensers of medications, with little understanding of the broader range of services they can provide. This narrow view limits the opportunities for pharmacists to engage with patients on a deeper level, such as offering advice on managing chronic conditions or providing preventive care.

The healthcare system in Pakistan is also highly fragmented, with minimal collaboration between pharmacists and other healthcare professionals. In more integrated systems like those in Europe and the United States, pharmacists work closely with doctors, nurses, and other healthcare providers to deliver comprehensive patient care. This team-based approach ensures that patients receive the best possible treatment, with each professional contributing their expertise. However, in Pakistan, the lack of such collaboration means that pharmacists are not fully utilized, leading to gaps in patient care.

To address these challenges and fully harness the potential of pharmacists, several key steps need to be taken. First and foremost, the government should implement policies that recognize and reimburse pharmacists for their clinical services. This could include roles such as medication therapy management, patient counseling, and chronic disease management. By providing a clear framework for pharmacists to contribute more broadly to healthcare, these policies would help integrate them into healthcare teams where their skills are most needed.

Public awareness campaigns are also crucial in changing the perception of pharmacists. These campaigns should educate the public about the critical role pharmacists can play in managing medications, advising on chronic diseases, and providing preventive care. By shifting the public’s view of pharmacists from mere dispensers to essential healthcare providers, these campaigns can help pave the way for a more integrated healthcare system.

Furthermore, fostering greater collaboration between pharmacists and other healthcare professionals is essential. The healthcare system in Pakistan must move towards a more integrated model, where pharmacists work closely with doctors, nurses, and other healthcare providers. This can be achieved by establishing clear guidelines for collaboration and communication among healthcare professionals, ensuring that pharmacists are fully included in patient care teams.

In conclusion, pharmacists represent a forgotten pillar in Pakistan’s healthcare system, one that, if strengthened, could significantly improve patient care and overall health outcomes. It is time for Pakistan to recognize the critical contributions that pharmacists can make and to ensure they are fully integrated into the healthcare landscape. By doing so, we can unlock a wealth of untapped potential within our healthcare system, leading to better health outcomes for all.

She has over 16 years of experience in the pharmaceutical and allied health fields.She is  Doctor of Pharmacy (D Pharm) degree from Punjab University, Lahore. She can be reached at  attiyarizwan1@gmail .com

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