Archive \ Volume.16 2025 Issue 4

Advancing Pharmacist Roles in Aged Care: Findings from a National Stakeholder Forum

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  1. Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Science, Monash University, 381 Royal Parade, Parkville, Vic 3052, Australia.
  2. Western Australian Centre for Health & Ageing, School of Allied Health, University of Western Australia, Perth, Australia.
  3. Departments of Clinical Pharmacology and Ageing, Faculty of Medicine and Health, Kolling Institute, The University of Sydney and the Northern Sydney Local Health District, Sydney, NSW, Australia.
  4. Centre for Optimisation of Medicines, School of Allied Health, University of Western Australia, Crawley, Australia.

Abstract

Ensuring safe use of medicines is a significant challenge in Australia’s aged-care sector. Pharmacists can play an essential role in optimising medication practices, yet their integration into these settings requires deliberate design and coordination. To present the outcomes of a national stakeholder forum in Australia that explored strategies for embedding pharmacists into aged care to strengthen medication safety for older residents. In July 2023, a stakeholder forum brought together 73 pharmacists alongside general practitioners (n = 5), geriatricians (n = 3), industry representatives (n = 3), researchers (n = 3), a student pharmacist, and a nurse. Participants worked across four groups addressing: medicines management, pharmacist education and training, role definition, and development of a community of practice. The study was approved by the University of Western Australia Human Research Ethics Committee (Ref: 36895) and conducted in line with the National Statement on Ethical Conduct in Human Research. Written informed consent was obtained from all participants, who were free to withdraw at any stage; none chose to do so. The medicines management group emphasised the need for system-level reforms, improved facility resources and staff capability, and stronger collaboration across the health system. The training group recommended a workplace-based learning model that emphasised communication, geriatric pharmacotherapy, and medication review, supported through mentorship, workshops, and peer learning. The role definition group outlined key responsibilities for pharmacists in aged care, including medication reviews, deprescribing, reducing errors, and contributing to care planning, with credentialing regarded as a prerequisite. The community of practice group proposed an ongoing collaborative network for sharing knowledge, supporting professional growth, and building workforce capacity through online forums, case-based learning, and resource development. The forum identified clear directions for embedding pharmacists into aged-care services in Australia. Implementing these strategies could lead to safer medication use and improved health outcomes for aged-care residents.


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Vancouver
Arora A, Smith ID, Jaradat HA, Li P. Advancing Pharmacist Roles in Aged Care: Findings from a National Stakeholder Forum. Arch Pharm Pract. 2025;16(4):12-6. https://doi.org/10.51847/9U7JppH7kl
APA
Arora, A., Smith, I. D., Jaradat, H. A., & Li, P. (2025). Advancing Pharmacist Roles in Aged Care: Findings from a National Stakeholder Forum. Archives of Pharmacy Practice, 16(4), 12-16. https://doi.org/10.51847/9U7JppH7kl

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References
  1. Australian Institute of Health and Welfare (AIHW). Older Australians [updated 2024 Jul 2]. Canberra: AIHW; 2023. Available from: https://www.aihw.gov.au/reports/older-people/older-australians/contents/summary. Accessed 16 November 2023.
  2. Wang KN, Bell JS, Gilmartin-Thomas JFM, Tan ECK, Cooper T, Robson L, et al. Use of falls risk increasing drugs in residents at high and low falls risk in aged care services. J Appl Gerontol. 2021;40(1):77–86.
  3. Wang K, Alan J, Page AT, Dimopoulos E, Etherton-Beer C. Anticholinergics and clinical outcomes amongst people with pre-existing dementia: a systematic review. Maturitas. 2021;151:1–14.
  4. Roughead EE, Kalisch LM, Barratt JD, Gilbert AL. Prevalence of potentially hazardous drug interactions amongst Australian veterans. Br J Clin Pharmacol. 2010;70(2):252–7.
  5. Australian Bureau of Statistics. Population projections, Australia 2017 (base) to 2066. Canberra: Commonwealth of Australia; 2018. Available from: https://www.abs.gov.au/statistics/people/population/population-projections-australia/2017-base-2066. Accessed 16 November 2023.
  6. Australian Commission on Safety and Quality in Health Care (ACSQHC). Quality use of medicines and medicines safety discussion paper. Sydney: ACSQHC; 2020.
  7. Jokanovic N, Tan ECK, Dooley MJ, Kirkpatrick CM, Bell JS. Prevalence and factors associated with polypharmacy in long-term care facilities: a systematic review. J Am Med Dir Assoc. 2015;16(6):535-e1.
  8. Wang KN, Bell JS, Chen EYH, Gilmartin-Thomas JFM, Ilomäki J. Medications and prescribing patterns as factors associated with hospitalizations from long-term care facilities: a systematic review. Drugs Aging. 2018;35(5):423-57.
  9. Page AT, Potter K, Lee G, Almutairi H, Lee K, Wang K, et al. Medicines regimens charted for older people living in residential aged care: a repeated cross-sectional study describing the number of medicines, regimen complexity, high-risk prescribing, and potential underprescribing. J Am Med Dir Assoc. 2024;25(6):104944.
  10. Rojas-Ocaña MJ, Teresa-Morales C, Ramos-Pichardo JD, Araujo-Hernández M. Barriers and facilitators of communication in the medication reconciliation process during hospital discharge: primary healthcare professionals’ perspectives. Healthcare. 2023;11(10):1495.
  11. Thiruchelvam K, Hasan SS, Wong PS, Kairuz T. Residential aged care medication review to improve the quality of medication use: a systematic review. J Am Med Dir Assoc. 2017;18(1):87-e1.
  12. Page A, Jackson JK, Bell JS. Aged care: championing medicine safety in aged care. Aust Pharm. 2020;39(2):76–9.
  13. Royal Commission into Aged Care and Quality and Safety. Final report: care, dignity and respect. Canberra: Commonwealth of Australia; 2021.
  14. Cooper R. Federal Budget 2022–23: What’s in it for pharmacists? Aust Pharm. 2022.
  15. Ministers: Department of Health and Aged Care. Funding for on-site pharmacists in aged care homes. Canberra: Commonwealth of Australia; 2024. Available from: https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/funding-for-on-site-pharmacists-in-aged-care-homes#:~:text=The%20Australian%20Government%20is%20providing,in%20residential%20aged%20care%20homes. Accessed 2023 Nov 18.
  16. Cross AJ, Hawthorne D, Lee K, O’Donnell LK, Page AT. Factors influencing pharmacist interest and preparedness to work as on-site aged care pharmacists: insights from qualitative analysis of free-text survey responses. Arch Gerontol Geriatr. 2023;110:104971.
  17. KPMG on behalf of the Tasmanian Government. Pharmacist scope of practice review: final report. Sydney: KPMG; 2023.
  18. Department of Health and Aged Care. Aged care on-site pharmacist measure: consultation report. Canberra: Commonwealth of Australia; 2022.
  19. Australian Pharmacy Council (APC). Consultation paper: performance outcomes framework accreditation standards for aged care and medication management review (MMR) pharmacist education programs. Canberra: APC; 2023.
  20. Lee K, Etherton-Beer C, Johnson J, Lobo E, Wang K, Ailabouni N, et al. Utilising a ‘Community of Practice’ to support pharmacists to work in residential aged care: protocol for a longitudinal evaluation. BMJ Open. 2024;14(5):e076856.

 


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