# Identification of Barriers That Can Influence Older Adults in Community Pharmacies: A Systematic Review

## TL;DR

This paper reviews barriers that affect older adults receiving care in community pharmacies and suggests ways to improve their experience.

## Contribution

The study systematically categorizes barriers and facilitators into four typologies for improving pharmacy services for older adults.

## Key findings

- Nine articles were included, identifying barriers in four categories: pharmacy profession, older adults, pharmacy layout, and society.
- Facilitators were also categorized into the same four typologies, offering actionable insights for improvement.
- The findings highlight the need for accessible and supportive pharmacy environments for older patients.

## Abstract

Objectives: This systematic review examines the barriers that may influence the proper care and counseling for people who are 65 years or older, in community pharmacies. Also, we attempt to identify potential strategies to mitigate these barriers. The research question addressed is “What kind of barriers influence older people in community pharmacies?”. Methods: Five electronic databases were used: Medline from Pubmed, Core collection of Web of Science, Science direct, Cumulative Index to Nursing and Allied Health Literature (CINAHL) through EBSCO and RCAAP (Repositório Científico de Acesso Aberto de Portugal). This systematic review followed the PRISMA guidelines. The protocol was prospectively published in PROSPERO (International Prospective Register of Systematic Review) having the following identification number: ID CRD42024516422. The original articles about individuals over 65 years of age and about barriers to counseling in community pharmacies were included. The Critical Appraisal tool made by Joanna Briggs Institute was chosen. Results: From a total of 919 articles identified, 9 were included in this systematic review. The identified barriers were categorized into four typologies: centered on the pharmacy profession, centered on older adults, centered on the pharmacy layout and infrastructure, and centered on society. Other than this, some facilitators were identified during the research and were also categorized into the same four typologies. Conclusions: The classification of the identified barriers and facilitators has significant importance as it provides essential insights for responsible bodies of community pharmacies. Comprehending these barriers and facilitators is crucial to transforming community pharmacies into a more accessible and supportive environment for older patients.