Exploring Knowledge, Attitudes, and Perceptions of Young Pharmacists on Telepharmacy Implementation – A Mini Review
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Abstract
Telepharmacy, a critical subset of telemedicine, has gained prominence as a transformative innovation addressing challenges in pharmaceutical care by enabling the remote delivery of services, including medication dispensing, patient counseling, and therapeutic monitoring. This narrative review investigates the state of telepharmacy in Indonesia, with a focus on the knowledge, attitudes, and perceptions of young pharmacists in the Special Region of Yogyakarta. The findings reveal significant knowledge gaps concerning telepharmacy tools and regulatory frameworks, which adversely influence pharmacists’ attitudes and perceptions. Although young pharmacists demonstrate higher technological proficiency and generally positive attitudes toward telepharmacy, hesitancy persists due to insufficient training opportunities and ambiguities in existing regulations. Telepharmacy offers substantial opportunities to bridge geographical barriers and enhance healthcare access, particularly in underserved and rural regions. However, its implementation is hindered by critical barriers, including regulatory gaps, inadequate technical infrastructure, and limited awareness among stakeholders. Drawing on successful telepharmacy models from the United States, Canada, and Australia, this review underscores the need for targeted educational initiatives, robust infrastructural investments, and regulatory reform to support telepharmacy adoption. Addressing these challenges will position telepharmacy as a vital tool in transforming Indonesia’s healthcare system, fostering equitable access, and advancing pharmaceutical care nationwide.
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References
Ahmad, R. W., Salah, K., Jayaraman, R., Yaqoob, I., Ellahham, S., & Omar, M. (2021). The role of blockchain technology in telehealth and telemedicine. International Journal of Medical Informatics, 148, 104399. https://doi.org/10.1016/j.ijmedinf.2021.104399
Ahmed, N. J., Almalki, Z. S., Alsawadi, A. H., Alturki, A. A., Bakarman, A. H., Almuaddi, A. M., Alshahrani, S. M., Alanazi, M. B., Alshehri, A. M., Albassam, A. A., Alahmari, A. K., Alem, G. M., Aldosari, S. A., & Alamer, A. A. (2023). Knowledge, Perceptions, and Readiness of Telepharmacy among Hospital Pharmacists in Saudi Arabia. Healthcare, 11(8), Article 8. https://doi.org/10.3390/healthcare11081087
Alfian, S. D., Khoiry, Q. A., Andhika A. Pratama, M., Pradipta, I. S., Kristina, S. A., Zairina, E., Hak, E., & Abdulah, R. (2023). Knowledge, perception, and willingness to provide telepharmacy services among pharmacy students: A multicenter cross-sectional study in Indonesia. BMC Medical Education, 23(1), 800. https://doi.org/10.1186/s12909-023-04790-4
Alhmoud, E., Khiyami, D. A., Barazi, R., Saad, M., Al-Omari, A., Awaisu, A., Enany, R. E., & Hail, M. A. (2022). Perspectives of clinical pharmacists on the provision of pharmaceutical care through telepharmacy services during COVID-19 pandemic in Qatar: A focus group. PLOS ONE, 17(10), e0275627. https://doi.org/10.1371/journal.pone.0275627
Allan, J., Webster, E., Chambers, B., & Nott, S. (2021). “This is streets ahead of what we used to do”: Staff perceptions of virtual clinical pharmacy services in rural and remote Australian hospitals. BMC Health Services Research, 21(1), 1306. https://doi.org/10.1186/s12913-021-07328-w
Almeman, A. (2024). The digital transformation in pharmacy: Embracing online platforms and the cosmeceutical paradigm shift. Journal of Health, Population and Nutrition, 43(1), 60. https://doi.org/10.1186/s41043-024-00550-2
Alonazi, A. S., Anezi, A. D. A., Alshammari, J. F., Aldowiss, A. R. M., Almalek, F. S. M., Alrowes, K. M., Alqarni, A. M., & Alqhtani, S. M. S. (2024). Tele pharmacy: Redefining Healthcare Access and Efficiency in the Digital Techniques. Journal of International Crisis and Risk Communication Research, 140–144.
Alsultan, M. M., Baraka, M. A., Alahmari, A. K., Elrggal, M. E., Mahmoud, M. A., Alrasheed, M. A., Alkahlah, S. O., Alqarni, A. M., Alghamdi, M. M., Al Khzem, A. H., Alshehail, B. M., & Alotaibi, M. M. (2024). Knowledge and Perception of Pharmacy Students toward Telepharmacy Education in Saudi Arabia. Healthcare, 12(18), Article 18. https://doi.org/10.3390/healthcare12181806
Al-Worafi, Y. M. (2023). Simulation in the Distance and Online Pharmacy Practice: Telepharmacy and Telehealth. In Y. M. Al-Worafi (Ed.), Comprehensive Healthcare Simulation: Pharmacy Education, Practice and Research (pp. 189–196). Springer International Publishing. https://doi.org/10.1007/978-3-031-33761-1_29
Ameri, A., Salmanizadeh, F., Keshvardoost, S., & Bahaadinbeigy, K. (2020). Investigating Pharmacists’ Views on Telepharmacy: Prioritizing Key Relationships, Barriers, and Benefits. The Journal of Pharmacy Technology: jPT: Official Publication of the Association of Pharmacy Technicians, 36(5), 171–178. https://doi.org/10.1177/8755122520931442
Baldoni, S., Amenta, F., & Ricci, G. (2019). Telepharmacy Services: Present Status and Future Perspectives: A Review. Medicina (Kaunas, Lithuania), 55(7), 327. https://doi.org/10.3390/medicina55070327
Blackstock, F. C., & Roberts, N. J. (2021). Using Telemedicine to Provide Education for the Symptomatic Patient with Chronic Respiratory Disease. Life, 11(12), Article 12. https://doi.org/10.3390/life11121317
Carandang, R. R., Ancheta, Y. M., Beleno, G., Gonzales, A. M., & Longaza, N. I. (2024). “I’m not very skilled in using gadgets:” A qualitative exploration of the facilitators and barriers to using telepharmacy services among Filipino senior citizens. Exploratory Research in Clinical and Social Pharmacy, 15, 100477. https://doi.org/10.1016/j.rcsop.2024.100477
Fernanda, Y. (2022). Evaluasi Pengetahuan dan Persepsi Apoteker Tentang Telefarmasi di Kalimantan Selatan. https://repo-mhs.ulm.ac.id//handle/123456789/22014
Fuad, A., Tiara, A., Kusumasari, R. A., Rimawati, R., & Murhandarwati, E. E. H. (2023). Introducing a Regulatory Sandbox Into the Indonesian Health System Using e-Malaria as a Use Case: Participatory Action Study. Journal of Medical Internet Research, 25(1), e47706. https://doi.org/10.2196/47706
Ghozali, M. T. (2023). Is integrating video into tech-based patient education effective for improving medication adherence? – A review. Paladyn, Journal of Behavioral Robotics, 14(1). https://doi.org/10.1515/pjbr-2022-0109
Ghozali, M. T. (2024a). Assessment of knowledge, perception, and readiness for telepharmacy-assisted pharmaceutical services among young pharmacists in rural Indonesia. Exploratory Research in Clinical and Social Pharmacy, 16, 100513. https://doi.org/10.1016/j.rcsop.2024.100513
Ghozali, M. T. (2024b). Buku Ajar Sistem Informasi Manajemen untuk Farmasi. Deepublish.
Ghozali, M. T., Mohany, M., Milošević, M., Satibi, & Kurniawan, M. (2023). Impact of a mobile-app assisted self-management educational intervention on the scores of asthma control test (ACT) questionnaire among young asthmatic patients. Research in Social and Administrative Pharmacy, 19(10), 1354–1359. https://doi.org/10.1016/j.sapharm.2023.06.001
Ghozali, M. T., Nugraheni, T. P., & Halimatussa’diyah, S. (2023). Pelatihan Dasar Manajemen Bantuan Hidup Dasar (BHD) Karang Taruna Dusun Sribit Dan Sekarsuli, Kapanewon Berbah, Sleman, Yogyakarta. Jurnal Surya Masyarakat, 5(2), Article 2. https://doi.org/10.26714/jsm.5.2.2023.244-249
Hermansyah, A., Wulandari, L., Kristina, S. A., & Meilianti., S. (2020). Primary health care policy and vision for community pharmacy and pharmacists in Indonesia. Pharmacy Practice, 18(3), 2085. https://doi.org/10.18549/PharmPract.2020.3.2085
Ibrahim, O. M., Ibrahim, R. M., Z Al Meslamani, A., & Al Mazrouei, N. (2023). Role of telepharmacy in pharmacist counselling to coronavirus disease 2019 patients and medication dispensing errors. Journal of Telemedicine and Telecare, 29(1), 18–27. https://doi.org/10.1177/1357633X20964347
Jarab, A. S., Al-Qerem, W., Mukattash, T., Al-Azayzih, A., Kharaba, Z., Heshmeh, S. A., Al-Momani, J., Hamdan, R., Al Hamarneh, Y. N., & Eberhardt, J. (2024). Factors Influencing Public Attitudes and Willingness to Utilize Telepharmacy Services in the UAE. International Journal of Telemedicine and Applications, 2024(1), 5755493. https://doi.org/10.1155/2024/5755493
Jauza, J., & Dari, I. I. (2023). Understanding the Knowledge, Attitudes, and Perceptions of Indonesian Young Pharmacists Towards Telepharmacy Implementation in Pharmacy Services. 2023 3rd International Conference on Emerging Smart Technologies and Applications (eSmarTA), 1–7. https://doi.org/10.1109/eSmarTA59349.2023.10293223
Jauza, J., & Ghozali, M. T. (2024). Professional competence and Perception on the Practical Implementation of Telepharmacy among Pharmacists – A Review. Research Journal of Pharmacy and Technology, 17(6), 2915–2924. https://doi.org/10.52711/0974-360X.2024.00457
Juma, C. (2016). Innovation and Its Enemies: Why People Resist New Technologies. Oxford University Press.
Kusuma, I. Y., Muddather, H. F., Kurnianto, A. A., Bahar, M. A., Kurniasih, K. I., Tololiu, K. E., Schelz, Z., Zupkó, I., Matuz, M., & Benkő, R. (2024). Telepharmacy in Indonesia: Navigating Knowledge, Perception, and Readiness Among 6,000 Pharmacists and Related Sociodemographic Determinants. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 30(9), 2483–2494. https://doi.org/10.1089/tmj.2023.0657
Kusumaningrum, A. E., & Mulyani, S. (2023). Responsibility and Authority of a Pharmacist in Running a Digital Pharmaceutical at Pharmacies. 630–642. https://doi.org/10.2991/978-2-38476-024-4_63
Lampickienė, I., & Davoody, N. (2022). Healthcare Professionals’ Experience of Performing Digital Care Visits—A Scoping Review. Life, 12(6), Article 6. https://doi.org/10.3390/life12060913
Lee, K. M. K., Page, A., Kim, S., Al-Diery, T., Koeper, I., Singh, I., Hawthorne, D., & Johnson, J. (2023). Perceptions and expectations of health professionals regarding hospital pharmacy services and the roles of hospital pharmacists: A qualitative systematic review and meta-synthesis. Exploratory Research in Clinical and Social Pharmacy, 10, 100264. https://doi.org/10.1016/j.rcsop.2023.100264
Marcus, M. E., Reuter, A., Rogge, L., & Vollmer, S. (2024). The effect of SMS reminders on health screening uptake: A randomized experiment in Indonesia. Journal of Economic Behavior & Organization, 227, 106715. https://doi.org/10.1016/j.jebo.2024.106715
Martini, N., Sajtos, L., Idio, L., Kaur, M., Sweeney, N., Zhang, C., & Scahill, S. (2024). The future of pharmacy work: How pharmacists are adapting to and preparing for technology infusion. Exploratory Research in Clinical and Social Pharmacy, 15, 100472. https://doi.org/10.1016/j.rcsop.2024.100472
Nwachuya, C. A., Umeh, A. U., Ogwurumba, J. C., Chinedu-Eze, I. N., Azubuike, C. C., & Isah, A. (2023). Effectiveness of Telepharmacy in Rural Communities in Africa: A Scoping Review. Journal of Pharmacy Technology, 39(5), 241–246. https://doi.org/10.1177/87551225231190567
Poudel, A., & Nissen, L. M. (2016). Telepharmacy: A pharmacist’s perspective on the clinical benefits and challenges. Integrated Pharmacy Research and Practice, 5, 75–82. https://doi.org/10.2147/IPRP.S101685
Reddy, S. (2024). Generative AI in healthcare: An implementation science informed translational path on application, integration and governance. Implementation Science, 19(1), 27. https://doi.org/10.1186/s13012-024-01357-9
Saeed, H., Scahill, S., Kim, J., Moyaen, R., Natarajan, D., Soga, A., Wong, M., & Martini, N. (2024). Pharmacist Perceptions and Future Scope of Telepharmacy in New Zealand: A Qualitative Exploration. International Journal of Telemedicine and Applications, 2024, 2667732. https://doi.org/10.1155/2024/2667732
Shafiee Hanjani, L., Caffery, L. J., Freeman, C. R., Peeters, G., & Peel, N. M. (2020). A scoping review of the use and impact of telehealth medication reviews. Research in Social and Administrative Pharmacy, 16(8), 1140–1153. https://doi.org/10.1016/j.sapharm.2019.12.014
Vo, A. T., & Gustafson, D. L. (2023). Telepharmacy in oncology care: A scoping review. Journal of Telemedicine and Telecare, 29(3), 165–176. https://doi.org/10.1177/1357633X20975257
West, D. S., & Szeinbach, S. L. (2002). Prescription Technologies: Keeping Pace: Telepharmacy, e-prescribing, and integrated pharmacy systems, including automated dispensing systems, are changing pharmacy practice. Journal of the American Pharmaceutical Association, 42(1), 21–25. https://doi.org/10.1331/108658002763538035
White, A., Fulda, K. G., Blythe, R., Chui, M. A., Reeve, E., Young, R., Espinoza, A., Hendrix, N., & Xiao, Y. (2022). Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. Expert Opinion on Drug Safety, 21(11), 1357–1364. https://doi.org/10.1080/14740338.2022.2147923