Breaking Down Communication Roadblocks in Pharmaceutical the Struggles of Pharmacists Working in Rural Health Units in Pangasinan
Authors
Virgen Milagrosa University Foundation, Philippines (Philippines)
Virgen Milagrosa University Foundation, Philippines (Philippines)
Virgen Milagrosa University Foundation, Philippines (Philippines)
Article Information
DOI: 10.51244/IJRSI.2025.1215PH000207
Subject Category: Public Health
Volume/Issue: 12/15 | Page No: 2720-2732
Publication Timeline
Submitted: 2025-11-15
Accepted: 2025-11-25
Published: 2025-12-06
Abstract
The researchers used a convenience sampling method to qualitatively explore the communication barriers to pharmaceutical care among pharmacists working in rural health units of Pangasinan. Interviewing the participants yielded in-depth information about the study's objectives.
The first theme, “Pharmaceutical Care Services: Their Scope and Delivery”, highlights the pharmaceutical care provided in rural communities, mentioned alongside the subthemes of medication administration, pharmaceutical consultations, consistent care and education, and healthcare collaborative efforts. The second theme, "Barriers to Effective Communication in Pharmaceutical Care," brought to light the communication barriers that disrupt pharmaceutical care, including lack of electronic devices, language barriers, technological difficulties, language preference, and lack of language proficiency. The third theme, "Rural Healthcare Communication and Delivery Challenges", highlights how these challenges negatively impact the enhancement of pharmaceutical care for patients, particularly through the subthemes of language translators, dialect varieties, comprehension challenges, and a shortage of pharmacists. These factors significantly disrupt the delivery of pharmaceutical care from pharmacists to patients. The fourth theme, "Communication's Effect on Pharmaceutical Care Services", includes subthemes such as medication errors, misinformation, slightly improved healthcare outcomes, and adherence to healthcare information. It also identifies areas that require consistent improvement.
Lastly, the fifth theme, "Pharmacist-patient Communication Strategies and Healthcare Improvement", includes subthemes such as dedication to professionalism, establishing pharmacist-patient relationships, improved communication channels, and a team-based care model intervention that addresses communication challenges. When adopted, these interventions broadly structure the communication system and enhance pharmaceutical care services for patients in rural health units, as noted in the findings.
Keywords
The researchers used a convenience sampling
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References
1. Creswell JW., Creswell JD (2018), Research Design Qualitative, Quantitative, and Mixed Method Approaches, Fifth Edition. [Google Scholar] [Crossref]
2. National healthcare Association (2021). Effective Communication is Vital for Pharmacy Technicians, Clinical Role [Google Scholar] [Crossref]
3. Kreps G (2025). Communication and Effective Interprofessional Healthcare Teams. DOI: 10.1007/978-3-031-70106-1_2 In book: Interprofessional Communication in Health and Social Care [Google Scholar] [Crossref]
4. Kazdin A.E (2023). Research Design in Clinical Psychology. Tale University, Connecticut. https://doi.org/10.1017/9781108976589, Pp 321-355. [Google Scholar] [Crossref]
5. Oxford Advanced Learner’s Dictionary of Current English. 2004. Oxford: OxfordUniversity Press. [Google Scholar] [Crossref]
6. Akande-Sholabi, W., & Akinbitan, A. A. (2022). Assessment of the attitude,practice, and barriersto pharmaceutical care among community pharmacists in Ibadan. Nigerian Journal of Ph a r m a c e u t i c a l R e s e a r c h, 1 8 (1 ) 7 5 (PDF) Assessment of Pharmacists’ Knowledge, Attitudes, Barriers and Readiness in implementing Pharmaceutical Care in Lagos state, Nigeria. [Google Scholar] [Crossref]
7. Amin, S., & McKeirnan, K. C. (2022). The physician perspective on pharmacist physician collaboration and trust. Journal of the American Pharmacists Association, 62(4), 1304–1312.https://doi.org/10.1016/j.japh.2022.02.014 [Google Scholar] [Crossref]
8. Adekunle, O. A., Olson, A. W., Schommer, J. C., & Brown, L. M. (2022). Influence of patient-pharmacist relationship on willingness to accept pharmacist provided services. Journal of the American Pharmacists Association, 63(3), 760-768.e1. https://doi.org/10.1016/j.japh.2022.12.016 [Google Scholar] [Crossref]
9. Andel, S. A., Tedone, A. M., Shen, W., & Arvan, M. L. (2021). Safety implications of different forms of understaffing among nurses during the COVID‐19 pandemic. Journal of Advanced Nursing, 78(1), 121–130. https://doi.org/10.1111/jan.14952 [Google Scholar] [Crossref]
10. Alshahrani S.M, Ishaqui A.A, Alavudeen S.S (2025). Job Satisfaction and Its Correlation with Pharmacists’ Performance and Patient Trust, DOI:10.3389/fmed.2025.1624990 [Google Scholar] [Crossref]
11. Amibor, K., Agbese, B. O., & Mokwunye, C. (2022). Barriers to practice of pharmaceutical care in a tertiary hospital in Nigeria. Asian Journal of Science and Applied Technology, 11(2), 1–6. https://doi.org/10.51983/ajsat-2022.11.2.3273 [Google Scholar] [Crossref]
12. Aniney F. (2025). Rural and Urban Health Units: Structure, Personnel, and Referral Systems [Google Scholar] [Crossref]
13. Amano A, Brown-Johnson CG, Winget M, et al. (2023). Perspectives on the Intersection of Electronic Health Records and Health Care Team Communication, Function, and Well-being. JAMA Netw Open. ;6(5): e2313178. doi:10.1001/jamanetworkopen.2023.13178 [Google Scholar] [Crossref]
14. Al Shamsi H, Almutairi AG, Al Mashrafi S, Al Kalbani T. (2020). Implications of Language barriers for healthcare: A systematic review. Oman Med J.;35: e122 122. [Google Scholar] [Crossref]
15. Alison J. Purvis, Helen M. Rodger, Sue Beckingham (2020). Experiences and perspectives of social media in learning and teaching in higher education, International Journal of Educational Research Open, https://doi.org/10.1016/j.ijedro.2020.100018. [Google Scholar] [Crossref]
16. Al-Azayzih, A., Al-Qerem, W., Kharaba, Z., Albiss, L., Alawneh, A., Abu= Dalhoum, D.,Yousef, L., Al-Amreen, M., & Abedrabbo, Z. (2023). Environmental and personal bar-riers encountered in community pharmacy settings based on public opinions.Future Science OA, 10(1), FSO933. https://doi.org/10.2144/fsoa-2023-0166 [Google Scholar] [Crossref]
17. Al-Diery T, Naz Hussain F (2025). Person-centered Care in Pharmacy: Time to Walk the Talk. Journal of Pharmaceutical Policy. DOI: 10.1080/20523211.2025.2511152 [Google Scholar] [Crossref]
18. Ahmed, S. K. (2024). The pillars of trustworthiness in qualitative research.Journal of Medicine, Surgery, and Public Health, 2,100051.https://doi.org/10.1016/j.glmedi.2024.100051 [Google Scholar] [Crossref]
19. Austria H (2021). Pangasinan capital launches new rural health unit. [Google Scholar] [Crossref]
20. Balamurali S (2016). Chain Sampling 2016 DOI:10.1002/9781118445112.stat03091.pub2 [Google Scholar] [Crossref]
21. Barrow D.M (2017) A Phenomenological Study of the Lived Experiences of Parents of Young Children with Autism Receiving Special Education Services Donna Marie Barrow Portland State University. [Google Scholar] [Crossref]
22. Burnier M. (2025). The benefits of a team-based care approach to improve drug adherence in hypertension. Explor Med; 6:1001285. [Google Scholar] [Crossref]
23. Busetto, L., Wick, W. & Gumbinger, C. (2020). How to use and assess qualitative research methods. Neurol. Res. Pract. 2, 14 https://doi.org/10.1186/s42466 020-00059 z [Google Scholar] [Crossref]
24. Cadorna K. R, Macalalad J.J A, Santos K.C.M, Gloria1 M.A.J (2023) The Asian Association of `Schools of Pharmacy 64 Outpatients’ preference and associated factors for pharmacist counseling medium at University of the Philippines-Philippine General Hospital, JAASP http://www.aaspjournal.org Journal of Asian Association of Schools of Pharmacy 2023; 12: 64–79Research Paper [Google Scholar] [Crossref]
25. Chen W, Wenxiu S, Feifei H et al. (2024). Lost in translation: Impact of language barriers and facilitators on the healthcare of Asian American living with HIV [Google Scholar] [Crossref]
26. Cao, H., Cao, Z., Mao, Y., Li, L., Song, Y., He, X., Wu, Y., Chen, Y., Wang, Q., & Yang, H. (2025). A qualitative study on nursing professionalism: safeguarding life through a conceptual model. BMC Medical Education, 25(1). https://doi.org/10.1186/s12909-025-07595-9 [Google Scholar] [Crossref]
27. Costa, F., van Mil, J., Alvarez Risco, A. (eds) The Pharmacist Guide to Implementing Pharmaceutical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-92576-9_6 [Google Scholar] [Crossref]
28. Costas, D. G., Sánchez, A. R., Manzorro, A. G. et al. (2023). Impact of preoperative pharmaceutical care consultation on medication errors in surgical patients: a comprehensive analysis. Expert Opinion on Drug Safety, 22(12), 1301–1307.https://doi.org/10.1080/14740338.2023.2292710 [Google Scholar] [Crossref]
29. Carandang, R. R., Puguon Jr., F., Santos, M. L.et al. (2024). Burnout and Turnover Intention Among Community and Hospital Pharmacists in Metro Manila, Philippines. Merits, 4(4), 463-474https://doi.org/10.3390/merits4040033 [Google Scholar] [Crossref]
30. Chou, S., Chen, C., & Shen, Z. (2024). Examining the impact of pharmacist professionalism and celebrity endorsers on dietary supplement purchase intention: the moderating role of product knowledge. International Journal of Pharmaceutical and Healthcare Marketing, 18(4), 603–620https://doi.org/10.1108/ijphm-08-2023-0076 [Google Scholar] [Crossref]
31. Chowdhury N, Naeem I, Ferdous M, Chowdhury M, Goopy S, Rumana N, et al. (2021). Unmet healthcare needs among migrant populations in Canada: exploring the research landscape through a systematic integrative review. J Immigr Minor Health.;23. [Google Scholar] [Crossref]
32. Cetintepe S.P, Bozdag F (2024). Interprofessional communication in healthcare teams, In book: Risk and crisis communication in health. [Google Scholar] [Crossref]
33. Donaldson LJ, Kelley ET, Dhingra-Kumar N, Kieny M-P, Sheikh A. Medication without harm: WHO’s third global patient safety challenge. Lancet. 2017;389(10080):1680–1. [Google Scholar] [Crossref]
34. Druica, E., Ianole-Calin, R., Baicus, C., & Dinescu, R. (2021, May 11). Determinants of satisfaction with services and trust in the information received in the community Pharmacies: A comparative analysis to foster pharmaceutical care adoption. Healthcare (Basel), 9(5),https://doi.org/10.3390/healthcare9050562 [Google Scholar] [Crossref]
35. Dye, T. (2025). Qualitative Data Analysis: Step-by-Step Guide (Manual vs. Automatic) Thematic. Thematic. https://getthematic.com/insights/qualitative-data-analysis/ [Google Scholar] [Crossref]
36. Do Carmo, H. (2025). Use of new communication tools by pharmacists in patient support: the example of video format [CCSD]. In Sciences du Vivant [q-bio]. 2025. [Google Scholar] [Crossref]
37. Danaher, T. S., Berry, L. L., Howard, C., Moore, S. G., & Attai, D. J. (2023). Improving how Clinicians communicate with patients: an Integrative review and framework. Journal of Service Research, 26(4), 493–510. https://doi.org/10.1177/10946705231190018 [Google Scholar] [Crossref]
38. De Araújo Silva, B. G., Da Nóbrega, V. M., Oliveira, R. C., Ramalho, E. L. R., Collet, N., & Vaz, E. M. C. (2025). COMMUNICATION AMONG PRIMARY CARE TEAMS IN THE CARE OF CHILDREN/ADOLESCENTS WITH CHRONIC DISEASES. Texto & Contexto - Enfermagem, 34https://doi.org/10.1590/1980-265x-tce-2024-0112en [Google Scholar] [Crossref]
39. Donovan E.E, Brown L.E, Lindstadt C et al. (2021). The 12 fundamentals of highly effective communicators: Teaching theory-based professional communication to pharmacy students. DOI:10.31446/JCP.2021.1.03 [Google Scholar] [Crossref]
40. Ekladious A, Bhandari R, Sudusinghe T. N (2023). Consultation with patients for whom English is not their native language [Google Scholar] [Crossref]
41. Emerson, A. M. (2021). A Phenomenological Reflection on women’s Lived Experience of giving in Circumstances of Material Scarcity. Nursing Inquiry, 29(2). https://doi.org/10.1111/nin.12456 [Google Scholar] [Crossref]
42. Ehlers, L. I. (2021). Is benevolence the pinnacle of an employment relations trust hierarchy? SA Journal of Human Resource Management, 19. https://doi.org/10.4102/sajhrm.v19i0.1655 [Google Scholar] [Crossref]
43. Ellahham, Samer MD1. Communication in Health Care: Impact of Language and Accent on Health Care Safety, Quality, and Patient Experience. American Journal of Medical Quality 36(5):p 355-364, September/October 2021. | DOI: 10.1097/01.JMQ.0000735476.37189.90 [Google Scholar] [Crossref]
44. Evans R. M, Bromfield L, Thomas-Brown P (2021). An investigation of knowledge, attitude, and practice of community pharmacists toward pharmaceutical care in private community pharmacies in Jamaica, Tropical Journal of Pharmaceutical Research 20(12):2587 2595, DOI:10.4314/tjpr.v20i12.19 [Google Scholar] [Crossref]
45. Flynn, A. D., Scheuerle, R. L., Galgon, G., Gerrard, S. E., & Netshandama, V. O. (2019). An assessment of infant medication administration and storage practices in selected communities in the Vhembe District of Limpopo Province, South Africa. Health SA Gesondheid, 24.https://doi.org/10.4102/hsag.v24i0.1075 [Google Scholar] [Crossref]
46. Fatimayin F.F (2018). What is Communication? [Google Scholar] [Crossref]
47. Fleetwood, D. (2024, February 9). Non-Probability Sampling: Types, Examples, & Advantages. QuestionPro. https://www.questionpro.com/blog/non probability-sampling [Google Scholar] [Crossref]
48. Frau E.D, Degabriel G, Luvini et al. (2024). Asking Patients if They have any Questions can Help Improve Patient Satisfaction with Medical Team Communication in the Emergency Department. EMC Emergency Medicine. DOI: 10.1186/s12873-024-01001-1 [Google Scholar] [Crossref]
49. Foulon, V., Wuyts, J., Liekens, S., Tsakitzidis, G. (2019). The Role of Interprofessional Communication in Pharmaceutical Care. In: Alves da [Google Scholar] [Crossref]
50. Flarey, D. (2024, September 10). Understanding non-maleficence in health care ethics. AIHCP. https://aihcp.net/2024/09/10/understanding-non maleficence-in-health-care-ethics/ [Google Scholar] [Crossref]
51. Goodeet, J. V., Owen, J., Page, A., & Gatewood, S. (2019, August 4). Community based pharmacy practice innovation and the role of the community-based pharmacist practitioner in the United States. Pharmacy (Basel), 7(3), 106. https://doi.org/10.3390/pharmacy7030106 [Google Scholar] [Crossref]
52. Gonzalez, C., Graves, J. M., Ramos, J., Vavilala, M. S., & Moore, M. (2024). Language access research for community health: provider perspectives on language access techniques and the role of communication technology. Journal of Communication in Healthcare, 17(1), 7–14.https://doi.org/10.1080/17538068.2023.2237351 [Google Scholar] [Crossref]
53. Hedima EW, Adeyemi MS, Ikunaiye NY. (2020). Community pharmacists: On the frontline of health service against COVID-19 in LMICs. Res Soc Adm Pharm; DOI: 10.1016/j.sapharm.2020.04.013 [Google Scholar] [Crossref]
54. Hurley-Kim, K., Unonu, J., Wisseh, C., Cadiz, C., Knox, E., Ozaki, A. F., & Chan, A. (2022). Health disparities in pharmacy practice within the community: Let’s brainstorm for solutions. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.847696 [Google Scholar] [Crossref]
55. Hays CA, Taylor SM, Glass BD. (2020). The Rural Pharmacy Practice Landscape: Challenges and Motivators. J Multidiscip Healthc. Mar 2; 13:227-234. doi: 10.2147/JMDH.S236488. PMID: 32184612; PMCID: PMC7060034. [Google Scholar] [Crossref]
56. Hayes, A. (2024b, July 4). Audit Trail: definition, how it works, types, and example. Investopedia. https://www.investopedia.com/terms/a/audittrail.asp [Google Scholar] [Crossref]
57. Jairoun, A. A., Al-Hemyari, S. S., Shahwan, M., Brian, G., El-Dahiyat, F., Kurdi, A., & Zyoud, S. H. (2022, May). Access to community pharmacy services for people with disabilities: Barriers, challenges, and opportunities. Research in Social and Administrative Pharmacy, 18(5), 2711–2713.10.1016/j.sapharm.2022.01.009 - DOI – PubMed [Google Scholar] [Crossref]
58. Jadoo, H., Klemenhagen, K. C., Freeman, K., & Philbrick, A. M. (2023). Comparison of clinical pharmacist visits based on language preference in an urban underserved clinic: A cross‐sectional analysis. JACCP: Journal of the American College of Clinical Pharmacy, 6(11), 1210–1215.https://doi.org/10.1002/jac5.1860 [Google Scholar] [Crossref]
59. Jansen, D. (2025, February 15). Trustworthiness in qualitative research. Grad Coach. https://gradcoach.com/trustworthiness-qualitativeresearch/#:~:text=At%20its%20core%2C%20trustworthiness%20is,exper ences%20 n%20an%20authentic%20way%3F [Google Scholar] [Crossref]
60. Kilova, K., Mihaylova, A., & Peikova, L. (2021). Opportunities of information communication technologies for providing pharmaceutical care in the COVID-19 pandemic. Pharmacia, 68(1), 9–14.https://doi.org/10.3897/pharmacia.68.e56987 [Google Scholar] [Crossref]
61. Khatri, R.B., Assefa, Y. (2022). Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges. BMC Public Health 22, 880 https://doi.org/10.1186/s12889-022-13256-z [Google Scholar] [Crossref]
62. Koster, E. S., Philbert, D., & Bouvy, M. L. (2021). Impact of the COVID-19 epidemic on the provision of pharmaceutical care in community pharmacies. Research in Social and Administrative Pharmacy, 17(1). https://doi.org/10.1016/j.sapharm.2020.07.001 [Google Scholar] [Crossref]
63. Kandala N-B, Ekirapa-Kiracho E, Mayora C, Kitutu FE, Peterson SS, Wamani H. (2018). Private retail drug shops: what they are, how they operate, and implications for health care delivery in rural Uganda. BMC Health Serv Res. 18:532 [Google Scholar] [Crossref]
64. Kiflu, M., Tsega, S.S., Alem, H.A. et al. (2024). Barriers to pharmaceutical care provision in the community and hospital pharmacies of Motta town, Northwest Ethiopia: a cross-sectional study. BMC Health Serv Res 24, 1082 https://doi.org/10.1186/s12913-024 11538-3 [Google Scholar] [Crossref]
65. Khanal, S.K. (2025). Language barriers and their consequences in healthcare: a qualitative case study of Nepali migrants in Finland. BMC Health Serv Res 25, 577 https://doi.org/10.1186/s12913-025-12757-y [Google Scholar] [Crossref]
66. Kharaba Z.J,Al-Azayzih A, Al-Azzam S, et al (2025). Barriers to effective communication in UAE community pharmacies: general public perspectives on enhancing patient pharmacist interaction and policy development, Journal of Pharmaceutical Policy and Practice 18(1):2460744, DOI:10.1080/20523211.2025.2460744 [Google Scholar] [Crossref]
67. Kharaba, Z., Farhat, J., Mahboub, B. S., Buabeid, M. A., Alfoteih, Y., Al-Worafi, Y., Jaber, A., & AlAhmad, M. (2022). Current views of community and hospital pharmacists on pharmaceutical care services in the United Arab Emirates: A mixed methodological study. F1000Research, 11, 694.10.12688/f1000research.110102.2 - DOI - PMC - PubMed [Google Scholar] [Crossref]
68. Lawal O.P, Oyebamiji H.O, Kelenna I.J et al. (2025). A Review on Usage of Digital Health Literacy to Combat Antibiotic Misuse and Misinformation in Nigeria: Review Article. Journal of Pharma Insights and Research, 3(2), 258-269. https://doi.org/10.69613/dja1jc18 [Google Scholar] [Crossref]
69. Lim R, Bilton R, Dorj G, Bereznicki L, Rowett D, Ho JN, Freeman A, Roughead EE. (2023). Pharmacists as patient advocates: A series of case studies illustrating the impacts of a regular pharmacist service in residential aged care (nursing homes). Explor Res Clin Soc Pharm. Apr 14;10:100268. doi: 10.1016/j.rcsop.2023.100268. [Google Scholar] [Crossref]
70. Liwanag HJ, Wyss K.(2020). Who should decide for local health services? A mixed methods study of preferences for decision-making in the decentralized Philippine health system. BMC Health Serv Res. 2020 Apr 15;20(1):305. doi: 10.1186/s12913-020-05174-w. PMID: 32293432; PMCID:PMC7158124. [Google Scholar] [Crossref]
71. Loh P, Chua SS, Karuppannan M. (2021). The extent and barriers in providing pharmaceutical care services by community pharmacists in Malaysia: a cross-sectional study. BMC Health Services Research. Aug;21(1):822. DOI: 10.1186/s12913-021-0 6 8 2 0 - 7 . P M I D : 3 4 3 9 9 7 4 9 ; P M C I D :PMC8365940. [Google Scholar] [Crossref]
72. Massi DG, Mbouleup FTN, Dissongo JI, Mapoure YN. (2024). Epidemiology, clinical features and outcome of stroke in rural versus urban hospitals in Cameroon. Journal of Stroke and Cerebrovascular Diseases. 2024 Apr 1Jul31];33(4). [Google Scholar] [Crossref]
73. Merriam, S. B., & Tisdell, E. J. (2016). Qualitative Research: A Guide to Design and Implementation (4th ed.). San Francisco, CA: Jossey Bass. [Google Scholar] [Crossref]
74. Mtisi, S. (2022). The Qualitative Case Study Research Strategy as Applied on a Rural Enterprise Development Doctoral Research Project. International Journal of Qualitative Methods, 21.https://doi.org/10.1177/16094069221145849 [Google Scholar] [Crossref]
75. Michael Trisolini, Ma. Elena Javier, Melvin Jabar, Cristina Rodriguez, Jessie Varquez, Omega Diadem Danganan, Rosario Marilyn Benabaye, Chris Angelo Reynaldo (2023). Improving the Quality of Family Planning Services in the Philippines: Barriers and Opportunities. [Google Scholar] [Crossref]
76. Morillo- Verdugo R, Calleja-Hernandez M.A, Robustillo- Cortes M De las et al. (2020). A new definition and refocus of pharmaceutical care: The Barbate Document. [Google Scholar] [Crossref]
77. MacDougall C, Gross AE. (2020). Roles of the clinical pharmacist during the COVID-19 pandemic. J Am Coll Clin Pharm; 3:564–6. Available:https://doi. org/10.1002/jac5.1231 [Google Scholar] [Crossref]
78. Marian C. (2021). The Research Audit Trail: Methodological Guidance for Application in Practice. Electronic Journal of Business Research Methods, 18(2). https://doi.org/10.34190/jbrm.18.2.008. [Google Scholar] [Crossref]
79. McIntosh MJ, Morse JM. (2015). Situating and Constructing Diversity in Semi Structured Interviews. Glob Qual Nurs Res. Aug 14;2:2333393615597674. doi: 10.1177/2333393615597674. PMID: 28462313; PMCID: PMC5342650. [Google Scholar] [Crossref]
80. Mongelli, F., Georgakopoulos, P., & Pato, M. T. (2020). Challenges and opportunities to meet the mental health needs of underserved and disenfranchised populations in the United States. Focus, 18(1), 16-24. [Google Scholar] [Crossref]
81. Njohjam, M. N., Falonne, N. T., & Ngoule, M. O. (2025). Barriers to medication adherence for secondary stroke prevention in rural communities in Cameroon: a qualitative study. BMC Primary Care, 26(1). https://doi.org/10.1186/s12875-025-02842-w [Google Scholar] [Crossref]
82. Nair L B (2023). Conducting qualitative management research with semi structured interviews. DOI: 10.4324/9781003107774-10 [Google Scholar] [Crossref]
83. Ng, Y. K., Shah, N. M., Loong, L. S., Pee, L. T., & Chong, W. W. (2021). Barriers and facilitators to patient-centred care in pharmacy consultations: A qualitative study with Malaysian hospital pharmacists and patients. PLoS ONE, 16(10), e0258249.https://doi.org/10.1371/journal.pone.0258249 [Google Scholar] [Crossref]
84. Ong, A. K. S., Kurata, Y. B., Castro, S. a. D., De et al. (2022). Factors influencing the acceptance of telemedicine in the Philippines. Technology in Society, 70, 102040. https://doi.org/10.1016/j.techsoc.2022.102040 [Google Scholar] [Crossref]
85. Ogbewele, N. E. G., Mbata, N. a. O., & Nwosu, N. N. T. (2024). Advancing pharmaceutical care in rural and underserved communities: Strategies for improving global healthcare access. International Journal of Applied Research in Social Sciences, 6(10), 2447–2461.https://doi.org/10.51594/ijarss.v6i10.1641 [Google Scholar] [Crossref]
86. Okeke A.A, Ameh C.O, Omeje A.C, Dombin D.T (2024). Assessment of Pharmacists’ Knowledge, Attitudes, Barriers and Readiness in Implementing Pharmaceutical Care in Lagos State, Nigeria, Nigerian Journal of Pharmacy, https://doi.org/10.51412/psnnjp.2024.13 [Google Scholar] [Crossref]
87. Othman M.I., Najib M.N.M., Sulaiman S. (2023). Drug Dispensing and Counselling:Challenges and Practices in Patient-Pharmacist Communication,International Journal of Academic Research in Progressive Education and Development 12(2):2226-6348, DOI: 10.6007/IJARPED/v12-i2/16802 [Google Scholar] [Crossref]
88. Panganiban JMS, Loreche AM, De Mesa RYH et al. (2024). Promoting equitable and patient-centred care: an analysis of patient satisfaction in urban, rural and remote primary care sites in the Philippines. BMJ Open Qual. Mar 5;13(1):e002483. doi: 10.1136/bmjoq-2023-002483. PMID: 38448041;PMCID: PMC10916135. [Google Scholar] [Crossref]
89. Renn BN, Hoeft TJ, Lee HS, Bauer AM and Areán PA. (2019). Preference for in person psychotherapy versus digital psychotherapy options for depression: survey of adults in the U.S. NPJ Digit Med; 2: 6. doi: 10.1038/s41746-019 0077-1 [Google Scholar] [Crossref]
90. Quan-Haase A, Harper MG, Wellman B. (2021). The role of communication technology across the life course: A field guide to social support in East York. J Soc Pers Relat. 2021 Dec;38(12):3497-3517. doi: 10.1177/02654075211056898. Epub Nov 19. PMID: 35431394;PMCID: PMC9006389. [Google Scholar] [Crossref]
91. Rehman U, Sohail A. (2023). Exploring the Role of Verbal and Non-verbal Communication Skills of Nursing in Patients Healing. [Google Scholar] [Crossref]
92. Sdistef. (2025, February 25). Strength in collaboration: nurse practitioner and pharmacist care models. Johns Hopkins School of Nursing.https://nursing.jhu.edu/magazine/articles/2025/01/strength-in collaboration-nurse-practitioner-and-pharmacist-care-models/ [Google Scholar] [Crossref]
93. Sheehan, J., Laver, K., Bhopti, A., Rahja, M., Usherwood, T., Clemson, L., & Lannin, N. A. (2021). Methods and Effectiveness of Communication between hospital allied health and primary care Practitioners: A Systematic Narrative review. Journal of Multidisciplinary Healthcare, Volume 14, 493 511. https://doi.org/10.2147/jmdh.s295549 [Google Scholar] [Crossref]
94. Santos JP, Abad JC, Aldea AA, Itay SD, Laureta VVO, Tadena RA, Turingan RA, Catacutan KJA, Tindowen DJC. Health System Responsiveness of Rural Health Units in the Cagayan Valley Region: A Cross-sectional Study. Acta Med Philipp. 2025 Jul 15;59(9):72-82. doi: 10.47895/amp.vi0.9808. PMID: 40809703; PMCID: PMC12340446. [Google Scholar] [Crossref]
95. Serafica, R., Reyes, A. T., Cacciata, M. C., Kawi, J., Leyva, E. W. A., Sy, F. S., & Evangelista, L. S. (2024). Bridging the gap: reducing health inequities in access to preventive health care services in rural communities in the Philippines. Journal of Transcultural Nursing, 36(1), 24–33.https://doi.org/10.1177/10436596241271270 [Google Scholar] [Crossref]
96. Sousa Pinto G, Hung M, Okoya F, Uzman N. (2021). FIP's response to the COVID 19 pandemic: Global pharmacy rises to the challenge. Res Social Adm Pharm.;17(1):1929-1933. [Google Scholar] [Crossref]
97. Speziale, H.J. and Carpenter, D.R. (2007). Qualitative Research in Nursing:Advancing the Humanistic Imperative, (4th ed.). Philadelphia. Lippincott, Williams and Wilkins [Google Scholar] [Crossref]
98. Sharkiya, S.H. (2023). Quality communication can improve patient-centred health outcomes among older patients: a rapid review. BMC Health Serv Res 23, 886 https://doi.org/10.1186/s12913-023-09869-8 [Google Scholar] [Crossref]
99. Saito, S., Harris, M.F., Long, K.M. et al. (2021). Response to language barriers with patients from refugee background in general practice in Australia: findings from the OPTIMISE study. BMC Health Serv Res 21, 921 https://doi.org/10.1186/s12913-021-06884-5 [Google Scholar] [Crossref]
100. Smith, J. A., & Fieldsend, M. (2021). Interpretative phenomenological analysis. In P. M. Camic (Ed.), Qualitative research in psychology: Expanding perspectives in methodology and design (2nd ed., pp. 147–166). American Psychological Association. https://doi.org/10.1037/0000252-008 [Google Scholar] [Crossref]
101. Shrestha S, Iqbal A, Teoh S.L et al. (2024). Impact of Pharmacist-delivered Interventions on Pain-related Outcomes: An Umbrella Review of Systematic Reviews and Meta-analyses. Research in Social and Administration, DOI: 10.1016/i.saphram.2024.03.005 [Google Scholar] [Crossref]
102. Sarmiento R.F R, Overgaard S.M, Gai C et al.(2025).Guiding responsible AI in healthcare in the Philippine [Google Scholar] [Crossref]
103. Tan A. C. W, Emmerton L, Hattingh L (2012). A review of the medication pathway in rural Queensland, Australia. International Journal of Pharmacy Practice 20(5):324-39, DOI: 10.1111/j.2042-7174.2012.00193.x [Google Scholar] [Crossref]
104. Tolabing, M. C. C., Co, K. C. D., Mendoza, O. M., Mira, N. R. C., Quizon, R. R., Tempongko, M. S. B., Mamangon, M. a. M., Salido, I. T. O., & Chang, P. W. (2022). Prevalence of limited health literacy in the Philippines: First national survey. HLRP Health Literacy Research and Practice, 6(2).https://doi.org/10.3928/24748307-20220419-01 [Google Scholar] [Crossref]
105. Terry, D., Phan, H., Peck, B. et al. (2021). Factors contributing to the recruitment and retention of rural pharmacist workforce: a systematic review. BMC Health Serv Res 21, 1052 https://doi.org/10.1186/s12913-021 07072-1 [Google Scholar] [Crossref]
106. Tan-Lim CSC, Marfori JRA, Sanchez JT, et al. (2024). Role of mixed healthcare providers networks in strengthening primary care systems: a case study of a rural primary care site. BMJ Open Qual. 2024 Sep 24;13(3):e002786. doi: 10.1136/bmjoq--002786. PMID: 39317471; PMCID: PMC11423753. [Google Scholar] [Crossref]
107. Tamara F, Robin R, et al (2023). Barriers and facilitators experienced by migrants and refugees when accessing pharmaceutical care: A scoping review. Research in Social and Administrative Pharmacy.19 (7) pp 977-988 [Google Scholar] [Crossref]
108. Viegas R, Dineen-Griffin S, Guiu J.M et al (2022). Tele-pharmacy and pharmaceutical care: A narrative review by international pharmaceutical federation [Google Scholar] [Crossref]
109. Varkey, B. (2020). Principles of Clinical Ethics and Their Application to Practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119 [Google Scholar] [Crossref]
110. Waszyk-Nowaczyk, M., Guzenda, W., Kamasa, K., Pawlak, K., Bałtruszewicz, N., Artyszuk, K., … Merks, P. (2021). Cooperation Between Pharmacists and Physicians – Whether It Was Before and is It Still Ongoing During the Pandemic? Journal of Multidisciplinary Healthcare, 14, 2101–2110.https://doi.org/10.2147/JMDH.S318480 [Google Scholar] [Crossref]
111. Wang, D., Liu, C., Liu, C., Wang, X., & Zhang, X. (2020). Improving pharmacist patient communications based on King’s theory of goal attainment: Study protocol for a cluster randomized controlled trial. Research in Social and Administrative Pharmacy, 17(3), 625–631.https://doi.org/10.1016/j.sapharm.2020.05.013 [Google Scholar] [Crossref]
112. Wilson, M. M., Devasahayam, A. J., Pollock, N. J., Dubrowski, A., & Renouf, T. (2021). Rural family physician perspectives on communication with urban specialists: a qualitative study. BMJ Open, 11(5), e043470. https://doi.org/10.1136/bmjopen-2020-043470 [Google Scholar] [Crossref]
113. Wirihana, L., Welch, A., Williamson, M., Christensen, M., Bakon, S., & Craft, J. (2018). Using Colaizzi’s method of data analysis to explore the experiences of nurse academics teaching on satellite campuses. Nurse Researcher, 25(4), 30–34. https://doi.org/10.7748/nr.2018.e1516 [Google Scholar] [Crossref]
114. Zhao L, Echeverria V, Tan Y et al. (2024). Ordered Networked Analysis of Multimodal Data in Healthcare Simulations: Dissecting Team Communication Tactics, DOI: 102123/rs.3r. s-4916976/v1 [Google Scholar] [Crossref]
115. A Review on Usage of Digital Health Literacy to Combat Antibiotic Misuse and Misinformation in Nigeria: Review Article. (2025). Journal of Pharma Insights and Research, 3(2), 258-269. https://doi.org/10.69613/dja1jc18 [Google Scholar] [Crossref]
116. The U.S. Department of Health and Human Services. Disparities: Healthy People 2020. (2021). Available online at: https://www.healthypeople.gov/2020/about/foundation-health measures/Disparities [Google Scholar] [Crossref]
117. The Pharmacists’ Patient Care Process - JCPP. (2025, August 20). JCPP. https://jcpp.net/patient-care-process/Google Search. (n.d.-b). [Google Scholar] [Crossref]
118. https://www.google.com/search?q=what+is+rural+health+unit+&sca_esv= [Google Scholar] [Crossref]
119. Rural pharmacy and Prescription Drugs Overview - Rural Health Information Hub. (n.d.). https://www.ruralhealthinfo.org/topics/pharmacy-and-prescription-drugs#access [Google Scholar] [Crossref]
120. World Health Organization: WHO. (2024, September 20). Advancing the role of pharmacists to meet changing patient and health system needs. https://www.who.int/europe/news-room/feature-stories/item/advancing-the-role-of-pharmacists-to-meet-changing-patient-and-health-system-needs [Google Scholar] [Crossref]
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