Role of the Pharmacist for Improving Self-care and Outcomes in Heart Failure

Daya Ram Parajuli, Julie Franzon, Ross A. McKinnon, Sepehr Shakib, Robyn A. Clark

Research output: Contribution to journalReview articlepeer-review

16 Citations (Scopus)


Purpose of Review: This review highlights the current and emerging approaches for the role of the pharmacist for improving self-care and outcomes in heart failure management. Recent Findings: Pharmacists are contributing to heart failure management in a variety of settings, including hospitals, clinics, and communities. Different interventions which may be mediated by the pharmacist include drug adherence, discharge counseling, medication reconciliation, telephone follow-up, and recommendation of evidence-based medicines. Summary: Pharmacist engagement in heart failure management has demonstrated improved drug adherence, readmission rates, medication management, self-care ability, patient satisfaction, and heart failure knowledge. Some findings are mixed, especially for readmission rates. Improved medication management was reported in nearly all studies, despite significant heterogeneity in the models of care, patient populations, and study designs. This review highlights the requirement for large randomized trials with extended follow-up to confirm the impact of the role of the pharmacist in HF self-care, particularly through multidisciplinary-based interventions.

Original languageEnglish
Pages (from-to)78-86
Number of pages9
JournalCurrent Heart Failure Reports
Issue number2
Publication statusPublished or Issued - 1 Apr 2017


  • Discharge counseling
  • Heart failure
  • Medication adherence
  • Pharmacist
  • Readmission
  • Self-care

ASJC Scopus subject areas

  • Emergency Medicine
  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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