Overcoming challenges: implementing and scaling clinical pharmacy education and practice in the Republic of Srpska/Bosnia and Herzegovina

Kunitz SJ. The making and breaking of Yugoslavia and its impact on health. Am J Public Health. 2004;94:1894–904.

Article  PubMed  PubMed Central  Google Scholar 

WHO compendium of innovative health technologies for low-resource settings 2024. Geneva: World Health Organization; 2024. Licence: CC BY-NC-SA 3.0 IGO.

Čučković M, Drmić Ž, Pražetina M, et al. Epidemiological characteristics, baseline clinical features, and outcomes of critically ill patients treated in a coronavirus disease 2019 tertiary center in continental Croatia. Croat Med J. 2022;63:6–15.

Article  PubMed  PubMed Central  Google Scholar 

Kovacevic P. Can the terms “low resource setting” and “low-income country” be used interchangeably in the context of intensive care medicine? Intensive Care Med. 2023;49:1274–5.

Article  PubMed  Google Scholar 

Carter BL. Evolution of clinical pharmacy in the USA and future directions for patient care. Drugs Aging. 2016;33:169–77.

Article  PubMed  PubMed Central  Google Scholar 

Dreischulte T, van den Bemt B, Steurbaut S. European society of clinical pharmacy. European society of clinical pharmacy definition of the term clinical pharmacy and its relationship to pharmaceutical care: a position paper. Int J Clin Pharm. 2022;44:837–42.

Article  PubMed  PubMed Central  Google Scholar 

Bajcar J, Chin T, Chui W, et al. Development of a comprehensive clinical pharmacy workload documentation system. Can J Hosp Pharm. 1995;48:80–9.

CAS  PubMed  Google Scholar 

Santos Júnior GAD, Ramos SF, Pereira AM, et al. Perceived barriers to the implementation of clinical pharmacy services in a metropolis in Northeast Brazil. PLoS ONE. 2018;13: e0206115.

Article  PubMed  PubMed Central  Google Scholar 

Mosiane T, Nkonde K, Mahlatsi G, et al. A review on pharmacy practice in south africa-a higher education perspective. Pharmacy. 2022;11:3.

Article  PubMed  PubMed Central  Google Scholar 

Dong PTX, Trinh HT, Nguyen DH, et al. Implementing clinical pharmacy activities in hospital setting in Vietnam: current status from a national survey. BMC Health Serv Res. 2022;22:878.

Article  PubMed  PubMed Central  Google Scholar 

Dalton K, Byrne S. Role of the pharmacist in reducing healthcare costs: current insights. Integr Pharm Res Pract. 2017;6:37–46.

PubMed  PubMed Central  Google Scholar 

Stewart D, Gibson-Smith K, MacLure K, et al. A modified Delphi study to determine the level of consensus across the European Union on the structures, processes and desired outcomes of the management of polypharmacy in older people. PLoS ONE. 2017;12: e0188348.

Article  PubMed  PubMed Central  Google Scholar 

Mair A, Fernandez-Llimos F. Polypharmacy management programmes: the SIMPATHY Project. Eur J Hosp Pharm. 2017;24:5–6.

Article  PubMed  PubMed Central  Google Scholar 

Mas-Morey P, Ballesteros-Fernández A, Sanmartin-Mestre E, et al. Impact of clinical pharmacist intervention on antimicrobial use in a small 164-bed hospital. Eur J Hosp Pharm. 2018;25:e46–51.

Article  PubMed  Google Scholar 

Kilonzi M, Mutagonda RF, Mlyuka HJ, et al. Barriers and facilitators of integration of pharmacists in the provision of clinical pharmacy services in Tanzania. BMC Prim Care. 2023;24:1–9.

Article  Google Scholar 

Mwakawanga DL, Mutagonda RF, Mlyuka HJ, et al. Improving the provision of clinical pharmacy services in low- and middle-income countries: a qualitative study in tertiary health facilities in Tanzania. BMJ Public Health. 2025;3:e001776.

Article  PubMed  PubMed Central  Google Scholar 

Kovacevic P, Meyer FJ, Gajic O. Successful implementation of modern critical care in the low-resources country Bosnia and Herzegovina: single-center experience. Med Klin Intensivmed Notfmed. 2022;117:269–75.

Article  CAS  PubMed  Google Scholar 

Penm J, Moles R, Wang H, et al. Factors affecting the implementation of clinical pharmacy services in China. Qual Health Res. 2014;24:345–56.

Article  PubMed  Google Scholar 

Bilal AI, Tilahun Z, Gebretekle GB, et al. Current status, challenges and the way forward for clinical pharmacy service in Ethiopian public hospitals. BMC Health Serv Res. 2017;17:1–11.

Article  Google Scholar 

Urbańczyk K, Guntschnig S, Antoniadis V, et al. Recommendations for wider adoption of clinical pharmacy in Central and Eastern Europe in order to optimise pharmacotherapy and improve patient outcomes. Front Pharmacol. 2023;14:1244151.

Article  PubMed  PubMed Central  Google Scholar 

Meet our MSc Clinical Pharmacy, International Practice and Policy alumni. Available at https://www.ucl.ac.uk/pharmacy/study/why-study-ucl-school-pharmacy/meet-our-msc-clinical-pharmacy-international-practice-and-policy . Accessed 15 Mar 2025.

Kovacevic T, Miljkovic B, Mikov M, et al. The effect of hypoalbuminemia on the therapeutic concentracion and dosage of vancomycin in critically ill septic patients in low-resource countries. Dose Response. 2019;17:1559325819850419.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Kovačević T, Kovačević P, Tomić B, et al. An alternative approach to treatment of hypophosphatemia in nonsurgical critically ill patients in countries with limited resources. Dose Response. 2019;17:1559325819850421.

Article  PubMed  PubMed Central  Google Scholar 

Kovacevic T, Kovacevic SV, Stanetic M, et al. Impact of pharmacist’s intervention on decreasing erlotinib interactions in the treatment of lung cancer patients in low resource settings. J Oncol Pharm Pract. 2021;27(2):350–8.

Article  PubMed  Google Scholar 

Kovačević T, Savić Davidović M, Barišić V, et al. The role of a clinical pharmacist in the identification of potentially inadequate drugs prescribed to the geriatric population in low-resource settings using the Beers criteria: a pilot study. Pharmacy. 2024;12:84.

Article  PubMed  PubMed Central  Google Scholar 

Barišić V, Kovačević T, Kovačević P, et al. Medication discrepancies in patients after transition of care from intensive care unit to ward and at hospital discharge: a pilot study. Lat Am J Pharm. 2024;43:88–96.

Google Scholar 

Schulz M, Griese-Mammen N, Müller U. Clinical pharmacy services are reimbursed in Germany: challenges of real world implementation remain. Int J Clin Pharm. 2023;45:245–9.

Article  PubMed  Google Scholar 

Kilonzi M, Mutagonda RF, Mwakawanga DL, et al. Establishment of clinical pharmacy services: evidence-based information from stakeholders. Hum Resour Health. 2024;22:6.

Article  PubMed  PubMed Central  Google Scholar 

Stuhec M. Medication reconciliation and seamless care led by clinical pharmacists in Slovenia: a national reimbursed program ensuring safe and effective transition of care. Int J Clin Pharm. 2025;47:239–46.

Article  PubMed  Google Scholar 

Kovacevic P, Meyer FJ, Gajic O. Challenges, obstacles, and unknowns in implementing principles of modern intensive care medicine in low-resource settings: an insider’s perspective. Intensive Care Med. 2024;50:141–3.

Article  PubMed  Google Scholar 

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