ArticleHealthcare (Basel, Switzerland)2026
Collaborative Practice in Oral Nutritional Supplement Provision: The Critical Role of Pharmacists in the Patient Journey.
Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND/
objectivesDisease-related malnutrition affects millions of patients worldwide. Nutrition support therapy (NST), namely oral nutritional supplements (ONSs), serve as a cornerstone therapeutic intervention. However, treatment effectiveness depends not only on an appropriate prescription but also on patient acceptance and adherence. This study evaluates the provision pathway of ONSs within a co-payment healthcare system, focusing on patient acceptance patterns, barriers to adherence, and the critical yet underexplored role of pharmacist-patient interactions in determining treatment outcomes.
methodsA cross-sectional observational study was conducted across 100 Croatian community pharmacies during September-October 2025. Pharmacists prospectively documented 973 patient encounters involving ONS prescriptions requiring co-payment using real-time patient record forms. Data captured patient demographics, diagnoses, prescription patterns, prior knowledge of co-payment requirements, acceptance responses, and pharmacist-assessed reasons for refusal.
resultsWhile 65% of all patients knew about co-payment requirements in advance, 51% of first-time users arrived uninformed, leading to dramatically different acceptance patterns (93% immediate acceptance when informed versus 33% when uninformed,
conclusionsThese findings suggest that the pharmacy dispensing encounter is an important decision point in the ONS care pathway, where insufficient preparation and coordination may be associated with suboptimal treatment outcomes among vulnerable patient populations. Improved prescriber-patient communication about co-payment and clinical rationale, pharmacist education in disease-specific nutrition and ONS counseling, and structured communication protocols between prescribers and pharmacists represent areas that may warrant further attention and evaluation.
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