Evidence map›Paper›PMID 42747740›Full record

ArticleInternational journal of clinical pharmacy2026

Pharmacists' role in recognising medication-related oral health risks in aged care: a qualitative study of pharmacists' and dentists' perspectives.

Joon Soo Park, Amy T Page, Estie Kruger, Woosung Sohn, Bradley Christian, Arash Rudman

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Article in International journal of clinical pharmacy, 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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5 · Who and what money

Authors and funding

6 authors.

Joon Soo ParkSchool of Health and Clinical Sciences, The University of Western Australia, Crawley, WA, Australia. alex.park@uwa.edu.au.ORCID https://orcid.org/0000-0002-2052-558X
Amy T PageSchool of Health and Clinical Sciences, The University of Western Australia, Crawley, WA, Australia.
Estie KrugerSchool of Health and Clinical Sciences, The University of Western Australia, Crawley, WA, Australia.
Woosung SohnSchool of Dentistry, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Bradley ChristianSchool of Dentistry, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Arash RudmanSchool of Dentistry, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMedication-related oral health complications, including salivary gland hypofunction, xerostomia, dental caries, candidiasis, mucosal injury, and swallowing difficulties, are common among older adults exposed to polypharmacy across aged-care and broader clinical practice contexts. Pharmacists are increasingly involved in medication management in residential aged care and may be well positioned to support the earlier recognition of medication-related oral health risks. Despite this, previous literature suggests that oral health is often insufficiently integrated into medication management, interdisciplinary care pathways, and pharmacist education frameworks.

aimThis study aimed to explore pharmacists' and dentists' perspectives on pharmacists' role in recognising medication-related oral health risks in aged-care practice, including pharmacists' educational needs, interdisciplinary care considerations, and preferred implementation strategies for practical oral health resources.

methodA qualitative descriptive study was conducted in Australia using semi-structured interviews with pharmacists and dentists who had experience caring for older adults, managing polypharmacy, or working in aged-care-related practice. Participants were recruited using purposive sampling to capture a range of clinical perspectives across pharmacy and dental settings. Interviews were audio-recorded, transcribed verbatim, and analysed using reflexive thematic analysis.

resultsThree major themes were identified from thirteen participants (six dentists and seven pharmacists): limited formal preparation for medication-related oral health risks; reactive recognition of oral complications within fragmented care systems; and the need for practical, workflow-integrated resources to support pharmacists' involvement in oral health care. Participants described limited oral health education, delayed recognition of oral complications, unclear referral pathways, and poor interdisciplinary communication. Xerostomia was the most commonly recognised symptom, although participants demonstrated less consistent recognition of objective salivary gland hypofunction and its consequences, including dental caries, candidiasis, swallowing difficulties, and nutritional decline. Concise educational resources, decision-support tools, and electronic prompts were strongly preferred to support earlier recognition and referral within medication management workflows.

conclusionPharmacists and dentists described educational, interdisciplinary, and systems-level challenges affecting pharmacists' involvement in recognising and managing medication-related oral health risks in aged-care practice. Findings suggest that practical educational resources, clearer referral pathways, and stronger interdisciplinary collaboration may support pharmacists' involvement in recognising medication-related oral health risks among older adults with polypharmacy.

Indexed as

Aged careInterdisciplinary careMedication managementOral healthPolypharmacyQualitative research

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.