Pharmacists' clinical activities and impact on the care of incarcerated people at correctional settings : a scoping review protocol
Bibliographic record
Abstract
INTRODUCTION: There are around 11 million people incarcerated worldwide. Due to social vulnerability and the issues surrounding the correctional system, this population is more susceptible to infectious diseases (such as HIV/AIDS, HCV, and tuberculosis) and the development of noncommunicable chronic conditions (including diabetes mellitus, hypertension, and mental disorders). As part of the healthcare team, pharmacists can provide clinical services to help inmate-patients achieve optimal health outcomes while minimizing the risk of harm. OBJECTIVE: To map and synthesize the evidence regarding the clinical activities provided by pharmacists and their impact on outcomes of care for incarcerated individuals in correctional settings. MATERIALS E METHODS: This scoping review was conducted following the recommendations of the PRISMA-ScR. The search was conducted in PubMed, Scopus, and LILACS databases up to July 30, 2024. Gray literature was explored (Google Scholar), and references of included articles were also reviewed. Articles focusing on pharmacists' clinical activities in correctional facilities were selected, excluding survey studies, book chapters, dissertations and thesis, editorials, literature reviews, guidelines, papers published before 2000, and 1f written in languages other than English or Portuguese. Using the Rayyan QCRI software, duplicates were removed, and a first screening was conducted by two assessors independently reviewing titles and abstracts, followed by a second screening involving full-text reviews, with all disagreements resolved by the advisor. For each included article, data such as author, year, clinical activities, and the pharmacists' impact were extracted. RESULTS: The literature search identified 894 studies, leading to the inclusion of 20 articles published from 2010 to 2023 that met the criteria for||this review. All the articles included originated from high-income countries, with most articles were from the USA (65%), and some from Canada, France, and Ireland. The studies primarily involved correctional settings, at any level of structure or territorial and administrative organization, with varying population profiles, primarily adult males. Health issues focused on infectious diseases like HIV/AIDS and HCV, as well as chronic conditions such as diabetes, and mental disorders. Pharmacists conducted various clinical activities, notably medication management and patient education. Fourteen studies reported positive outcomes related to pharmacists' roles in identifying drug interactions and advising on treatments. The impact of pharmacists on care outcomes was significant, demonstrating improvements in patient health and treatment effectiveness. CONCLUSION: This scoping review highlights the role of pharmacist on the care of the incarcerated population, focusing on medication management, patient education, and collaborative practice. Pharmacist-led interventions improved health outcomes for incarcerated individuals, particularly for conditions like diabetes and HIV/AIDS, similar to those in non-incarcerated populations. It emphasizes the need for more research in low- and middle-income countries and on women's health issues and other prevalent conditions in prisons
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.077 | 0.058 |
| Meta-epidemiology (narrow) | 0.005 | 0.005 |
| Meta-epidemiology (broad) | 0.012 | 0.013 |
| Bibliometrics | 0.025 | 0.017 |
| Science and technology studies | 0.004 | 0.004 |
| Scholarly communication | 0.008 | 0.007 |
| Open science | 0.006 | 0.007 |
| Research integrity | 0.008 | 0.004 |
| Insufficient payload (model declined to judge) | 0.043 | 0.007 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".