Factors Facilitating and Hindering Development of a Medication Use Review Service in Eastern Europe and Iran-Cross-Sectional Exploratory Study

Polypharmacy is a common issue in patients with chronic diseases. Eastern-European countries and Iran are exploring possibilities for implementing the Medication Use Review (MUR) as measure optimizing medication use ensuring safety polypharmacy patients. The aim of this study was to gain insights into development community pharmacy sector map facilitators barriers MUR Eastern Europe Iran. representatives framework received questionnaire on indicators, current future developments pharmacies, factors encouraging hindering MUR. To answer questionnaire, all performed document analysis, literature review, qualitative interviews key stakeholders. socio-ecological model used inductive thematic analysis identified factors. Current pharmacist competencies were more related traditional services. Main increase pharmaceutical waste, access patients’ electronic list medications by pharmacists. included service being unfamiliar, lack funding private consultation areas. Pharmacists well-placed provide MUR, however, needs introduction mostly organizational public policy levels must be addressed.