Attributes of centralized health-system specialty pharmacy clinics: A scoping review using the Donabedian model

Clicks: 1
ID: 319557
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #141 of 143 articles by views in American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 143 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Purpose Centralized health-system specialty pharmacy (cHSSP) clinics are an emerging model in which pharmacists operate independently from individual specialty clinics and manage the use of specialty medications. As more health systems adopt cHSSP models, there is a need to understand the foundational components that support their effectiveness. This scoping review aimed to identify and synthesize reported structures, processes, and outcomes of cHSSP clinics using the Donabedian model as a guiding framework. Methods A literature search of PubMed was conducted for primary, peer-reviewed articles published between January 2014 and July 2024. Articles were included if they described US-based cHSSP clinics that operated independently from interprofessional specialty teams and provided clinical services related to specialty medication management. Results A total of 24 articles met the inclusion criteria. Structural elements included staffing with ambulatory care–trained pharmacists, use of scheduling assistants and pharmacy technicians, electronic health record access, and varied scopes of pharmacist prescribing authority. Key processes involved benefits coordination, prior authorization, disease state monitoring, adherence counseling, and care coordination. Reported outcomes included improved medication adherence and persistence, patient satisfaction, disease state control, cost containment, and medical provider satisfaction. Conclusion This review highlights the variability, adaptability, and promising outcomes associated with cHSSP clinics and provides a foundation for future implementation and evaluation of these models in health systems.
Reference Key
openalex_W7167206452 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Tyler James McCarthy, Amanda Margolis, Grayson Cooley, Tyler Albright, David A. Mott, Betty Chewning
Journal American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
Year 2026
DOI
10.1093/ajhp/zxag199
URL
https://doi.org/10.1093/ajhp/zxag199
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.