Factors Influencing the Implementation of Home Medication Review: A Scoping Review

Aim: This scoping review aims to determine the factors affecting the effective implementation of HMR. Data Sources: The PRISMA Extension for Scoping Reviews (PRISMA-ScR) and Arksey and O’Malley’s method act as the groundwork in guiding this scoping review. Three electronic databases (PubMed, Scopus, Web of Science) were systematically searched from inception to 31 March 2025 to identify relevant articles. Search terms included combinations of keywords related to “Home Medication Review,” “Home Medicine Review,” and “Home Care Pharmacy Service” using Boolean operators “OR.” Study Selection and Data Extraction: Studies were included if they examined factors influencing the implementation of HMR services. Only articles published in English with accessible full texts were included. Extracted data were analyzed thematically, and a concept map was developed to summarize these factors. Data synthesis: A total of 261 articles were identified, and after removing duplicates, 227 were screened for eligibility. 42 studies met the inclusion criteria. Nine key themes were identified and mapped to the WHO health system building blocks. Policy and program structure, as well as patient awareness and engagement being the most frequently reported. Most included studies were conducted in Australia. Conclusion: In conclusion, identifying and addressing these interrelated factors can guide policymaking as well as strategy development to enhance the effectiveness, accessibility, and sustainability of HMR programs.