Community pharmacists’ perceptions towards independent prescribing in Iraq: a qualitative study

The role of pharmacists has evolved beyond traditional dispensing to encompass clinical and patient-centered activities, including medicine optimization, health promotion, and independent prescribing. Community pharmacists, often the first point of contact for healthcare advice, are well positioned to support healthcare systems through the development of prescribing roles. This qualitative study explored the attitudes of community pharmacists in Iraq toward the implementation of independent prescribing and its potential impact on patient care and healthcare delivery. Semi-structured interviews were conducted with 10 community pharmacists. Thematic analysis indicated broad support for independent prescribing, particularly for the management of uncomplicated conditions. Perceived benefits included improved patient access to care, reduced waiting times, cost savings, and decreased workload for physicians. However, several challenges were identified, including limited clinical training, resistance from physicians, a lack of clear regulatory frameworks, and variability in community pharmacy infrastructure. Overall, community pharmacists viewed independent prescribing positively, recognizing its potential as a significant advancement and an opportunity to enhance healthcare delivery in Iraq.