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All Journal Journal of Information Systems Engineering and Business Intelligence UNEJ e-Proceeding JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Smart Medical Journal JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Jurnal Ilmu Kefarmasian Indonesia Jurnal Insan Farmasi Indonesia Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Jurnal Bakti Untuk Negeri Journal of Public Health and Pharmacy Borneo Journal of Pharmacy Jurnal Pengabdian Masyarakat Ilmu Kesehatan
Umi Athiyah
Departemen Farmasi Komunitas, Fakultas Farmasi Universitas Airlangga
Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health Other

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The Enablers and Barriers of Down-Scheduling Medicine Policies: A Systematic Review Dewi, Ayu Candra; Hermansyah, Andi; Athiyah, Umi
Smart Medical Journal Vol 8, No 2 (2025): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v8i2.104493

Abstract

Introduction: Down-scheduling medicine policies aim to increase the availability of medicines by reclassifying certain prescription-only medicines to non-prescription classification. While these policies offer potential benefits, there is limited knowledge about the factors that enable or hinder their implementation.Methods: A systematic review of English language published literature from 2013-2024 was conducted. The literature was retrieved through web including PubMed, Scopus, Science Direct, Google Scholar, Cochrane, and Cinahl. The review focused on studies that explored the enablers and barriers to down-scheduling policies, with the keywords “drug reclassification" OR "medicine reclassification" OR "drug switching" OR "medicine switching" OR "drug down scheduling" OR "medicine down scheduling" OR "Rx-to-OTC".Results: A total of twenty-two eligible studies were identified. The analysis revealed that supportive policymakers, clear and transparent regulatory frameworks, positive perceptions of pharmacists, increased consumer awareness, and support from medical professionals are key enablers of successful down-scheduling policies. Conversely, risk-averse regulators and pharmacists' lack of confidence in self-medication emerged as significant barriers.Conclusion: Down-scheduling has been progressively implemented worldwide, enhancing consumer access to medicines and encouraging self-care. Nevertheless, regulatory challenges and concerns about safety and misuse continue to impede the broader adoption of such policies. Continuous evaluation, training, and regulatory clarity are essential for optimizing the benefits of down-scheduling policy. 
Co-Authors Abdul Rahem ABDUL RAHEM Abdul Rahem Abdul Rahem, Abdul Ana Yuda Andi Hermansyah Andi Hermansyah Arie Sulistyarini Ayu Candra Dewi, Ayu Candra Ayu, Welinda Dyah Bambang Subakti Z Bambang Subakti Zulkarnain Budiatin, Aniek Setiya Chrismawan Ardianto Diajeng Putri Kinanti Elida Zairina Farida Ifadotunnikmah Gesnita Nugraheni Gesnita Nugraheny Gusti Noorrizka V Gusti Noorrizka Veronika Achmad Gusti Noorrizka Veronika Ahmad Hanni Prihhastuti Puspitasari Hermansyah, Andi I Nyoman Widjaja I NYOMAN WIJAYA Ira Puspitasari Lestiono Lestiono Lichijati Lichijati Liza Pristianty Mahardian Rahmadi Mohd Ali, Adliah Binti Mufarrihah, Mufarrihah Muhammad Noor Diansyah Muhammad Thariq Nadhafi Musdar, Tamzil Azizi Noorrizka V, Gusti Purwitasari, Neny Rahayu, Titik Puji Rinda, Agnes Christie Riza Alfian SETIAWAN, Catur Dian Sri Dias Tuti SUHARTONO SUHARTONO Sukorini, Anila Impian Sumarno Sumarno . Thinni Nurul Rochmah Toetik Aryani VANNINA AGUSTINI Wahono Sumaryono Wahyu Utami Wahyu Utami Wahyu Utami, Wahyu Wahyuri Wahyuri YOHANES WAHYU WALUYO Yuni Priyandani Yuniarti Suryatinah Yunita Nita Zulkamain, Bambang Subakti