The effects of community pharmacy-delivered public health interventions on population health and health inequalities: A review of reviews

PREVENTIVE MEDICINE

卷:124

Review

Thomson, Katie^1,2  Hillier-Brown, Frances^2,3  Walton, Nick^1,2,4  Bilaj, Mirza⁵  Bambra, Clare^1,2  Todd, Adam^1,2,4 

[1] Newcastle Univ, Fac Med Sci, Inst Hlth & Soc, Baddiley Clark Bldg, Newcastle Upon Tyne NE2 4AX, Tyne & Wear, England

[2] Fuse UKCRC Ctr Translat Res Publ Hlth, Newcastle Upon Tyne, Tyne & Wear, England

[3] Univ Durham, Dept Sport & Exercise Sci, Durham DH1 3HN, England

[4] Newcastle Univ, Fac Med Sci, Sch Pharm, King George VI Bldg,Kings Rd, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England

[5] Norwegian Univ Sci & Technol, Dept Sociol & Polit Sci, Ctr Global Hlth Inequal Res CHAIN, Trondheim, Norway

关键词: Community pharmacy;    Prevention;    Health promotion;    Public health;    Health and health inequalities;    Umbrella systematic review;   

DOI  :  10.1016/j.ypmed.2019.04.003

来源: Elsevier

【 摘 要 】

Community pharmacies have great potential to deliver services aimed at promoting health and preventing disease, and are well placed in deprived communities. This review of reviews aimed to assess the effectiveness of community pharmacy-delivered public health services and assess how they impact on inequalities in health using PROGRESS-Plus characteristics. Twenty databases were searched from their start date until January 2018. The quality of the included articles was determined using the Assessment of Multiple Systematic Reviews tool (AMSTAR 2). Fifteen systematic reviews were identified reporting 157 unique primary studies. There were a number of community pharmacy initiatives with positive intervention effects on health outcomes. These services were predominantly focused on primary disease prevention, and included smoking cessation, weight management programmes, syringe exchange programmes, and inoculation services. This review supports the development of some community pharmacy public health services. At present, little is known how community pharmacy-delivered public health interventions impact on health inequalities. It would be prudent for future studies to address this by explicitly reporting outcomes according to the PROGRESS-Plus framework.

【 授权许可】

Free