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The effects of community pharmacy public health interventions on health and health inequalities

Lookup NU author(s): Dr Adam Todd, Dr Frances Hillier-Brown, Dr Katie Thomson, Nick Walton, Professor Clare Bambra

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This is the authors' accepted manuscript of a conference proceedings (inc. abstract) that has been published in its final definitive form by Oxford Academic, 2017.

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Abstract

BackgroundCommunity pharmacies have been identified globally as an easily accessible and cost-effective platform for delivering services aimed at promoting health and preventing disease. In the light of a rapid increase in community pharmacy delivered public health services and an accompanying increase in the evidence-base, this umbrella review aimed to synthesise systematic reviews of community pharmacy public health interventions and assess their effects on population health and health inequalities.MethodsSystematic review methodology was used to used to locate, appraise and synthesise published systematic review level evidence on the effects of community pharmacy delivered interventions on health and inequalities in health. Twenty databases were searched from the start date until January 2017. The quality of the included articles was determined using the Assessment of Multiple Systematic Reviews tool (AMSTAR). Primary outcomes were conceptualised according to he Hardeman framework, and included determinants of behaviour, behavioural outcomes, physiology and biochemical outcomes, and health outcomes.ResultsTwelve systematic reviews met the inclusion criteria, and were included within the Umbrella review. The reviews summarised evidence from a variety of different community pharmacy delivered interventions including those targeting smoking, obesity, alcohol misuse, cardiovascular disease, sexual health, and cancer. Results were mixed and reviews were generally of low quality; however, there is some evidence to suggest community pharmacy delivered interventions are more effective when compared to usual care (a non-active control), although there was minimal evidence related to how such interventions target different populations and, accordingly, how they impact on inequalities in health.ConclusionsThis umbrella review has identified several community pharmacy public health interventions that could be delivered to improve health.


Publication metadata

Author(s): Todd A, Hillier-Brown F, Thomson K, Balaj M, Walton N, Bambra C

Publication type: Conference Proceedings (inc. Abstract)

Publication status: Published

Conference Name: 10th European Public Health Conference

Year of Conference: 2017

Pages: 72

Online publication date: 20/10/2017

Acceptance date: 20/10/2017

Date deposited: 12/07/2019

Publisher: Oxford Academic

URL: https://doi.org/10.1093/eurpub/ckx187.186

DOI: 10.1093/eurpub/ckx187.186

Series Title: European Journal of Public Health


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