Confronting inequities: A scoping review of the literature on pharmacist practice and health-related disparities

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• 作者：Lisa M. Wenger ; Ph.D.^a ; ^{lisawenger@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Meagen Rosenthal ; Ph.D.^b ; Jane Pearson Sharpe ; B.Sc.^a ; Nancy Waite ; Pharm.D. ; F.C.C.P.^a
• 关键词：Pharmacy practice ; Health disparities ; Health care disparities ; Stigma ; Bias ; Marginalized groups
• 刊名：Research in Social and Administrative Pharmacy
• 出版年：2016
• 出版时间：March-April 2016
• 年：2016
• 卷：12
• 期：2
• 页码：175-217
• 全文大小：748 K

文摘

An expanding body of literature is exploring the presence and impact of health and health care disparities among marginalized populations. This research challenges policy makers, health professionals, and scholars to examine how unjust and avoidable inequities are created at the societal, institutional, and individual level, and explore strategies for mitigating challenges.

Objectives

Recognizing the significance of this broader conversation, this scoping review provides an overview of pharmacy-specific research attentive to health-related disparities.

Methods

Following Arksey and O'Malley's framework, a rigorous screening process yielded 93 peer-reviewed and 23 grey literature articles, each analyzed for core themes.

Results

Lending critical insight to how pharmacy practice researchers are conceptualizing and measuring health inequities, this review highlights three paths of inquiry evident across this literature, including research focused on what pharmacists know about marginalized groups, how pharmacists perceive these groups, and how they provide services. Striving to drive research and practice forward, this review details research gaps and opportunities, including a need to expand the scope of research and integrate knowledge.

Conclusions

As pharmacists endeavor to provide equitable and impactful patient care, it is essential to understand challenges, and build strong evidence for meaningful action.