Hikaka Joanna, Haua Robert
Ngā Kaitiaki o Te Puna Rongoā o Aotearoa- The Māori Pharmacists' Association, New Zealand.
Explor Res Clin Soc Pharm. 2022 Aug 23;7:100174. doi: 10.1016/j.rcsop.2022.100174. eCollection 2022 Sep.
Pharmacist minor ailment services (PMAS) are formalised services which remunerate pharmacists for delivering care and providing medicines used to treat minor ailments such as hayfever, musculoskeletal pain, head lice and constipation. PMAS have been postulated to improve medicines access equity yet there is little evidence to suggest that equitable health outcomes from PMAS have been achieved in those countries where these services have been initiated. Systematic reviews are regarded as the gold standard in assessing evidence of outcome effectiveness, including equity of outcomes. Our research team developed a systematic search strategy and review protocol to examine ethnic variation in PMAS outcomes. No results were returned, even with the inclusion of grey literature, and therefore the impact of PMAS on ethnic equity could not be examined. This commentary discusses the potential for PMAS to achieve medicines access equity and the role of empty reviews in identifying gaps in the literature and advocating for equity.
药剂师小病服务（PMAS）是一种正式服务，为药剂师提供治疗花粉热、肌肉骨骼疼痛、头虱和便秘等小病的护理及药品发放工作给予报酬。有人认为PMAS有助于改善药品获取公平性，但在已开展这些服务的国家，几乎没有证据表明PMAS实现了公平的健康结果。系统评价被视为评估结果有效性证据（包括结果公平性）的金标准。我们的研究团队制定了系统检索策略和综述方案，以研究PMAS结果中的种族差异。即便纳入灰色文献，仍未检索到相关结果，因此无法考察PMAS对种族公平性的影响。本评论探讨了PMAS实现药品获取公平性的潜力，以及空洞综述在识别文献空白和倡导公平方面的作用。
