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Pharmacy-based sexually transmitted infection service implementation considerations: A scoping review
Journal of the American Pharmacists Association : Japha
|March 7, 2024
Summary
Pharmacy-based services offer a promising solution to rising sexually transmitted infections (STIs). Patients and pharmacists find these STI services accessible and feasible, though privacy and recruitment strategies need development.
Area of Science:
- Public Health
- Pharmacy Practice
- Infectious Diseases
Background:
- Sexually transmitted infections (STIs) rates are increasing, indicating a care gap in traditional healthcare.
- Pharmacy-based clinical services present a potential avenue to enhance STI management and accessibility.
Purpose of the Study:
- To review and synthesize research on the implementation of pharmacy-based STI services.
- Focus on program characteristics, barriers, facilitators, and experiences of pharmacists and patients.
Main Methods:
- Systematic literature search of PubMed, Embase, and Cochrane Database of Systematic Reviews.
- Included studies evaluated STI expanded-scope clinical services by pharmacists in community pharmacies.
Main Results:
- Twelve studies (11 cross-sectional, 1 RCT) focused on chlamydia screening; some included treatment and partner treatment.
- Patients reported positive experiences, accessibility, and trust in pharmacists.
- Pharmacists found services important and feasible; key barriers included patient privacy, stigma, recruitment, and remuneration.
Conclusions:
- Pharmacy-based STI services are perceived as acceptable and feasible by both patients and pharmacists.
- Further research and strategic planning are needed to address barriers like privacy, recruitment, training, and pharmacist compensation for successful implementation.
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