社区药剂师和改善避孕准入:避孕咨询与分发避孕药之间的关系
Lucille M Abrams1, Kevin A Look1
1University of Wisconsin-Madison, School of Pharmacy, Rennebohm Hall, 777 Highland Ave, Madison, WI, 53705, USA.
Research in social & administrative pharmacy : RSAP
|September 14, 2023
概括
获得避孕咨询和服务的机会因患者人口统计学而异. 药剂师可以改善医疗补助的获取,特别是对有医疗补助的妇女来说,但差距仍然存在,突出了政策变革的必要性.
科学领域:
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在生育年龄的妇女中,获得避孕护理的机会是不平等的,受教育,种族,种族和保险的影响.
- 社区药剂师是改善避孕措施获取的关键,特别是在药剂师处方和非处方 (OTC) 获取的州.
研究的目的:
- 检查患者人口统计学 (教育,种族,种族,保险) 和提供者一致性如何影响避孕咨询.
- 为了确定接受咨询是否会影响药剂师分发避孕药.
主要方法:
- 利用皮尔森千平方测试和逻辑回归来分析数据.
- 影响避孕辅导和随后发放的研究因素.
主要成果:
- 老年妇女和那些有医疗补助的人不太可能接受咨询.
- 咨询和教育水平预测了避孕药的发行;种族,种族,医疗补助和婚姻状况与负相关.
- 种族一致性没有影响咨询的可能性.
结论:
- 对于各种女性和医疗补助计划的保险人来说,在获得避孕护理方面存在重大不平等.
- 政策变化,比如OTC口服避孕药和药剂师处方,可以增强药剂师在提供护理方面的作用,特别是对于那些缺乏初级保健服务的人.
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