一个由利益相关者开发的逻辑模型,以改善犹他州药房处方避孕的使用情况
Rebecca G Simmons1,2, Jami Baayd3, Casey Tak3
1University of Utah, 201 President's Circle, Salt Lake City, UT, USA. rebecca.simmons@hsc.utah.edu.
Implementation science communications
|October 11, 2023
概括
药剂师可以在美国20个州处方荷尔蒙避孕药,但获得权限有限. 这项研究发现了成本和缺乏意识等障碍,并提出了基于技术的选器和转介网络等解决方案,以改善药房避孕服务.
科学领域:
- 生殖健康 生殖健康
- 实施科学 实施科学
- 药房实践 在药房实践.
背景情况:
- 美国有20个州允许药剂师处方短效荷尔蒙避孕药 (药丸,贴片,戒指).
- 这些基于药房的避孕服务的利用率仍然低于最佳水平.
- 了解障碍物和促进者对于改善访问至关重要.
研究的目的:
- 评估犹他州药房避孕药物分配的障碍和促进因素.
- 为药房环境适应基于证据的避孕干预措施.
- 提出实施战略,以加强药剂师的避孕药处方.
主要方法:
- 与避孕药使用者,药剂师和医疗保健提供者进行了6个重点小组.
- 使用实施研究综合框架 (CFIR) 编码的焦点组成绩单.
- 利用专家推实施变革 (ERIC) 工具来确定打破障碍的策略.
- 通过实施研究逻辑模型,调整了一项现有的避孕准入倡议,并通过实施研究逻辑模型收集利益相关者的反.
主要成果:
- 确定了主要障碍:财务限制 (患者费用,缺乏药剂师补偿),患者和提供者意识较低,需要更新咨询/安排工具,药剂师教育不足.
- 拟议的调整包括基于技术的患者/药剂师选器和提供者/药剂师推网络.
- 药剂师补偿被确定为改善服务利用率的最高优先事项.
结论:
- 获得避孕措施的倡议与拟议的实施战略保持一致.
- 通过有针对性的干预措施,可以改善药房避孕药的处方.
- 解决已识别的障碍对于成功实施和增加利用至关重要.
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