北卡罗来纳州门诊药剂师处方荷尔蒙避孕药的实施和看法
Journal of the American Pharmacists Association : JAPhA
|March 20, 2024
概括
北卡罗来纳州很少有受过激素避孕药 (HC) 处方培训的药剂师,由于时间和补偿等障碍,他们已经实施了该服务. 应对这些挑战可以扩大药剂师主导的生殖健康保健.
科学领域:
- 药理学和制药科学 药理学和制药科学
- 公共卫生和医疗保健政策
- 生殖健康 生殖健康
背景情况:
- 北卡罗来纳州众议院第96号法案 (2022年2月) 授权训练有素的药剂师处方荷尔蒙避孕药 (HCs).
- 门诊药房设置中这种服务的实际采用和确定的障碍在很大程度上仍未被描述.
研究的目的:
- 为了确定训练有素的北卡罗来纳州药剂师在门诊诊所处方HC的比例.
- 确定药剂师在实施HC处方服务时遇到的挑战.
主要方法:
- 一个横截面的,匿名的基于网络的调查分发给了北卡罗来纳州获得许可的药剂师,他们完成了所需的HC培训.
- 数据从2022年12月到2023年1月收集,重点关注至少50%在门诊机构执业的药剂师.
- 使用描述性统计数据分析了主要终点 (HC处方) 并确定了障碍.
主要成果:
- 观察到低响应率 (5.9%),有96个可用响应.
- 只有15.6%的受过培训的药剂师已经开出了HC,68.8%的药剂师完成了培训,而没有实施该服务.
- 关键障碍包括时间限制 (49%) 和不充分的补偿 (43.8%),尽管患者的反是积极的,处方者的工作满意度也有所提高.
结论:
- 北卡罗来纳州受过培训的药剂师对激素避孕药的处方使用目前是有限的.
- 克服时间限制和退款问题等障碍对于扩大药剂师提供的服务至关重要.
- 加强这些服务可以进一步创新门诊药房在生殖保健中的作用.
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