在线药物流产直接对患者的满足 在多布斯诉杰克逊判决之前和之后
Caila Brander1, Jessica Nouhavandi2, Terri-Ann Thompson1
1Ibis Reproductive Health, Cambridge, Massachusetts.
JAMA network open
|October 4, 2024
概括
在线药房对于堕胎护理至关重要,特别是在多布斯决定之后. 处方的履行显著增加,特别是在虚拟供应商,突出需要消除访问障碍.
科学领域:
- 生殖健康 生殖健康
- 制药科学 制药科学
- 公共卫生政策 公共卫生政策
背景情况:
- 在2020年,随着FDA放宽发行要求,在线药房已成为堕胎护理的关键.
- 多布斯诉杰克逊妇女健康组织决定对在线堕胎药物发行的影响仍然未得到充分研究.
研究的目的:
- 通过在线药房分析药物堕胎处方履行模式.
- 为了检查这些模式,在多布斯诉杰克逊判决之前和之后的一年.
- 考虑患者,处方者和国家政策因素影响实现.
主要方法:
- 一项横截面研究分析了一家在线药房的非识别处方履行数据.
- 包括2021年6月20日至2023年6月24日的数据,对于接受药物流产的18岁以上的患者.
- 分析了基于患者人口统计,处方者模式和州堕胎政策分类的处方数据.
主要成果:
- 分析了超过8.7万份处方,其中大多数被发送给30岁以下的个人.
- 在多布斯决定之后,处方履行显著增加,来自支持状态和虚拟仅处方者的数量更高.
- 履行峰值与多布斯决策泄露和裁决相关,基于处方者模式和国家政策,出现了不同的模式.
结论:
- 在线药房在美国的直接对患者进行堕胎护理中发挥着越来越重要的作用.
- 只有虚拟处方医生和用于药物堕胎的在线药房之间存在着密切的联系.
- 研究结果表明,应减少在线药房对堕胎护理的障碍.
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