社区社会脆弱性和获得加速的伴侣治疗处方:一个秘密的购物者审计调查
Rachel E Solnick1, Carmen C Vargas-Torres1, Alexa Guastello2
1From the Department of Emergency Medicine|Icahn School of Medicine at Mount Sinai, New York, NY.
Sexually transmitted diseases
|October 13, 2025
概括
药剂师对加速伴侣治疗 (EPT) 的认识在脆弱地区更高,但愿意填补无名处方的愿望仍然很低. 标准化电子处方和药剂师教育对于扩大EPT获取和减少STI差异至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 药房实践 在药房实践.
背景情况:
- 性传播感染 (STIs) 不成比例地影响弱势群体.
- 快速伴侣治疗 (EPT) 尽管在减少STI再感染方面有效,但仍未得到充分利用.
- 关于EPT的可用性和药剂师意识的研究有限,特别是关于社会脆弱性指数 (SVI) 的变化.
研究的目的:
- 为了评估药剂师的意识和愿意在纽约市分发假设的电子EPT处方.
- 检查药房的特点和SVI如何影响EPT的认识和开药意愿.
主要方法:
- 一项对纽约335家药房的横截面调查,使用秘密购物者方法.
- 评估药剂师对EPT的认识,愿意填写无名处方,并接受保险.
- 使用多变量逻辑回归来分析与SVI,药房类型,位置和克拉米迪亚病率的关联.
主要成果:
- 只有40%的药房知道EPT;意识在非连锁药房中较低.
- 只有28%的药剂师愿意填写无名EPT处方.
- 在SVI最高的地区,意识更高,但填充意愿在SVI之间没有显著差异.
结论:
- 药剂师愿意填写无名EPT处方是有限的,尽管社会经济脆弱地区的意识增加.
- 障碍包括不熟悉EPT和对填写处方的法律要求的误解.
- 对药剂师的教育举措和标准化的电子处方对于改善EPT可访问性和减轻STI差异至关重要.
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