通过社区药房获得米费普里斯,当被规范为常规处方药时
Elizabeth Nethery1, Catherine Xu1,2, Carissa S Y Chan1
1Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia, Canada.
在不列颠哥伦比亚省的Mifepristone-misoprostol堕胎准入率显示99%的地理覆盖率,但23%的药房未能分发或转介,这影响了生育年龄女性的及时准入.
科学领域:
- 生殖健康 生殖健康
- 药品接入 药品接入 药品接入
- 公共卫生政策 公共卫生政策
背景情况:
- 2017年,在加拿大无限制地提供了米费普里斯顿-美索普罗斯托尔药物流产.
- 尽管这种药物广泛可用,但患者报告说,在获得这种时间敏感的药物方面存在挑战.
研究的目的:
- 在不列颠哥伦比亚省 (BC) 的社区药房中评估三天内米费普里斯顿的可用性.
- 评估分发mifepristone或提供有效推的药房比例.
主要方法:
- 一个以人口为基础的横截面研究,利用神秘呼叫者调查.
- 在2024年7月至8月在BC社区药房进行.
- 调查人员扮演了要求在3天内提取米费普里斯顿的患者,评估了发行或转诊能力.
主要成果:
- 66%的药房可以在3天内分发米费普里斯;12%提供了有效的转诊.
- 23%的药房既不发药,也没有转介,这给患者带来了负担.
- 在不列颠哥伦比亚省,99%的生育年龄的女性生活在离分药店15分钟车程之内.
- 城市药房和高住宅不稳定性或民族文化多样性地区的药房的可用性较差.
结论:
- 虽然mifepristone发放的地理覆盖率很高,但由于药房发放和转介失败,对及时访问的重大障碍仍然存在.
- 研究结果表明,需要采取政策干预措施,加强药剂师推网络,改善药物流产的准入.
- 结果为考虑类似的药物堕胎框架的国际背景提供了见解.
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