Pharmacist interest in and attitudes toward direct pharmacy access to hormonal contraception in the United States
- 1 January 2009
- journal article
- Published by Elsevier BV in Journal of the American Pharmacists Association
- Vol. 49 (1), 43-50
- https://doi.org/10.1331/japha.2009.07154
Abstract
To assess pharmacist interest, comfort level, and perceived barriers regarding providing pharmacist-initiated access to hormonal contraceptives (i.e., tablets, patches, rings, injectables, emergency contraception [EC]). Descriptive, nonexperimental, cross-sectional study. United States between November 2004 and January 2005. 2,725 pharmacists working in community chain pharmacies (64%), community independent pharmacy (31%), and other practice settings, including hospitals and home care facilities (5%). Survey sent electronically by the American Pharmacists Association to a random sample of 14,142 of its 50,000 pharmacist members nationally. Pharmacist interest and comfort level in providing pharmacy access to hormonal contraception (HC), perceived barriers and training needs, and familiarity with and provision of EC. 2,725 survey responses (19% response rate) were received. Pharmacists reported being very familiar with HC. The majority of respondents were comfortable and interested in providing direct access to HC in the pharmacy. Perceived barriers to providing HC in the pharmacy included lack of time, no mechanism of reimbursement for the service, and possible resistance from physicians. Strong interest, comfort level, and capability from pharmacists, combined with a documented demand for direct pharmacy access from patients, indicate that pharmacy access to HC has the potential to meet patient needs and increase access to HC. Education about current clinical practice recommendations-which no longer require pelvic examinations and Papanicolaou (Pap) smears before hormonal contraception is initiated-may increase pharmacist support for providing hormonal methods directly.Keywords
This publication has 8 references indexed in Scilit:
- Medical Barriers to Effective ContraceptionObstetrics and Gynecology Clinics of North America, 2007
- Birth control within reach: a national survey on women's attitudes toward and interest in pharmacy access to hormonal contraceptionContraception, 2006
- Pharmacy Access to Emergency Contraception in CaliforniaPerspectives on Sexual and Reproductive Health, 2006
- Are routine breast and pelvic examinations necessary for women starting combined oral contraception?Human Reproduction Update, 2004
- Clinical Breast and Pelvic Examination Requirements for Hormonal ContraceptionPublished by American Medical Association (AMA) ,2001
- Provision of hormonal contraceptives without a mandatory pelvic examination: the first stop demonstration project.Family Planning Perspectives, 2001
- Safety Implications of Transferring the Oral Contraceptive from Prescription-Only to Over-the-Counter StatusDrug Safety, 1995
- Unintended Pregnancy, Contraceptive Practice and Family Planning Services in Developed CountriesFamily Planning Perspectives, 1988