Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice Expansion
In an effort to increase access to contraception, the pharmacist scope of practice is being expanded to allow prescribing. While this is being accomplished in the United States by a variety of models, legislation that allows pharmacists to prescribe hormonal contraception under a statewide protocol...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-07-01
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| Series: | Pharmacy |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2226-4787/7/3/96 |
| _version_ | 1818039027851329536 |
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| author | Sally Rafie Emily Richards Samantha Rafie Sharon Cohen Landau Tracey A. Wilkinson |
| author_facet | Sally Rafie Emily Richards Samantha Rafie Sharon Cohen Landau Tracey A. Wilkinson |
| author_sort | Sally Rafie |
| collection | DOAJ |
| description | In an effort to increase access to contraception, the pharmacist scope of practice is being expanded to allow prescribing. While this is being accomplished in the United States by a variety of models, legislation that allows pharmacists to prescribe hormonal contraception under a statewide protocol is the most common. This study was designed to explore the outlooks of pharmacists regarding prescribing contraception in the period following the first state legislation and prior to statewide protocol development and availability. A qualitative study of community pharmacists in California using structured phone interviews explored their opinions regarding access to contraception in pharmacies and outlooks regarding prescribing. Data were analyzed using an inductive approach to identify themes. Among the thirty participants, the majority worked in a chain pharmacy. Themes were identified in five overarching domains: Pharmacist barriers, system barriers, patient issues, safety concerns, and pharmacist role. Most were unfamiliar with the new law, yet were interested in expanding access for patient benefit despite foreseeing challenges with implementing the service in community pharmacies. Barriers will need to be addressed and requisite training disseminated widely to facilitate successful implementation and thus improve access on a broad scale. Further research following protocol implementation is needed to understand service implementation, as well as patient utilization and satisfaction. |
| first_indexed | 2024-12-10T07:52:07Z |
| format | Article |
| id | doaj.art-a3e108940d67405a883493ff3909a733 |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-12-10T07:52:07Z |
| publishDate | 2019-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-a3e108940d67405a883493ff3909a7332022-12-22T01:57:00ZengMDPI AGPharmacy2226-47872019-07-01739610.3390/pharmacy7030096pharmacy7030096Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice ExpansionSally Rafie0Emily Richards1Samantha Rafie2Sharon Cohen Landau3Tracey A. Wilkinson4Department of Pharmacy, UC San Diego Health, San Diego, CA 92103, USASafeway Pharmacy, Santa Rosa, CA 95403, USAMental Health Service, VA San Diego Healthcare System, San Diego, CA 92161, USAIndependent researcher.Children’s Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN 46202, USAIn an effort to increase access to contraception, the pharmacist scope of practice is being expanded to allow prescribing. While this is being accomplished in the United States by a variety of models, legislation that allows pharmacists to prescribe hormonal contraception under a statewide protocol is the most common. This study was designed to explore the outlooks of pharmacists regarding prescribing contraception in the period following the first state legislation and prior to statewide protocol development and availability. A qualitative study of community pharmacists in California using structured phone interviews explored their opinions regarding access to contraception in pharmacies and outlooks regarding prescribing. Data were analyzed using an inductive approach to identify themes. Among the thirty participants, the majority worked in a chain pharmacy. Themes were identified in five overarching domains: Pharmacist barriers, system barriers, patient issues, safety concerns, and pharmacist role. Most were unfamiliar with the new law, yet were interested in expanding access for patient benefit despite foreseeing challenges with implementing the service in community pharmacies. Barriers will need to be addressed and requisite training disseminated widely to facilitate successful implementation and thus improve access on a broad scale. Further research following protocol implementation is needed to understand service implementation, as well as patient utilization and satisfaction.https://www.mdpi.com/2226-4787/7/3/96qualitative researchpharmacistscontraceptionpharmacy accesspharmacies |
| spellingShingle | Sally Rafie Emily Richards Samantha Rafie Sharon Cohen Landau Tracey A. Wilkinson Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice Expansion Pharmacy qualitative research pharmacists contraception pharmacy access pharmacies |
| title | Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice Expansion |
| title_full | Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice Expansion |
| title_fullStr | Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice Expansion |
| title_full_unstemmed | Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice Expansion |
| title_short | Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice Expansion |
| title_sort | pharmacist outlooks on prescribing hormonal contraception following statewide scope of practice expansion |
| topic | qualitative research pharmacists contraception pharmacy access pharmacies |
| url | https://www.mdpi.com/2226-4787/7/3/96 |
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