An Evaluation of the Implementation of Pharmacist-Prescribed Hormonal Contraceptives in California

Batra, Priya; Rafie, Sally; Zhang, Zhiwei; Singh, Amay V.; Bird, Chloe E.; Sridhar, Aparna; Sullivan, JL

doi:10.1097/aog.0000000000002572

Cited by 38 publications

(15 citation statements)

References 18 publications

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“…23 Recent studies of pharmacies in California demonstrate that 5%-11% of pharmacies have implemented pharmacist prescribing of contraception within the first year. 3,24 A 2015 survey of Oregon pharmacists showed that 57% were interested in prescribing contraceptives, but only 39% planned to participate. 25 Those practicing in urban settings and those currently providing emergency contraception were more likely to indicate they planned to prescribe.…”

Section: Methodsmentioning

confidence: 99%

Hormonal contraception prescribing by pharmacists: 2019 update

Kooner¹,

Joseph²,

Griffin³

et al. 2020

Journal of the American Pharmacists Association

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Section: Methodsmentioning

confidence: 99%

Hormonal contraception prescribing by pharmacists: 2019 update

Kooner¹,

Joseph²,

Griffin³

et al. 2020

Journal of the American Pharmacists Association

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“…The protocol requires use of a patient self-screening questionnaire to determine eligibility for the various self-administered hormonal contraceptive methods—pill, transdermal patch, vaginal ring, and depot medroxyprogesterone acetate (DMPA) injection. In the first year after protocol availability, 5%–11% of pharmacies were providing the service [6,7].…”

Section: Introductionmentioning

confidence: 99%

Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice Expansion

et al. 2019

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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.

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“…In Oregon, a state in which Medicaid offers and pays for this service, 10% of women with this insurance benefit chose a pharmacy to obtain their new birth control prescriptions [ 26 ]. In California, Oregon, and New Mexico, pharmacists offered birth control prescribing in rural and urban community pharmacies [ 27 , 28 ], which would align with our female college students in rural, small, and urban residences willing to get birth control from a community pharmacist.…”

Section: Discussionmentioning

confidence: 99%

“…Pharmacist trustworthiness, approachability, and visit expenses significantly influenced their likelihood of using birth control pharmacists. In the opinion-based studies about pharmacist prescribing, women of all ages would use or support this service, but they do express concerns as well [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Our research adds that prior use of pharmacy services and perceptions of pharmacist attributes influence these opinions.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of Michigan Female College Students about Pharmacists Prescribing Birth Control in a Community Pharmacy

et al. 2020

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In the United States, the overall unintended pregnancy rate is about 45%. Women between 20–24 years old account for 59% of the unintended pregnancies. Continuous birth control use is related to decreasing unintended pregnancies. Therefore, we assessed female college students’ opinions about pharmacists prescribing birth control in a community pharmacy using an intersectionality framework. A survey with 49 items about provider attributes, pharmacy services use and evaluation, advantages and barriers of pharmacists prescribing birth control, sexual and reproductive history, and demographics was distributed by survey link and QR code. Recruitment was done by investigators and students (snowballing technique) via emails, social media posts, and direct student contact. Respondents (n = 859) were 23.0 ± 4.9 years old, 83% white, 64% healthcare students, 32% student pharmacists, 69% sexually active, 68% with at least one episode of unprotected intercourse within a year, and 29% never using condoms. Forty-six percent of students were extremely likely and 26% moderately likely to get birth control from a pharmacist because it would be easier to adhere to birth control, could prevent unintended pregnancies, would be more convenient, and require less time. Concerns included the lack of Pap screenings and prescriptions written for the wrong birth control. Within most student characteristics or attitudes assessed, at least 70% of the students would use this service. Based on student opinions, female college students would use pharmacists prescribing birth control services.

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An Evaluation of the Implementation of Pharmacist-Prescribed Hormonal Contraceptives in California

Cited by 38 publications

References 18 publications

Hormonal contraception prescribing by pharmacists: 2019 update

Hormonal contraception prescribing by pharmacists: 2019 update

Pharmacist Outlooks on Prescribing Hormonal Contraception Following Statewide Scope of Practice Expansion

Attitudes of Michigan Female College Students about Pharmacists Prescribing Birth Control in a Community Pharmacy

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