Implementation of a pharmacist-led hormonal contraceptive prescribing service in a campus community pharmacy in Indiana, United States.

Autor: Ahmad ZM; Purdue University College of Pharmacy, Department of Pharmacy Practice, Indianapolis, IN, United States., Noel NL; Purdue University Pharmacy, West Lafayette, IN, United States., Rudd TM; Purdue University Pharmacy, West Lafayette, IN, United States., Nadelson CS; Purdue University Student Health Center, West Lafayette, IN, United States., Ott MA; Indiana University School of Medicine, Department of Pediatrics, Indianapolis, IN, United States., Wilkinson TA; Indiana University School of Medicine, Department of Pediatrics, Indianapolis, IN, United States., Meredith AH; Purdue University College of Pharmacy, Department of Pharmacy Practice, Indianapolis, IN, United States. Electronic address: ahmeredith@purdue.edu.
Jazyk: angličtina
Zdroj: Contraception [Contraception] 2022 Sep; Vol. 113, pp. 113-118. Date of Electronic Publication: 2022 May 14.
DOI: 10.1016/j.contraception.2022.05.004
Abstrakt: Objective(s): College-age people have the highest numbers of unintended pregnancies and pharmacies within college campuses are in a unique position to meet student needs. Our objective was to implement a pharmacist contraceptive prescribing service in a campus pharmacy and examine the service utilization.
Study Design: The Purdue University Pharmacy (Indiana, United States) implemented a pharmacist hormonal contraception prescribing service via a collaborative drug therapy management agreement with the campus student health center. The collaborative drug therapy management agreement enables pharmacists to independently prescribe pills, patches, rings, injections, and emergency contraception to students meeting eligibility criteria. After completing a patient health screening and blood pressure check, the pharmacist discusses the eligible method(s) and prescribes up to a 12-month supply. A referral to another provider for long-acting reversible contraception or further evaluation may also be provided. We collected basic information about each encounter (e.g., age, blood pressure, method of contraception prescribed, and time).
Results: During the 2020-2021 academic year, 125 prescribing consultations took place with an average appointment length of 20 minutes (range, 12-65 minutes). The median patient age was 21 years (range, 18-30 years). Eligible patients (n = 123, 98%) received a prescription and 119 (95%) prescriptions were written: combined oral pill (n = 91, 77%), injection (n = 12, 10%), patch (n = 6, 5%), vaginal ring (n = 5, 4%), and progestin only pill (n = 5, 4%).
Conclusion(s): The pharmacist contraception prescribing service developed by the Purdue University Pharmacy and Student Health Center is a unique approach to meeting the needs of students. Few external resources are required for implementation, and most patients were medically eligible to receive hormonal contraception.
Implications: Collaboration between on-campus student health centers and pharmacies can be explored as 1 approach to increase access to hormonal contraception for students.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: