Implementation of a Pharmacist-Driven Contraception Service at a Safety-Net Health-System.

Autor:	Sanders KL; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Walroth TA; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Pence LM; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Brown ME; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Boyd AN; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Meredith AH; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA.; Purdue University College of Pharmacy, West Lafayette, IN, USA.
Jazyk:	angličtina
Zdroj:	Journal of pharmacy practice [J Pharm Pract] 2024 Jun 13, pp. 8971900241262369. Date of Electronic Publication: 2024 Jun 13.
DOI:	10.1177/08971900241262369
Abstrakt:	Background : Access to safe, effective, and appropriate contraception significantly reduces the rates of unintended pregnancies; however, this preventative care is not always easily accessible. There is a high patient demand for contraception visits that is often delayed or unmet due to lack of access to traditional providers. Pharmacists are highly accessible and can help manage this high demand, yet clinical pharmacists as providers of contraception services remains a gap in published literature. Objective : Develop and implement a pharmacist-led contraception service at a safety-net health-system. Methods : A comprehensive pharmacist-led clinical contraception service was created to improve patient access. To support this project, a collaborative practice agreement (CPA) was developed and enhancements were built into an electronic medical record. The CPA allowed the pharmacist to complete contraception-related interventions such as ordering urine pregnancy tests, prescribing hormonal and emergency contraceptives, and manage adverse effects. The piloting pharmacist was available at the Narcotics Treatment Program (NTP) clinic one half-day each week for scheduled and same-day visits. Results : Within the initial five half-day clinic sessions at NTP, the pharmacist had written seven prescriptions, including three for emergency contraceptives. Of all patients seen for this service at NTP, only one had been using a method of contraception consistently prior to their visit. Conclusion : The interventions that were able to be made by the pharmacist highlighted the need for improved access to contraceptives. Pharmacist-managed services in sexual and reproductive health can help fill this gap. Patients also self-reported ease of access as a benefit to this service. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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