Pharmacist authority to provide HPV vaccine: Novel partners in cervical cancer prevention
| Autor: | Jake K. Chung, Mitchel C. Rothholz, Jennifer S. Smith, Hannah M. Baker, Noel T. Brewer |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent education Pharmacist Alternative medicine Uterine Cervical Neoplasms Pharmacy Pharmacists Meningitis vaccines Adult women Patient age medicine Humans Papillomavirus Vaccines Medical prescription Legislation Pharmacy Papillomaviridae health care economics and organizations Gynecology business.industry Data Collection Papillomavirus Infections Obstetrics and Gynecology United States Oncology Family medicine Cervical cancer prevention Female business |
| Zdroj: | Gynecologic Oncology. 132:S3-S8 |
| ISSN: | 0090-8258 |
| Popis: | Objectives While the provision of cervical cancer prevention services in the United States has expanded to new settings beyond clinics that give Pap smears, prevention efforts are being hampered by relatively low human papillomavirus (HPV) vaccine coverage. Pharmacies are an underused setting to deliver HPV vaccine. To better understand this opportunity, we sought to classify pharmacists' authority to administer HPV vaccine in each US state. Methods For each US state and the District of Columbia (for simplicity, we refer to these 51 regions as states), we interviewed a member of the state's pharmacy association, member of the state board of pharmacy, or a faculty member at a school or college of pharmacy. Results Most states (80%) allowed pharmacists to provide HPV vaccine to adult women ages 19 and older, and 61% of states allowed provision to girls age 12. The mechanism for pharmacists to immunize was highly variable across states. For example, a 12year-old girl seeking HPV vaccine could receive it from a pharmacist in 31% of states under a protocol between a specific physician and pharmacist, in 24% with an HPV vaccine prescription, and in 6% without prior physician approval. Pharmacists' authority was broadest on the west coast and limited on the east coast. Pharmacist authority to provide HPV, Tdap, and meningitis vaccines was very similar, but it was highly dependent on patient age. Conclusions US states' laws governing pharmacists' ability to offer HPV vaccine varied widely. One consequence is that newly expanded cervical prevention efforts underuse pharmacists. |
| Databáze: | OpenAIRE |
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