Conard Lee Ann E, Fortenberry J Dennis, Blythe Margaret J, Orr Donald P
Department of Pediatrics, West Virginia University, Morgantown, WV 26508, USA.
Arch Pediatr Adolesc Med. 2003 Apr;157(4):361-5. doi: 10.1001/archpedi.157.4.361.
Adolescents often face barriers to health care. As pharmacists' scope of practice expands, they may be in positions to decrease barriers to care for adolescents.
To describe pharmacists' attitudes toward and practices with adolescents.
Cross-sectional self-administered survey of chief pharmacists at 1361 Indiana pharmacies. Survey items inquired about sociodemographic variables, adolescent-specific pharmacy practices, and training in adolescent health issues.
All active, licensed pharmacies in Indiana were surveyed.
Nine hundred forty-eight surveys (70%) were returned. Sixty-five percent of responding pharmacists were male, 54% were younger than 45 years, and 58% had been practicing for more than 15 years; 47% practiced in areas with fewer than 30 000 people.
Pharmacists' attitudes toward and practices with adolescents.
The majority of pharmacists (94%) dispensed prescriptions for adolescents, but 57% felt inadequately trained in adolescent-specific issues. Forty-eight percent of pharmacies did not dispense emergency contraception. Pharmacists were more likely to report dispensing contraceptives directly to 17-year-olds than to 14-year-olds, and were more likely to report contacting a parent or provider before dispensing contraceptives to 14-year-olds.
Adolescents often require pharmacy services, but many pharmacists feel inadequately trained in adolescent-specific issues. Confidentiality may not be maintained by all members of the health care team, and a prescription may be refused by the receiving pharmacist. Younger adolescents may face more barriers to care than older adolescents. Increasing pharmacists' knowledge and skills in adolescent issues, especially confidentiality, may decrease barriers to care and improve adolescent health outcomes.
青少年在获得医疗保健方面常常面临障碍。随着药剂师业务范围的扩大，他们或许能够减少青少年获得医疗服务的障碍。
描述药剂师对青少年的态度及相关实践。
对印第安纳州1361家药房的主任药剂师进行横断面自填式调查。调查项目涉及社会人口统计学变量、针对青少年的药房实践以及青少年健康问题方面的培训。
对印第安纳州所有活跃的持牌药房进行调查。
共收回948份调查问卷（回收率70%）。65%的回复药剂师为男性，54%年龄小于45岁，58%从业超过15年；47%在人口少于3万的地区执业。
药剂师对青少年的态度及相关实践。
大多数药剂师（94%）为青少年调配处方，但57%觉得自己在青少年特定问题方面培训不足。48%的药房不提供紧急避孕药物。药剂师报告直接给17岁青少年调配避孕药的可能性高于14岁青少年，且在给14岁青少年调配避孕药之前更有可能报告联系其父母或医疗服务提供者。
青少年常常需要药房服务，但许多药剂师觉得自己在青少年特定问题方面培训不足。并非所有医疗团队成员都能保证保密，接收处方的药剂师可能会拒绝处方。年龄较小的青少年相比年龄较大的青少年可能面临更多的医疗服务障碍。增加药剂师在青少年问题方面的知识和技能，尤其是保密方面的知识和技能，可能会减少医疗服务障碍并改善青少年的健康状况。
