Shacter Hannah E, Gee Rebekah E, Long Judith A
Philadelphia Veterans Affairs Center for Health Equity Research and Promotion, Philadelphia, PA 19104, USA.
Contraception. 2007 Mar;75(3):214-7. doi: 10.1016/j.contraception.2006.11.005. Epub 2007 Jan 16.
The availability of emergency contraception (EC) depends on pharmacy stocking practices and pharmacist willingness to dispense the medication. We aimed to describe the availability of EC in areas governed by different state policies regarding pharmacist behavior.
A telephone survey was conducted between October 1 and December 31, 2005, of every pharmacy listed in the metropolitan areas of Atlanta, Philadelphia and Boston. We asked whether pharmacies could fill a prescription for EC within 24 h and, if not, why not.
We interviewed pharmacists at 1085 pharmacies (response rate of 75%). Overall, 23% were unable to fill a prescription for EC within 24 h. The rate of being unable to fill was 35% in Atlanta, 23% in Philadelphia and 4% in Boston (p<.001). Refusal rates were low: 4% overall; 8% in Atlanta; 3% in Philadelphia and 0% in Boston.
Variation in state policy predicted the availability of EC. The most common reason for not being able to fill a prescription within 24 h was not having the medication in stock.
紧急避孕药物（EC）的可获得性取决于药房的库存做法以及药剂师配药的意愿。我们旨在描述在不同州关于药剂师行为的政策所管辖地区，紧急避孕药物的可获得性情况。
2005年10月1日至12月31日期间，对亚特兰大、费城和波士顿大都市地区列出的每家药房进行了电话调查。我们询问药房是否能在24小时内开出紧急避孕药物的处方，如果不能，原因是什么。
我们采访了1085家药房的药剂师（回复率为75%）。总体而言，23%的药房无法在24小时内开出紧急避孕药物的处方。在亚特兰大，无法配药的比例为35%，在费城为23%，在波士顿为4%（p<0.001）。拒绝配药的比例较低：总体为4%；在亚特兰大为8%；在费城为3%，在波士顿为0%。
州政策的差异预示了紧急避孕药物的可获得性。24小时内无法开出处方的最常见原因是没有库存药物。
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