Centre for Medicine Use and Safety, Department of Pharmacy Practice, Monash University, Melbourne 3052, Australia.
Contraception. 2011 Feb;83(2):159-66. doi: 10.1016/j.contraception.2010.07.001. Epub 2010 Aug 11.
As 5 years have elapsed since the emergency contraceptive pill (ECP) was made available without prescription in Australia, information was sought about the current attitudes and practices of pharmacists in relation to their increased role in ECP provision.
A mail survey was implemented; questionnaires were distributed to 750 pharmacies across Australia during 2008-2009. Descriptive statistics were calculated and multiple logistic regression was used to examine factors associated with declining to dispense ECP.
Response rate was 29%. Most pharmacists used a protocol to guide ECP dispensing (77.3%) and the majority had declined ECP provision (75.1%) in certain circumstances. Many usually counselled where confidentiality could be assured (62.8%), and agreed that it is a pharmacist's role to counsel on regular contraception (81.9%). Factors significantly associated (p ≤.05) with dispensing practices included pharmacists' attitudes towards acceptability of advance prescription, their age, gender and pharmacy accessibility.
New information about Australian pharmacists' current attitudes and practices towards ECP dispensing was identified. Pharmacists had stronger, more conservative attitudes than overseas pharmacists; however, the issues that emerged were similar to those reported overseas. To address these, revised training for local pharmacists is recommended.
自澳大利亚取消紧急避孕药（ECP）的处方限制以来已经过去了 5 年，我们希望了解药剂师在 ECP 供应方面不断增加的作用方面的当前态度和做法。
我们实施了一项邮寄调查；2008-2009 年期间向澳大利亚各地的 750 家药店分发了问卷。计算了描述性统计数据，并使用多逻辑回归分析来检查与拒绝配药相关的因素。
回复率为 29%。大多数药剂师使用方案来指导 ECP 的配药（77.3%），并且大多数在某些情况下（75.1%）拒绝提供 ECP。许多药剂师通常在可以保证保密性的情况下进行咨询（62.8%），并同意药师在常规避孕方面提供咨询是药师的职责（81.9%）。与配药做法显著相关（p ≤.05）的因素包括药剂师对预先处方可接受性的态度、年龄、性别和药店的可达性。
确定了澳大利亚药剂师当前对 ECP 配药的态度和做法的新信息。药剂师的态度比海外药剂师更强烈、更保守；然而，出现的问题与海外报道的相似。为了解决这些问题，建议对当地药剂师进行修订培训。
