Ditmars Lindsay, Rafie Sally, Kashou Gellan, Cleland Kelly, Bayer Lisa, Wilkinson Tracey A
Department of Pharmacy, UC San Diego Health, San Diego 92103, CA, USA.
Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla 92093, CA, USA.
Pharmacy (Basel). 2019 Apr 23;7(2):38. doi: 10.3390/pharmacy7020038.
This study was conducted to determine which emergency contraception (EC) methods are offered by community pharmacists in response to patient calls. Female mystery callers called all community pharmacies in two California cities using standardized scripts. The callers inquired about options available to prevent pregnancy after sex and whether that method was available at the pharmacy, using follow-up probes if necessary. A total of 239 calls were completed in San Diego ( = 127, 53%) and San Francisco ( = 112, 47%). Pharmacists indicated availability at most sites ( = 220, 92%) with option(s) reported as levonorgestrel only (LNG; = 211, 88.3%), both ulipristal acetate (UPA) and LNG ( = 4, 1.6%), UPA only ( = 1, 0.4%), or non-specific EC ( = 4, 1.7%). Nineteen pharmacies (7.9%) did not have EC available on the day of the call. Following additional probing, some pharmacists discussed UPA ( = 49, 20.5%) or the copper intrauterine device ( = 1, 0.4%) as EC options. LNG EC products were available same-day in 90.1% of pharmacies, whereas UPA was available same-day in 9.6% of pharmacies. The majority of pharmacies called in this study offered and stocked at least one EC option, but the focus of discussions was on LNG and matched what was in stock and available.
本研究旨在确定社区药剂师针对患者来电提供哪些紧急避孕（EC）方法。女性暗访者使用标准化脚本致电加利福尼亚州两个城市的所有社区药房。暗访者询问了性行为后预防怀孕的可用选择以及该方法在药房是否有货，必要时进行后续追问。在圣地亚哥共完成了239次致电（ = 127，53%），在旧金山完成了112次致电（ = 112，47%）。药剂师表示大多数药房（ = 220，92%）有货，报告的选择仅为左炔诺孕酮（LNG； = 211，88.3%）、醋酸乌利司他（UPA）和LNG两者（ = 4，1.6%）、仅UPA（ = 1，0.4%）或非特异性紧急避孕药（ = 4，1.7%）。19家药房（7.9%）在致电当天没有紧急避孕药。经过进一步追问，一些药剂师讨论了UPA（ = 49，20.5%）或铜宫内节育器（ = 1，0.4%）作为紧急避孕选择。90.1%的药房当天有LNG紧急避孕产品，而9.6%的药房当天有UPA。本研究中致电的大多数药房提供并储备了至少一种紧急避孕选择，但讨论的重点是LNG，且与库存和可用情况相符。
