Luli Alex J, Tran Natalie, Ataya Angela, Rafie Sally
UC San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla, CA 92093, USA.
The Pharmacists Clinic, San Diego, CA 92122, USA.
Pharmacy (Basel). 2020 Oct 5;8(4):181. doi: 10.3390/pharmacy8040181.
Preconception health refers to health before pregnancy and involves addressing risk factors that can negatively impact either a patient or future pregnancy. Pharmacists can play an essential role in screening for and managing patients' risk factors to optimize pregnancy outcomes. The primary objective of this study is to determine whether preconception health screenings in community pharmacy settings identify opportunities for preconception health services, particularly pharmacy-based interventions. The secondary objectives are to describe the preconception health status of community pharmacy patients and their interest in receiving preconception care services by a clinical pharmacist in a community pharmacy setting. Two independent pharmacies conducted a pilot project where people were invited to complete a health screening form that evaluated their preconception health. Participants received a personalized health report with an invitation to meet with the clinical pharmacist for services related to identified opportunities, such as contraception and immunizations. Retrospective analysis was conducted for data collected from 43 women during the patient screening effort in three community pharmacy settings (two independent community pharmacy locations and one neighborhood pharmacy outreach event). Nearly all participants ( = 42, 98%) had at least one opportunity identified to receive preconception care services, with the majority related to their alcohol use (60%). A majority of participants (56%) indicated an interest in learning more about preconception services offered at the pharmacy, but only 19% wanted to schedule an appointment with a pharmacist. Thus, there is an apparent need and opportunity for utilization of preconception health services at the pharmacy.
孕前健康是指怀孕前的健康状况，涉及应对可能对患者或未来怀孕产生负面影响的风险因素。药剂师在筛查和管理患者的风险因素以优化妊娠结局方面可以发挥重要作用。本研究的主要目的是确定社区药房环境中的孕前健康筛查是否能发现孕前健康服务的机会，特别是基于药房的干预措施。次要目的是描述社区药房患者的孕前健康状况以及他们在社区药房环境中接受临床药剂师提供的孕前护理服务的意愿。两家独立药房开展了一个试点项目，邀请人们填写一份评估其孕前健康状况的健康筛查表。参与者收到一份个性化的健康报告，并收到与已确定的机会（如避孕和免疫接种）相关的与临床药剂师会面接受服务的邀请。对在三个社区药房环境（两个独立社区药房地点和一次社区药房外展活动）的患者筛查工作中从43名女性收集的数据进行了回顾性分析。几乎所有参与者（n = 42，98%）都至少有一个接受孕前护理服务的机会被识别出来，其中大多数与饮酒有关（60%）。大多数参与者（56%）表示有兴趣了解更多药房提供的孕前服务，但只有19%的人想预约与药剂师见面。因此，在药房利用孕前健康服务显然存在需求和机会。
