社区药剂师提供性与生殖健康服务：来自加拿大艾伯塔省的一项横断面研究。

Community pharmacists' provision of sexual and reproductive health services: A cross-sectional study in Alberta, Canada.

出版信息

J Am Pharm Assoc (2003). 2022 Jul-Aug;62(4):1214-1223. doi: 10.1016/j.japh.2022.01.018. Epub 2022 Jan 31.

DOI:10.1016/j.japh.2022.01.018

Abstract

BACKGROUND

In many countries, pharmacists' scope of practice enables the delivery of professional pharmacy services related to sexual and reproductive health (SRH). Studies exploring practices and perspectives regarding a wide range of SRH professional pharmacy services and the extent to which pharmacists are involved in prescribing or administering injections are limited.

OBJECTIVES

This study aimed to explore SRH professional pharmacy services provided by pharmacists, evaluate pharmacists' self-reported confidence in providing SRH education and determine preferences for additional training.

METHODS

A cross-sectional Web-based survey was administered to pharmacists working in community pharmacies in Alberta, Canada. The survey was sent via e-mail and was open for 8 weeks between June and August 2020. Descriptive statistics were used to analyze the data.

RESULTS

Most of the 303 participants were female (66%) and received their first pharmacy degree in Canada (69%). Approximately two-thirds had additional prescribing authorization (APA), and 97% had injections authorization; 90% and 94% of participants reported administering injectable contraceptives and human papillomavirus vaccine, respectively, and more than 95% renewed prescriptions for oral contraceptives. Of the participants with APA, approximately 40% reported providing initial prescribing services for contraceptive products. Overall, participants reported confidence in providing SRH education for most topics. Most selected topics for additional training were related to sexually transmitted and blood-borne infections; sexual health concerns of lesbian, gay, bisexual, transgender, queer or questioning; and abortion medications.

CONCLUSION

Pharmacists in Alberta reported providing a wide range of SRH services and are interested in expanding their SRH role. These findings highlight opportunities to improve access and reduce inequities in the delivery of SRH services through community pharmacies. However, pharmacists' training needs should be considered.

摘要

背景

在许多国家，药剂师的执业范围使他们能够提供与性健康和生殖健康（SRH）相关的专业药学服务。探索各种 SRH 专业药学服务的实践和观点，以及药剂师在开处方或管理注射方面的参与程度的研究有限。

目的

本研究旨在探讨药剂师提供的 SRH 专业药学服务，评估药剂师在提供 SRH 教育方面的自我报告信心，并确定对额外培训的偏好。

方法

对加拿大艾伯塔省社区药房工作的药剂师进行了一项横断面网络调查。该调查通过电子邮件发送，于 2020 年 6 月至 8 月期间开放了 8 周。使用描述性统计数据对数据进行分析。

结果

303 名参与者中大多数为女性（66%），在加拿大获得的第一个药学学位（69%）。大约三分之二的人有额外的处方授权（APA），97%的人有注射授权；90%和 94%的参与者分别报告管理注射避孕药和人乳头瘤病毒疫苗，超过 95%的人更新了口服避孕药的处方。拥有 APA 的参与者中，约有 40%报告提供了避孕产品的初始处方服务。总的来说，参与者报告对提供大多数 SRH 教育主题有信心。大多数选择的额外培训主题与性传播和血源性感染、男同性恋、女同性恋、双性恋、跨性别、酷儿或疑问者的性健康问题以及堕胎药物有关。