Purdue University College of Pharmacy, Department of Pharmacy Practice, Indianapolis, IN, United States.
Purdue University Pharmacy, West Lafayette, IN, United States.
Contraception. 2022 Sep;113:113-118. doi: 10.1016/j.contraception.2022.05.004. Epub 2022 May 14.
OBJECTIVE(S): College-age people have the highest numbers of unintended pregnancies and pharmacies within college campuses are in a unique position to meet student needs. Our objective was to implement a pharmacist contraceptive prescribing service in a campus pharmacy and examine the service utilization.
The Purdue University Pharmacy (Indiana, United States) implemented a pharmacist hormonal contraception prescribing service via a collaborative drug therapy management agreement with the campus student health center. The collaborative drug therapy management agreement enables pharmacists to independently prescribe pills, patches, rings, injections, and emergency contraception to students meeting eligibility criteria. After completing a patient health screening and blood pressure check, the pharmacist discusses the eligible method(s) and prescribes up to a 12-month supply. A referral to another provider for long-acting reversible contraception or further evaluation may also be provided. We collected basic information about each encounter (e.g., age, blood pressure, method of contraception prescribed, and time).
During the 2020-2021 academic year, 125 prescribing consultations took place with an average appointment length of 20 minutes (range, 12-65 minutes). The median patient age was 21 years (range, 18-30 years). Eligible patients (n = 123, 98%) received a prescription and 119 (95%) prescriptions were written: combined oral pill (n = 91, 77%), injection (n = 12, 10%), patch (n = 6, 5%), vaginal ring (n = 5, 4%), and progestin only pill (n = 5, 4%).
CONCLUSION(S): The pharmacist contraception prescribing service developed by the Purdue University Pharmacy and Student Health Center is a unique approach to meeting the needs of students. Few external resources are required for implementation, and most patients were medically eligible to receive hormonal contraception.
Collaboration between on-campus student health centers and pharmacies can be explored as 1 approach to increase access to hormonal contraception for students.
大学生群体中非意愿妊娠的人数最多，而大学校园内的药房则具有独特的优势，可以满足学生的需求。我们的目标是在校园药房实施药剂师避孕处方服务，并检查该服务的利用情况。
美国印第安纳州普渡大学药房通过与校园学生健康中心的合作药物治疗管理协议，实施了药剂师激素避孕处方服务。合作药物治疗管理协议使药剂师能够独立为符合资格标准的学生开处方服用药丸、贴片、环、注射剂和紧急避孕药。在完成患者健康筛查和血压检查后，药剂师会讨论合格的方法并开出最多 12 个月的供应量。也可以提供向其他提供者转介长效可逆避孕措施或进一步评估的建议。我们收集了每次就诊的基本信息（例如，年龄、血压、开处方的避孕方法和就诊时间）。
在 2020-2021 学年期间，共进行了 125 次处方咨询，平均预约时间为 20 分钟（范围为 12-65 分钟）。患者的中位年龄为 21 岁（范围为 18-30 岁）。符合条件的患者（n=123，98%）获得了处方，其中 119 份（95%）处方得到了开具：复方口服避孕药（n=91，77%）、注射剂（n=12，10%）、贴片（n=6，5%）、阴道环（n=5，4%）和仅孕激素避孕药（n=5，4%）。
由普渡大学药房和学生健康中心开发的药剂师避孕处方服务是满足学生需求的独特方法。实施所需的外部资源很少，大多数患者在医学上有资格接受激素避孕。
校内学生健康中心和药房之间的合作可以作为增加学生获得激素避孕机会的一种方法进行探索。
