Stone Rebecca H, Patel Megha D, Beene Lara L
College of Pharmacy, University of Georgia, Athens, GA 30602, USA.
Pharmacy (Basel). 2024 Oct 18;12(5):156. doi: 10.3390/pharmacy12050156.
Pharmacist-prescribed hormonal contraception (HC) is supported by a majority of pharmacists and pharmacy students; however, few studies have evaluated perceptions of non-community pharmacists, or differences in geographic areas. The primary objective of this study is to assess differences between community and non-community pharmacists in perceptions of pharmacist-prescribing HC in Georgia, a state that does not currently permit this practice. Secondary objectives include assessment of community pharmacist interest in prescribing HC, and differences in perceptions between pharmacists in metropolitan and nonmetropolitan areas. A survey was emailed in early 2022 to 2592 Georgia pharmacists, with Likert questions assessing interest, perceptions, comfort, and perceived barriers regarding pharmacist-prescribed HC. Chi square testing identified differences between groups. The completed survey response rate was 11.8%. Regardless of practice site, a majority agreed that pharmacists are well trained to prescribe HC (community 61.8% vs. non-community 68.1%, = 0.25) and provision of HC services is within pharmacists' scope (community 73.6% vs. non-community 74.2%, = 0.90). Overall, metropolitan and nonmetropolitan community pharmacist perceptions were similar; however, more metropolitan pharmacists believed pharmacists are well trained to prescribe HC (66.7% vs. 48.7%, = 0.049) and that it is within their scope of practice (78.1% vs. 61.5%, = 0.045). In summary, the majority of pharmacists, regardless of practice type, believe that pharmacists are prepared to prescribe HC and that it is a part of pharmacists' professional scope of practice.
药剂师开具的激素避孕（HC）得到了大多数药剂师和药学专业学生的支持；然而，很少有研究评估非社区药剂师的看法，或不同地理区域之间的差异。本研究的主要目的是评估佐治亚州社区药剂师和非社区药剂师在药剂师开具HC看法上的差异，该州目前不允许这种做法。次要目标包括评估社区药剂师对开具HC的兴趣，以及大都市和非大都市地区药剂师看法的差异。2022年初，通过电子邮件向2592名佐治亚州药剂师发送了一份调查问卷，其中包含李克特量表问题，用于评估对药剂师开具HC的兴趣、看法、舒适度和感知障碍。卡方检验确定了组间差异。完成的调查回复率为11.8%。无论执业地点如何，大多数人都认为药剂师接受过开具HC的良好培训（社区药剂师为61.8%，非社区药剂师为68.1%，P = 0.25），并且提供HC服务属于药剂师的职责范围（社区药剂师为73.6%，非社区药剂师为74.2%，P = 0.90）。总体而言，大都市和非大都市社区药剂师的看法相似；然而，更多的大都市药剂师认为药剂师接受过开具HC 的良好培训（66.7%对48.7%，P = 0.049），并且这属于他们的执业范围（78.1%对61.5%，P = 0.045）。总之，大多数药剂师，无论执业类型如何，都认为药剂师有能力开具HC，并且这是药剂师专业执业范围的一部分。
