This study assessed pharmacists’ perceptions, barriers, and potential solutions for implementing a policy allowing pharmacists to prescribe hormonal contraceptives in Indiana. A mixed-method survey (n = 131, 22.3% response rate), using Likert-type scales, dichotomous responses (yes/no), and open-ended questions, was distributed to pharmacy preceptors in Indiana. Pharmacists felt prescribing contraceptives would be beneficial (79.1%) and were interested in providing this service (76.0%), but only 35.6% reported having the necessary resources. Participants with a PharmD were significantly more likely to feel the service would be beneficial (odds ratio [OR] = 10.360, 95% confidence interval [CI: 1.679, 63.939]) and be interested in prescribing contraceptives (OR = 9.069, 95% CI [1.456, 56.485]). Reimbursement (86.4%), training courses (84.7%), private counseling rooms (69.5%), and increasing technician responsibilities (52.5%) were identified as ways to ease implementation. Women had significantly greater odds of being more comfortable than men prescribing injections (OR = 2.237, 95% CI [1.086, 4.605]), and intravaginal rings (OR = 2.215, 95% CI [1.066, 4.604]), when controlling for age, degree, and setting. Qualitative findings reinforced quantitative findings.
Accreditation Council for Pharmacy Education. (2015). Accreditation standards and key elements for the professional program in pharmacy leading to the Doctor of Pharmacy degree. https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf
BachA. T.GoadJ. A. (2015). The role of community pharmacy-based vaccination in the USA: Current practice and future directions. Integrated Pharmacy Research and Practice, 4, 67-77. https://doi.org/10.2147/IPRP.S63822
5.
BealJ. L.Illingworth PlakeK. (2020). Social and legislative shaping of access to contraceptives and the pharmacists’ role: A literature review. Research in Social and Administrative Pharmacy, 16(5), 628-636. https://doi.org/10.1016/j.sapharm.2019.07.005
Colorado Department of Public Health and Environment. (2019). Taking the unintended out of pregnancy: Colorado’s success with long-acting reversible contraception. www.colorado.gov/pacific/cdphe/cfpi-report
8.
DombrowskiS. K.BacciJ. L.KlattP. M.OsborneM.CastelliG.BurnsA.McGivneyM. A. S. (2019). Key factors for sustainable integration of pharmacists in team-based primary care physician practices. Journal of the American Pharmacists Association, 59(3), 439-448. https://doi.org/10.1016/j.japh.2019.02.005
9.
FinerL. B.ZolnaM. R. (2016). Declines in unintended pregnancy in the United States, 2008-2011. New England Journal of Medicine, 374, 843-852. https://doi.org/10.1056/NEJMsa1506575
10.
FrostT. P.AdamsA. J. (2017). Tech-check-tech in community pharmacy practice settings. Journal of Pharmacy Technology, 33(2), 47-52. https://doi.org/10.1177/8755122516683519
11.
GardnerJ. S.MillerL.DowningD. F.LeS.BloughD.ShotorbaniS. (2008). Pharmacist prescribing of hormonal contraceptives: Results of the Direct Access study. Journal of the American Pharmacists Association, 48(2), 212-221. https://doi.org/10.1331/JAPhA.2008.07138
HilverdingA. T.DiPietro MagerN. A. (2017). Pharmacists’ attitudes regarding provision of sexual and reproductive health services. Journal of the American Pharmacists Association, 57(4), 493-497. https://doi.org/10.1016/j.japh.2017.04.464
KsiazekS.CampbellJ. W. J.FenskyT. D.JuranC. D.HamiltonB. S.PatelT. J.MesarosJ. J.BurgessP. P.WendelS. R.NewsomeL. S.ChopskiN. L.MazzoniR. B. (2019). Member boards, NABP continue to explore expansion of pharmacy technician roles. National Association of Boards of Pharmacy Innovations. https://nabp.pharmacy/wp-content/uploads/2019/08/Innovations-Newsletter-August-2019.pdf
17.
LandauS. C.BesinqueK.ChungF.Dries-DaffnerI.Monastersky MaderesN. (2009). Pharmacist interest in and attitudes toward direct pharmacy access to hormonal contraception in the United States. Journal of the American Pharmacists Association, 49(1), 43-50. https://doi.org/10.1331/JAPhA.2009.07154
18.
LuS.RafieS.HamperJ.StraussR.KroonL. (2019). Characterizing pharmacist-prescribed hormonal contraception services and users in California and Oregon pharmacies. Contraception, 99(4), 239-243. https://doi.org/10.1016/j.contraception.2018.12.002
RafieS.El-IbiaryS. Y. (2011). Student pharmacist perspectives on providing pharmacy-access hormonal contraception services. Journal of the American Pharmacists Association, 51(6), 762-5. https://doi.org/10.1331/JAPhA.2011.10094
27.
RafieS.HaycockM.RafieS.YenS.HarperC. C. (2012). Direct pharmacy access to hormonal contraception: California physician and advanced practice clinician views. Contraception, 86(6), 687-693. https://doi.org/10.1016/j.contraception.2012.05.010
28.
RafieS.LandauS. (2019, December21). Opening new doors to birth control: State efforts to expand access to contraception in community pharmacies. Birth Control Pharmacist. https://birthcontrolpharmacist.com/2019/12/21/report/
29.
RafieS.RichardsE.RafieS.LandauS. C.WilkinsonT. A. (2019). Pharmacist outlooks on prescribing hormonal contraception following statewide scope of practice expansion. Pharmacy, 7(3), Article 96. https://doi.org/10.3390/pharmacy7030096
30.
RodriguezM. I.BielF. M.SwartzJ. J.AndersonL.EdelmanA. B. (2018). Pharmacists’ experience with prescribing hormonal contraception in Oregon. Journal of the American Pharmacists Association, 58(6), 608-613. https://doi.org/10.1016/j.japh.2018.06.020
31.
RodriguezM. I.McConnellJ.SwartzJ.EdelmanA. B. (2016). Pharmacist prescription of hormonal contraception in Oregon: Baseline knowledge and interest in provision. Journal of the American Pharmacists Association, 56(5), 521-526. https://doi.org/10.1016/j.japh.2016.05.003
32.
SchommerJ. C.GaitherC. A. (2014). A segmentation analysis for pharmacists’ and patients’ views of pharmacists’ roles. Research in Social and Administrative Pharmacy, 10(3), 508-528. https://doi.org/10.1016/j.sapharm.2013.10.004
SnyderM. E.EarlT. R.GilchristS.GreenbergM.HeislerH.RevelsM.Matson-KoffmanD. (2015). Collaborative drug therapy management: Case studies of three community-based models of care. Preventing Chronic Disease, 12(March), Article 140504. https://doi.org/10.5888/pcd12.140504
TakC. R.KesslerL. T.ScottM. A.GunningK. M. (2019). Pharmacist-prescribed hormonal contraception: A review of the current landscape. Journal of the American Pharmacists Association, 59(5), 633-641. https://doi.org/10.1016/j.japh.2019.05.015
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