Women's perspectives of direct pharmacy access to oral contraception.

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES Australian journal of primary health Pub Date : 2023-07-01 DOI:10.1071/PY22212

Tara Dev, Pip Buckingham, Danielle Mazza

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引用次数: 1

Abstract

Background: Most oral contraception options require a doctor's prescription in Australia; however, there are many models of direct pharmacy access that have been successfully implemented internationally. Despite these advancements, the most preferable OTC model for consumers is yet to be explored in the international literature, and no prior studies have determined the potential benefits of implementation in Australia. The aim of this study was to explore women's perspectives and preferences for models of direct pharmacy access to oral contraceptive pills (OCPs).

Methods: Women participants (n =20) aged 18-44 residing in Australia were recruited via posts on a community Facebook page and participated in semi-structured telephone interviews. Interview questions were guided by Andersen's Behavioural Model of Health Service Use. Data were coded and thematically analysed in NVivo 12, using an inductive process to develop themes.

Results: Participants' perspectives and preferences in relation to direct pharmacy OCP access were characterised by: (1) the importance of autonomy, accessibility and decreasing stigma; (2) confidence and trust in pharmacists; (3) health and safety concerns regarding OTC access; and (4) the need for varying OTC models to cater for both experienced and first-time users.

Conclusion: Women's perspectives and preferences regarding direct pharmacy OCP access can be used to inform potential pharmacy practice advancements in Australia. While direct pharmacy OCP access is at the nexus of heated political debate in Australia, the potential benefits of being able to access OCPs directly from a pharmacist are evidently salient to women. Australian women's preferred OTC availability models were identified.

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妇女直接药房获得口服避孕药的观点。

背景:在澳大利亚，大多数口服避孕药需要医生处方;然而，国际上已经成功地实施了许多直接药房获取模式。尽管取得了这些进步，但对于消费者来说，最可取的OTC模式尚未在国际文献中探索，并且没有先前的研究确定在澳大利亚实施的潜在好处。本研究的目的是探讨妇女的观点和偏好的模式直接药房获得口服避孕药(OCPs)。方法:通过Facebook社区页面上的帖子招募年龄在18-44岁、居住在澳大利亚的女性参与者(n =20)，并参加半结构化电话访谈。访谈问题以安徒生的卫生服务使用行为模型为指导。在NVivo 12中对数据进行编码和主题分析，使用归纳过程来开发主题。结果:参与者对直接药房OCP获取的观点和偏好表现为:(1)自主性、可及性和减少耻辱感的重要性;(2)对药师的信心和信任;(3)有关非处方药获取的健康和安全问题;(4)需要不同的OTC型号，以满足有经验和首次使用的用户。结论:女性对直接药房OCP访问的观点和偏好可用于通知澳大利亚潜在的药房实践进步。虽然直接获得药房OCP是澳大利亚激烈政治辩论的核心，但能够直接从药剂师那里获得OCP的潜在好处对女性来说显然是显著的。确定了澳大利亚妇女首选的OTC可用性模型。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian journal of primary health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.20

自引率

15.40%

发文量

136

审稿时长

6-12 weeks

期刊介绍： Australian Journal of Primary Health integrates the theory and practise of community health services and primary health care. The journal publishes high-quality, peer-reviewed research, reviews, policy reports and analyses from around the world. Articles cover a range of issues influencing community health services and primary health care, particularly comprehensive primary health care research, evidence-based practice (excluding discipline-specific clinical interventions) and primary health care policy issues. Australian Journal of Primary Health is an important international resource for all individuals and organisations involved in the planning, provision or practise of primary health care. Australian Journal of Primary Health is published by CSIRO Publishing on behalf of La Trobe University.