Expedited Partner Therapy: Pharmacist Refusal of Legal Prescriptions

Sexually Transmitted Diseases
Lauren N BorchardtAmy L Drendel

Abstract

Expedited partner therapy (EPT) is an effective strategy for partner management of sexually transmitted infections. Some states, including Wisconsin, allow EPT prescriptions to be filled without a patient name. This study determined the refusal rates of nameless EPT prescriptions in Milwaukee pharmacies. In this cross-sectional study, 3 trained research assistants of different age, sex, and race posed as "patients" and visited 50 pharmacy locations from one pharmacy chain in Milwaukee County, WI, to fill nameless EPT prescriptions. A χ test was used to compare demographics of patients, pharmacists, and pharmacies. Multiple logistic regression was used to identify factors associated with prescription refusal. Twenty-nine (58%) of 50 nameless EPT prescriptions were refused. Univariate analysis showed that prescriptions were more likely to be refused if the pharmacy was in the suburbs (77%) compared with Milwaukee city (43%; P = 0.01), if the pharmacist was older than the patient (82%) compared with being younger (46%) or within the same age group (33%; P = 0.01 for both), and if the patient was white (78%) compared with nonwhite (47%; P = 0.03). Multivariable regression revealed significantly higher refusals for pharmacies locate...Continue Reading

References

Aug 25, 2009·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Gale R BursteinJill Huppert
Oct 30, 2016·International Journal of STD & AIDS·E A RosenfeldE Miller
Oct 16, 2015·American Journal of Public Health·William J HallTamera Coyne-Beasley
Mar 3, 2017·BMC Medical Ethics·Chloë FitzGerald, Samia Hurst

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Citations

Feb 22, 2018·Sexually Transmitted Diseases·Julia A Schillinger
Jan 15, 2020·Sexually Transmitted Diseases·Michelle Carman-McClanahan, Megan McCool-Myers
Jul 23, 2021·MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports·Kimberly A WorkowskiGail A Bolan

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