Requests for emergency contraception in community pharmacy: an evaluation of services provided to mystery patients

Research in Social & Administrative Pharmacy : RSAP
Samantha J Higgins, H Laetitia Hattingh

Abstract

Requests for supply of the emergency contraceptive pill (ECP) through community pharmacies require consideration of a range of factors and the application of professional judgment. Pharmacists should therefore be able to follow a structured reasoning process. The research involved an assessment of history taking and counseling by pharmacy staff through mystery patient emergency contraception product requests. Two challenging ECP request case scenarios were developed with assessment tools. Mystery patients were trained to present the scenarios to pharmacies. A project information package and expression of interest form was posted to 135 pharmacies in the Gold Coast, Australia; 23 (17%) pharmacies agreed to participate. Pharmacy staff was exposed to 1 of 2 scenarios during December 2010. Staff interactions were recorded, analyzed, and rated to evaluate the management of ECP requests. The results identified practice gaps among pharmacy staff with respect to information gathering and the provision of advice. Ongoing training is required to enhance the skills, competence, and confidence of pharmacy staff in managing complicated requests for nonprescription medicines, such as the ECP. The impact of time pressures and financial burden...Continue Reading

References

Apr 17, 2004·Pharmacy World & Science : PWS·Claire Anderson, Paul Bissell
Mar 18, 2008·Contraception·Cynthia C HarperTina Raine-Bennett
Mar 20, 2010·Pharmacy World & Science : PWS·Marjorie C WeissEva Wong
Jun 18, 2010·Pharmacy World & Science : PWS·E FontesA Miranda
Jan 18, 2011·Contraception·Katrina QueddengKylie Williams

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Citations

Sep 4, 2015·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·H Laetitia HattinghCatherine Green
Apr 24, 2013·Research in Social & Administrative Pharmacy : RSAP·Muna S MuradLisa M Guirguis
Apr 26, 2014·The International Journal of Pharmacy Practice·Hendrika Laetitia HattinghAmanda J Wheeler
Feb 9, 2018·Pharmacy : Journal of Pharmacy, Education and Practice·Helen WoodSajni Gudka
Aug 10, 2019·The International Journal of Pharmacy Practice·Ingunn BjörnsdottirPauline Norris
Sep 19, 2020·International Journal of Environmental Research and Public Health·Bernhard LangerVanessa Wenig
Jun 25, 2020·BMJ Sexual & Reproductive Health·Gillian TurnbullKaye Wellings
Jul 5, 2013·The International Journal of Pharmacy Practice·Denise L HopeH Laetitia Hattingh
Mar 30, 2017·International Journal of Clinical Pharmacy·Melinda VanyaGyorgy Bartfai
Sep 30, 2019·International Journal of Clinical Pharmacy·André SaidMartin Schulz
Jun 20, 2020·BMJ Sexual & Reproductive Health·Anna GlasierUNKNOWN Trial steering committee

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