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Obstet Gynecol ; 138(6): 871-877, 2021 12 01.
Article in English | MEDLINE | ID: mdl-34735383

ABSTRACT

OBJECTIVE: To assess pharmacy participation in and accessibility of pharmacist-prescribed contraception after legislation effective in the state of Utah in 2019. METHODS: A secret-shopper telephone survey was used to assess participation in pharmacist-prescribed contraception. Geospatial analysis was used to map the distribution of participating pharmacies by population characteristics. RESULTS: Of all operating Class A retail pharmacies in Utah, 127 (27%) were providing pharmacist-prescribed contraception 1 year after implementation of the Utah standing order. Oral contraceptive pills were widely accessible (100%); however, other allowed methods were not (vaginal ring 14%; contraceptive patch 2%). Consultation fees and medication costs varied widely. Participating pharmacies were mainly concentrated in population centers. Assuming access to a personal vehicle, urban areas with a high percentage of Hispanic people (Utah's largest minority race or ethnicity group) have access to a participating pharmacy within a 20-minute driving distance. However, access in rural areas with a high percentage Hispanic or other minority were limited. We identified 235 (40%) census tracts with a high proportion of Utah's residents living below the poverty line or of minority race or ethnicity who also had low access to pharmacist-prescribed contraception. CONCLUSIONS: Although the pharmacy-based model is intended to increase access to contraception, practical availability 1 year after the authorization of pharmacist-prescribed contraception in Utah suggests that this service does not adequately serve rural areas, particularly rural areas with a high proportion of minorities and those living below the federal poverty line.


Subject(s)
Contraception/statistics & numerical data , Health Services Accessibility/statistics & numerical data , Pharmaceutical Services/statistics & numerical data , Pharmacists/statistics & numerical data , Pharmacy/statistics & numerical data , Adolescent , Adult , Drug Costs/statistics & numerical data , Female , Health Plan Implementation , Health Services Accessibility/legislation & jurisprudence , Hispanic or Latino/statistics & numerical data , Humans , Male , Middle Aged , Pharmaceutical Services/legislation & jurisprudence , Pharmacies/legislation & jurisprudence , Pharmacies/statistics & numerical data , Poverty/statistics & numerical data , Referral and Consultation/economics , Referral and Consultation/statistics & numerical data , Rural Population/statistics & numerical data , Utah , Young Adult
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