scholarly journals Emergency Contraception Access and Counseling in Urban Pharmacies: A Comparison between States with and without Pharmacist Prescribing

Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 105 ◽  
Author(s):  
Rebecca H. Stone ◽  
Sally Rafie ◽  
Dennia Ernest ◽  
Brielle Scutt
Keyword(s):  
Continuing Education ◽  
San Francisco ◽  
Emergency Contraception ◽  
Primary Source ◽  
Community Pharmacies ◽  
Patient Access ◽  
Patient Counseling ◽  
The Public ◽  
Adult Females ◽  
Primary Endpoints

Pharmacists are often the primary source of emergency contraception (EC) access and patient information. This study aims to identify differences in pharmacist-reported EC access and counseling between states which do or do not permit pharmacist-prescribed EC. This prospective, mystery caller study was completed in California (CA), which permits pharmacist-prescribed EC after completion of continuing education, and Georgia (GA), which does not. All community pharmacies that were open to the public in San Diego and San Francisco, CA, and Atlanta, GA were called by researchers who posed as adult females inquiring about EC via a structured script. Primary endpoints were EC availability and counseling. Statistical analyses completed with SPSS. Researchers called 395 pharmacies, 98.2% were reached and included. Regarding levonorgestrel (LNG), CA pharmacists more frequently discussed (CA 90.4% vs. GA 81.2%, p = 0.02), stocked (CA 89.5% vs. GA 67.8%, p < 0.01), and correctly indicated it “will work” or “will work but may be less effective” 4 days after intercourse (CA 67.5% vs. GA 17.5%, p < 0.01). Ulipristal was infrequently discussed (CA 22.6% vs. GA 3.4%, p < 0.01) and rarely stocked (CA 9.6% vs. GA 0.7%, p < 0.01). Pharmacists practicing in states which permit pharmacist-prescribed EC with completion of required continuing education may be associated with improved patient access to oral EC and more accurate patient counseling.

Primary Source Publishers in a Googling World

2005 ◽  
Vol 34 (1) ◽  
Author(s):  
Arjan van Dijk
Keyword(s):  
New York ◽  
San Francisco ◽  
Public Library ◽  
Primary Source ◽  
The Internet ◽  
Free Access ◽  
Internet Archive ◽  
The Public ◽  
New York Public Library ◽  
American Memory

In December 2004, Google Inc. announced its plans to digitize millions of books from prestigious libraries such as Harvard, Stanford, and the New York Public Library. Most of the books are in the public domain and will be available for free on the Internet. The Google initiative is one among many, including the American Memory Project of the Library of Congress, the San Francisco-based Internet Archive, and Gallica, the digital library of the Bibliothèque nationale de France. All of these programs offer free access to good-quality digital materials. Another common feature is that they are heavily funded.

Emergency Contraception Access and Counseling in Metropolitan and Nonmetropolitan Pharmacies in Georgia

2021 ◽  
pp. 089719002110528
Author(s):  
Rebecca H. Stone ◽  
Savannah Gross ◽  
Brielle Reardon ◽  
Henry N. Young
Keyword(s):  
Emergency Contraception ◽  
Geographic Location ◽  
Community Pharmacies ◽  
Patient Counseling ◽  
Chi Square ◽  
Ulipristal Acetate ◽  
Timely Access ◽  
Mystery Shopper ◽  
Stock Information ◽  
Work Up

Background: Emergency contraception (EC) efficacy is dependent on timing of administration. Adequate pharmacy stock information and accurate patient counseling are important to ensure timely access. Objective: This study evaluates pharmacist reported availability and counseling for levonorgestrel (LNG) and ulipristal acetate (UPA), and identifies differences between caller type and pharmacies in metropolitan vs nonmetropolitan areas of Georgia. Methods: This prospective, randomized, telephone-based study included 25% of Georgia community pharmacies, stratified by geographic location. Calls were made by investigators, first posing as a mystery shopper inquiring about EC stock and efficacy, then 3–6 weeks later as a researcher inquiring about EC stock. Analysis utilized descriptive statistics, chi Square, and logistic regression. Results: Of 600 pharmacies, the mystery shopper caller reached 86%: 74% of pharmacists initially discussed LNG, 57.1% had it stocked, more often in metropolitan areas (OR 1.7, 95% CI 1.08–2.6). Ulipristal acetate was discussed by 1.9% and reported in-stock < 1%. Of those who discussed window of efficacy, 79% indicated LNG would either not work 4 days after intercourse or they were unsure. The research caller successfully completed a second call for 64% of pharmacies: 57% stocked LNG, 3% stocked UPA, and UPA was more likely to be stocked in metropolitan pharmacies. Conclusion: In Georgia, UPA availability is poor, and nonmetropolitan pharmacies were less likely to stock LNG and UPA. A minority of pharmacists correctly indicated that LNG may work up to 120 hours after intercourse. Strategies are needed to overcome barriers to EC availability in community pharmacies and support pharmacists’ EC counseling.

scholarly journals Emergency Contraception Counseling in California Community Pharmacies: A Mystery Caller Study

Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 38 ◽  
Author(s):  
Ditmars ◽  
Rafie ◽  
Kashou ◽  
Cleland ◽  
Bayer ◽  
...  
Keyword(s):  
San Francisco ◽  
Emergency Contraception ◽  
San Diego ◽  
Intrauterine Device ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Ulipristal Acetate ◽  
Contraception Counseling ◽  
Copper Intrauterine Device

This study was conducted to determine which emergency contraception (EC) methods are offered by community pharmacists in response to patient calls. Female mystery callers called all community pharmacies in two California cities using standardized scripts. The callers inquired about options available to prevent pregnancy after sex and whether that method was available at the pharmacy, using follow-up probes if necessary. A total of 239 calls were completed in San Diego (n = 127, 53%) and San Francisco (n = 112, 47%). Pharmacists indicated availability at most sites (n = 220, 92%) with option(s) reported as levonorgestrel only (LNG; n = 211, 88.3%), both ulipristal acetate (UPA) and LNG (n = 4, 1.6%), UPA only (n = 1, 0.4%), or non-specific EC (n = 4, 1.7%). Nineteen pharmacies (7.9%) did not have EC available on the day of the call. Following additional probing, some pharmacists discussed UPA (n = 49, 20.5%) or the copper intrauterine device (n = 1, 0.4%) as EC options. LNG EC products were available same-day in 90.1% of pharmacies, whereas UPA was available same-day in 9.6% of pharmacies. The majority of pharmacies called in this study offered and stocked at least one EC option, but the focus of discussions was on LNG and matched what was in stock and available.

Cross-National Focus Group Response to Autonomous Vehicles

2021 ◽  
pp. 036119812199236
Author(s):  
Thomas A. Norton ◽  
Melissa Ruhl ◽  
Tim Armitage ◽  
Brian Matthews ◽  
John Miles
Keyword(s):  
Focus Group ◽  
San Francisco ◽  
Autonomous Vehicles ◽  
Public Investment ◽  
Public Attitudes ◽  
Total N ◽  
The Public ◽  
Form And Function ◽  
Positive Attitudes ◽  
Willingness To Use

The development of autonomous vehicles (AVs) is advancing quickly in some enclaves around the world. Consequently, AVs exist in the public consciousness, featuring regularly in mainstream media. As the form and function of AVs emerge, the attitudes of potential users become more important. The extent to which the public trusts AV technology and anticipates benefits, will drive consumer willingness to use AVs. Broadly, public attitudes will determine whether AVs can attract public investment in infrastructure and become a feature of the future transport mix or fail to realize the potential their developers assert. As part of UK Autodrive, a program trialing the introduction of AVs in the United Kingdom, researchers conducted focus groups in five UK cities, and a comparison focus group in San Francisco (December 2017 to September 2018) using representative samples (total n = 137). Focus group facilitators guided discussions in three areas considered central to usage decisions: trust in the technology, ownership models, and community benefit. This paper describes findings from a quasi-quantitative study supported with qualitative insights. This research provides three key takeaways centering on trust in the technology and in delivering benefit. First, some participants gain trust through experience and others through evidence. Second, participants had difficulty discriminating between AV developers, indicating a need for industry cooperation. Third, partnerships were found to demonstrate trust, highlighting the need for more and deeper partnerships moving forward. Generally, participants had positive attitudes toward AVs and expect AVs to provide benefits. However, these attitudes and expectations could change as AV development progresses.

The 2016 Police and Crime Commissioner elections

2017 ◽  
Vol 16 (2) ◽  
pp. 41-54 ◽  
Author(s):  
Peter Joyce
Keyword(s):  
Public Awareness ◽  
Primary Source ◽  
Source Material ◽  
Content Type ◽  
The Public ◽  
The Social ◽  
Key Issues ◽  
The Subject ◽  
The Government

Purpose The purpose of this paper is to analyse the 2016 elections for Police and Crime Commissioners (PCCs) and to compare them with those that took place in 2012. It seeks to evaluate the background of the candidates who stood for office in 2016, the policies that they put forward, the results of the contests and the implications of the 2016 experience for future PCC elections. Design/methodology/approach This paper is based around several key themes – the profile of candidates who stood for election, preparations conducted prior to the contests taking place, the election campaign and issues raised during the contests, the results and the profile of elected candidates. The paper is based upon documentary research, making particular use of primary source material. Findings The research establishes that affiliation to a political party became the main route for successful candidates in 2016 and that local issues related to low-level criminality will dominate the future policing agenda. It establishes that although turnout was higher than in 2012, it remains low and that further consideration needs to be devoted to initiatives to address this for future PCC election contests. Research limitations/implications The research focusses on the 2016 elections and identifies a number of key issues that emerged during the campaign affecting the conduct of the contests which have a bearing on future PCC elections. It treats these elections as a bespoke topic and does not seek to place them within the broader context of the development of the office of PCC. Practical implications The research suggests that in order to boost voter participation in future PCC election contests, PCCs need to consider further means to advertise the importance of the role they perform and that the government should play a larger financial role in funding publicity for these elections and consider changing the method of election. Social implications The rationale for introducing PCCs was to empower the public in each police force area. However, issues that include the enhanced importance of political affiliation as a criteria for election in 2016 and the social unrepresentative nature of those who stood for election and those who secured election to this office in these contests coupled with shortcomings related to public awareness of both the role of PCCs and the timing of election contests threaten to undermine this objective. Originality/value The extensive use of primary source material ensures that the subject matter is original and its interpretation is informed by an academic perspective.

Preparing pharmacists to increase naloxone dispensing within community pharmacies under the Pennsylvania standing order

2020 ◽  
Author(s):  
Heather M Santa ◽  
Samira G Amirova ◽  
Daniel J Ventricelli ◽  
George E Downs ◽  
Alexandra A Nowalk ◽  
...  
Keyword(s):  
Community Pharmacists ◽  
The United States ◽  
Health Concern ◽  
Community Pharmacies ◽  
Opioid Overdose ◽  
Patient Counseling ◽  
Opioid Use ◽  
Overdose Prevention ◽  
Standing Order ◽  
Overdose Deaths

Abstract Purpose Opioid misuse and overdose deaths remain a public health concern in the United States. Pennsylvania has one of the highest rates of opioid overdose deaths in the country, with Philadelphia County’s being 3 times higher than the national average. Despite several multimodal interventions, including use of SBIRT (screening, brief intervention, and referral to treatment) methods and naloxone distribution, the rate of overdose deaths remains high. Methods To gain insights on strategies for improving access to naloxone and naloxone distribution by pharmacists in Philadelphia County, a study was conducted in 11 community pharmacies (chain and independent) in Philadelphia. Twenty-four pharmacists were recruited and completed SBIRT and naloxone trainings. Each pharmacy elected to have at least 1 pharmacy champion who received additional training on and helped develop pharmacy site–specific naloxone dispensing protocols. Results Pre-post survey results showed a reduction in stigmatizing attitudes regarding naloxone dispensing and an increase in pharmacists’ understanding of the standing order and appropriate naloxone use. There was an increase in pharmacists’ self-reported confidence in their ability to appropriately identify, discuss, and dispense naloxone to patients. All pharmacies increased their average monthly dispensing rate following protocol implementation. Conclusion Pharmacists who received both trainings were more likely to change naloxone dispensing practices, leading to an overall increase in naloxone dispensing by community pharmacists. The study addressed overall gaps in pharmacists’ knowledge, reduced stigma, and prepared pharmacists to address opioid use and overdose prevention with their patients. The described pharmacist-led patient counseling and intervention service for overdose prevention may be explored as a model for other community pharmacies to adopt to improve naloxone dispensing and similar interventions to reduce overdose deaths.

Continuing Education as the Public Relations Arm

1982 ◽  
Vol 13 (6) ◽  
pp. 20-21
Author(s):  
Mary Beth Strauss ◽  
Belinda E Puetz ◽  
Judith J Chodil ◽  
Roberta S Abruzzese ◽  
Patricia S Yoder Wise
Keyword(s):  
Public Relations ◽  
Continuing Education ◽  
The Public
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