SHOULD ORAL-CONTRACEPTIVES BE AVAILABLE WITHOUT PRESCRIPTION
SHOULD ORAL-CONTRACEPTIVES BE AVAILABLE WITHOUT PRESCRIPTION
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DOI：
10.2105/ajph.83.8.1094
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发表时间：
1993-08-01
影响因子：
12.7
通讯作者：
ELLERTSON, C
中科院分区：
文献类型：
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作者：
TRUSSELL, J;STEWART, F;ELLERTSON, C
在本文中，它被认为是口服避孕药应提供无处方。处方状态需要付出高昂的成本，包括去看医生获取处方的美元、时间和心理成本，口服避孕药医疗化造成的获取障碍导致意外怀孕的经济和人力成本，以及医疗保健系统的行政成本。在审查和评估美国对口服避孕药进行严格医疗控制的原因后，在这里讨论的建议中预期的安全问题得到解决。此外，还对处方状态对于有效使用的必要性进行了评价。它的结论是，无论是安全性和有效性的考虑证明处方状态口服避孕药。修订后的包装设计和患者标签可以让妇女筛选自己的禁忌症，教育自己的危险信号，并使用口服避孕药安全和successful.Several替代提供口服避孕药的处方与当前的包装设计和标签，并在柜台上出售他们的建议，讨论的建议将使这些安全有效的避孕药更容易获得和使用。
In this paper, it is argued that oral contraceptives should be available without prescription. Prescription status entails heavy costs, including the dollar, time, and psychological costs of visiting a physician to obtain a prescription, the financial and human costs of unintended pregnancies that result from the obstacle to access caused by medicalization of oral contraceptives, and administrative costs to the health care system.After a review and evaluation of the reasons for strict medical control of oral contraceptives in the United States, safety concerns anticipated in response to the proposal discussed here are addressed. Also, concerns that prescription status is necessary for efficacious use are evaluated. It is concluded that neither safety nor efficacy considerations justify prescription status for oral contraceptives. Revised package design and patient labeling could allow women to screen themselves for contraindications, to educate themselves about danger signs, and to use oral contraceptives safely and successfully.Several alternative to providing oral contraceptives by prescription with current package design and labeling and selling them over the counter are suggested; the proposals discussed would make these safe and effective contraceptives easier to obtain and to use.