Pharmacist authority to provide HPV vaccine: Novel partners in cervical cancer prevention
Pharmacist authority to provide HPV vaccine: Novel partners in cervical cancer prevention
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DOI：
10.1016/j.ygyno.2013.12.020
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发表时间：
2014-03-01
影响因子：
4.7
通讯作者：
Smith, Jennifer S.
中科院分区：
文献类型：
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作者：
Brewer, Noel T.;Chung, Jake K.;Smith, Jennifer S.
目标。虽然在美国提供宫颈癌预防服务的范围已经扩大到提供巴氏涂片检查的诊所以外的新环境，但预防工作受到相对较低的人乳头瘤病毒（HPV）疫苗覆盖率的阻碍。药店是一个未充分利用的提供HPV疫苗的场所。为了更好地了解这一机会，我们试图对药剂师在美国每个州接种HPV疫苗的权力进行分类。对于美国的每个州和哥伦比亚特区（为了简单起见，我们将这51个地区称为州），我们采访了州药房协会的成员，州药房委员会的成员，或学校或药学学院的教员。大多数州（80%）允许药剂师向19岁及以上的成年妇女提供HPV疫苗，61%的州允许向12岁的女孩提供HPV疫苗。药剂师接种疫苗的机制在各州之间差异很大。例如，在31%的州，根据特定医生和药剂师之间的协议，一名寻求HPV疫苗的12岁女孩可以从药剂师那里获得疫苗，24%的州有HPV疫苗处方，6%的州没有医生事先批准。药剂师的权力在西海岸最广泛，在东海岸有限。药剂师提供HPV、Tdap和脑膜炎疫苗的权威非常相似，但高度依赖于患者的年龄。美国各州关于药剂师提供HPV疫苗能力的法律差异很大。一个后果是，新扩大的宫颈预防工作没有充分利用药剂师。(C) 2013爱思唯尔公司版权所有。
Objectives. While the provision of cervical cancer prevention services in the United States has expanded to new settings beyond clinics that give Pap smears, prevention efforts are being hampered by relatively low human papillomavirus (HPV) vaccine coverage. Pharmacies are an underused setting to deliver HPV vaccine. To better understand this opportunity, we sought to classify pharmacists' authority to administer HPV vaccine in each US state.Methods. For each US state and the District of Columbia (for simplicity, we refer to these 51 regions as states), we interviewed a member of the state's pharmacy association, member of the state board of pharmacy, or a faculty member at a school or college of pharmacy.Results. Most states (80%) allowed pharmacists to provide HPV vaccine to adult women ages 19 and older, and 61% of states allowed provision to girls age 12. The mechanism for pharmacists to immunize was highly variable across states. For example, a 12 year-old girl seeking HPV vaccine could receive it from a pharmacist in 31% of states under a protocol between a specific physician and pharmacist, in 24% with an HPV vaccine prescription, and in 6% without prior physician approval. Pharmacists' authority was broadest on the west coast and limited on the east coast. Pharmacist authority to provide HPV, Tdap, and meningitis vaccines was very similar, but it was highly dependent on patient age.Conclusions. US states' laws governing pharmacists' ability to offer HPV vaccine varied widely. One consequence is that newly expanded cervical prevention efforts underuse pharmacists. (C) 2013 Elsevier Inc. All rights reserved.