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Utilisation of pharmacy-based sexual and reproductive health services : a quantitative retrospective study
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Gauly, Julia, Atherton, Helen, Kimani, Peter K. and Ross, Jonathan (2020) Utilisation of pharmacy-based sexual and reproductive health services : a quantitative retrospective study. Sexually Transmitted Infections, 97 (2). pp. 126-133. doi:10.1136/sextrans-2020-054488
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WRAP-Utilisation-pharmacy-based-sexual-health-services-restrospective-Kimani-2020.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-Noncommercial 4.0. Download (234Kb) | Preview |
Official URL: https://doi.org/10.1136/sextrans-2020-054488
Abstract
Objectives: To explore the utilisation of pharmacy-based sexual and reproductive health services (SRHS) in order to optimise delivery and identify barriers to access.
Methods: The health provider Umbrella offers six SRHS from over 120 pharmacies in Birmingham (England). In this retrospective study, data collected between August 2015 and August 2018 were used to analyse uptake, user characteristics and attendance patterns according to day of the week.
Results: A total of 60 498 requests for a pharmacy service were included in the analysis. Emergency contraception (50.4%), condoms (33.1%) and STI self-sampling kits (9.6%) accounted for more than 90% of all requests. A lower uptake of services was observed for the contraceptive injection (0.6%), oral contraception (5.4%) and chlamydia treatment (1.0%). Services were most likely to be requested by those self-identifying as female (85.6%), and those aged 16–24 years (53.8%). Based on available ethnicity data (n=54 668), most requests for a service were made by White/White British individuals (43.4%) and Asian/Asian British people (23.1%). The largest number of services were delivered on Mondays (20.9%) and the lowest on Sundays (5.0%). A high proportion of requests for services on Saturdays (57.0%), Sundays (67.6%) and Mondays (54.4%) were made by females presenting for emergency contraception.
Conclusion: The evaluation of healthcare utilisation is important to help refine and optimise the delivery of services. However, information relating to pharmacy-based SRHS is scarce and often limited to a single type of service provision. Overall, a wide range of pharmacy-based services were accessed by a diverse range of people, suggesting that pharmacies are a suitable provider of many SRHS. However, the routinely collected data analysed in the study had several limitations restricting the analysis. Sexual health providers should ensure they collect data which are as comprehensive as is possible in order to help understand the utilisation of services.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine | ||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology Faculty of Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | Health services administration -- Great Britain, Health services accessibility -- Great Britain | ||||||||
| Journal or Publication Title: | Sexually Transmitted Infections | ||||||||
| Publisher: | B M J Group | ||||||||
| ISSN: | 1472-3263 | ||||||||
| Official Date: | 17 February 2020 | ||||||||
| Dates: |
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| Volume: | 97 | ||||||||
| Number: | 2 | ||||||||
| Page Range: | pp. 126-133 | ||||||||
| DOI: | 10.1136/sextrans-2020-054488 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access | ||||||||
| RIOXX Funder/Project Grant: |
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