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Pharmacy-based sexual and reproductive health services : a mixed methods evaluation
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Gauly, Julia (2020) Pharmacy-based sexual and reproductive health services : a mixed methods evaluation. PhD thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b3519318~S15
Abstract
Objective
Limited financial resources and an increase in demand for access present challenges to policy makers wishing to address people’s need for sexual and reproductive health services (SRHS). The potential of pharmacies to take pressure off healthcare systems and deliver SRHS is being increasingly recognised. The aim of this PhD project was to explore the attitudes, experiences and utilisation of pharmacy-based SRHS to develop recommendations for service optimisation.
Methods
A mixed methods approach was used. A retrospective quantitative study was conducted to describe the utilisation of a large range of SRHS delivered through the health provider Umbrella in Birmingham (England). A systematic review was carried out to summarise what is known about pharmacy users’ and staff experiences of SRHS. Qualitative semi-structured interviews were conducted with pharmacy staff and pharmacy users to explore their experiences with pharmacy-based SRHS in Birmingham. The results of all three studies were synthesised and recommendations developed based on the discussion of the integrated findings.
Results
People using the pharmacy for SRHS found pharmacies convenient to use and overall had a positive experience interacting with pharmacy staff. However, key barriers to access included not being able to access pharmacy staff of the preferred sex, not having staff trained in SRHS delivery available, a lack of privacy at the counter, difficulties with self-sampling kits testing for sexually transmitted infections, and a lack of awareness for services. While pharmacy staff were generally motivated to deliver SRHS, added workload was experienced as stressful, particularly when staffing levels were low.
Conclusion
The thesis developed recommendations on the optimisation of pharmacy-based SRHS. Barriers to access and usability need to be addressed in order to exploit pharmacies’ full potential. The thesis developed recommendations on the optimisation of pharmacy-based SRHS, some of which are relevant to pharmacy services in general.
| Item Type: | Thesis (PhD) | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine | ||||
| Library of Congress Subject Headings (LCSH): | Reproductive health services -- Great Britain, Pharmaceutical services -- Great Britain | ||||
| Official Date: | September 2020 | ||||
| Dates: |
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| Institution: | University of Warwick | ||||
| Theses Department: | Warwick Medical School | ||||
| Thesis Type: | PhD | ||||
| Publication Status: | Unpublished | ||||
| Supervisor(s)/Advisor: | Ross, Jonathan D. ; Atherton, Helen (Researcher in primary care) ; Dale, Jeremy, 1958- | ||||
| Sponsors: | University Hospitals Birmingham NHS Foundation Trust | ||||
| Format of File: | |||||
| Extent: | xii, 343 leaves : colour illustrations | ||||
| Language: | eng |
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