Evidence map›Paper›PMID 30935394›Full record

ArticleBMC health services research2019

Pharmacists expand access to reproductive heaLthcare: PEARL study protocol.

Maria I Rodriguez, Blair G Darney, Alison B Edelman, Kimberly Yee, Lorinda B Anderson, K John McConnell

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maria I RodriguezDepartment of Obstetrics and Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, UHN 50, Portland, OR, 97239, USA. rodrigma@ohsu.edu.ORCID http://orcid.org/0000-0002-3127-2581
Blair G DarneyDepartment of Obstetrics and Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, UHN 50, Portland, OR, 97239, USA.
Alison B EdelmanDepartment of Obstetrics and Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, UHN 50, Portland, OR, 97239, USA.
Kimberly YeeCenter for Health Systems Effectiveness, Oregon Health &Science University, Portland, USA.
Lorinda B AndersonCollege of Pharmacy, Oregon State University, Corvallis, USA.
K John McConnellCenter for Health Systems Effectiveness, Oregon Health &Science University, Portland, USA.

Funding

Laura and John Arnold Foundation 0
6 · The paper itself

Abstract

backgroundIn 2016, Oregon became the first of eight states to allow pharmacists to directly prescribe hormonal contraception (HC), including the pill, patch, or ring, without a clinic visit. In the two years following this policy change, the majority of ZIP codes across the state of Oregon had a pharmacist certified to prescribe HC.

methodsWe will utilize complementary methodologies to evaluate the effect of this policy change on convenient access to contraception (cost, supply dispensed), safety, contraceptive continuation and unintended pregnancy rates. We will conduct a prospective clinical cohort study to directly measure the impact of provider type on contraceptive continuation and to understand who is accessing hormonal contraception directly from pharmacists. We will concurrently conduct a retrospective analysis using medical claims data to evaluate the state-level effect of the policy. We will examine contraceptive continuation rates, incident pregnancy, and safety measures. The combination of these methodologies allows us to examine key woman-level factors, such as pregnancy intention and usual place of care, while also estimating the impact of the pharmacist prescription policy at the state level. DISCUSSION: Pharmacist prescription of HC is emerging nationally as a strategy to reduce unintended pregnancy. This study will provide data on the effect of this practice on convenient access to care, contraceptive safety and continuation rates.

Indexed as

Contraceptive Agents, FemaleDrug PrescriptionsLegislation, DrugFemaleHealth Services AccessibilityHumansOregonPharmaceutical ServicesPharmacistsPregnancyPregnancy RatePregnancy, UnplannedProspective StudiesResearch DesignRetrospective StudiesContraceptive Agents, FemaleAccess to careContinuationHormonal contraceptionPharmacists

Identifiers

PMID30935394
PMCPMC6444429

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.