Evidence map›Paper›PMID 37254171›Full record

ArticleBMC health services research2023

A qualitative analysis of pharmacists' attitudes towards provision of medication abortion.

Selina Sandoval, Grace Chen, Sally Rafie, Borsika Rabin, Sheila Mody, Sarah Averbach

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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 at 2 institutions in 1 country.

Selina SandovalDivision of Complex Family Planning, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, 9300 Campus Point Dr. MC 7433, La Jolla, San Diego, CA, 92037, USA.
Grace ChenSchool of Medicine, University of California San Diego, San Diego, CA, USA.
Sally RafieDepartment of Pharmacy, University of California San Diego Health, San Diego, CA, USA.
Borsika RabinHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, San Diego, CA, USA.
Sheila ModyDivision of Complex Family Planning, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, 9300 Campus Point Dr. MC 7433, La Jolla, San Diego, CA, 92037, USA.
Sarah AverbachDivision of Complex Family Planning, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, 9300 Campus Point Dr. MC 7433, La Jolla, San Diego, CA, 92037, USA. saverbach@health.ucsd.edu.
University of California, San Diego · USHuman Longevity (United States) · US

Funding

Society of Family Planning SFPRF21-26
6 · The paper itself

Abstract

background90% of United States' counties do not have a single clinic offering abortion care, and barriers to care disproportionately affect low-income families. Novel models of abortion care delivery, including provision of medication abortion in pharmacies, with pharmacists prescribing medication, have the potential to expand access to abortion care. Pharmacists are well-positioned to independently provide abortion care and are highly accessible to patients, however medication abortion provision by pharmacists is not currently legal or available in the United States. To assess the potential acceptability of pharmacist provision of medication abortion and to identify anticipated barriers and facilitators to this model of care, we explored pharmacists' attitudes towards providing medication abortion, inclusive of patient selection, counseling, and medication prescribing.

methodsFrom May to October 2021, we conducted 20 semi-structured qualitative interviews with pharmacists across the United States, guided by the domains of the Consolidated Framework for Implementation Science Research.

resultsMajor themes included there is a need for pharmacist provision of medication abortion and pharmacists perceive provision of medication abortion to be potentially acceptable if anticipated barriers are addressed. Anticipated barriers identified included personal, religious, and political beliefs of pharmacists and lack of space and systems to support the model. Ensuring adequate staffing with pharmacists willing to participate, private space, time for counseling, safe follow-up, training, and reimbursement mechanisms were perceived strategies to facilitate successful implementation.

conclusionsPharmacist identified implementation strategies are needed to reduce anticipated barriers to pharmacist provision of medication abortion.

Indexed as

Abortion, InducedCommunity Pharmacy ServicesAttitude of Health PersonnelFemaleHumansPharmacistsPregnancyProfessional RoleUnited StatesAbortionMedication abortionNo-test medication abortionPharmacistPharmacy

Identifiers

PMID37254171
PMCPMC10228451
OpenAlexW4378782018

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.