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Physicians’ Opinion Regarding Extended Access to Hormonal Contraception in Switzerland

(1) Background: Access to hormonal contraceptives (HC) strongly differs between countries and varies from over the counter (OTC) to prescription-only availability. This study aimed to identify opinions among physicians in Switzerland regarding extended access to HC. (2) Methods: Web-based survey amo...

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Autores principales: Yous, Tamara, Allemann, Samuel, Lutters, Monika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628942/
https://www.ncbi.nlm.nih.gov/pubmed/34842813
http://dx.doi.org/10.3390/pharmacy9040184
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author Yous, Tamara
Allemann, Samuel
Lutters, Monika
author_facet Yous, Tamara
Allemann, Samuel
Lutters, Monika
author_sort Yous, Tamara
collection PubMed
description (1) Background: Access to hormonal contraceptives (HC) strongly differs between countries and varies from over the counter (OTC) to prescription-only availability. This study aimed to identify opinions among physicians in Switzerland regarding extended access to HC. (2) Methods: Web-based survey among physicians (gynecologists, general practitioners, and pediatricians) in Switzerland. (3) Results: Hundred sixty-three physicians, mainly gynecologists, participated in this survey and 147 (90%) were included for analysis. A total of 68% (n = 100) answered that prescription-only status could be extended under certain conditions but physicians were concerned about patients’ safety (97%, n = 142). Moreover, there was concern about insufficient patient education on HC (93%, n = 136) and that women may forego preventive examinations (80%, n = 118). Participants did not support OTC availability (93%, n = 136). Pharmacists prescribing (including initiation of HC) revealed controversial results, but a combined access model (initial prescription from physician and follow-up prescriptions by pharmacists) found acceptance in 70% (n = 103). (4) Conclusions: Participating physicians stated that prescription-only status for HC could be lifted under certain conditions but also some concerns, e.g., patients’ safety or neglection of preventive examinations, were raised. Future research should focus on specific conditions in which extended access to HC could be agreed on.
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spelling pubmed-86289422021-11-30 Physicians’ Opinion Regarding Extended Access to Hormonal Contraception in Switzerland Yous, Tamara Allemann, Samuel Lutters, Monika Pharmacy (Basel) Article (1) Background: Access to hormonal contraceptives (HC) strongly differs between countries and varies from over the counter (OTC) to prescription-only availability. This study aimed to identify opinions among physicians in Switzerland regarding extended access to HC. (2) Methods: Web-based survey among physicians (gynecologists, general practitioners, and pediatricians) in Switzerland. (3) Results: Hundred sixty-three physicians, mainly gynecologists, participated in this survey and 147 (90%) were included for analysis. A total of 68% (n = 100) answered that prescription-only status could be extended under certain conditions but physicians were concerned about patients’ safety (97%, n = 142). Moreover, there was concern about insufficient patient education on HC (93%, n = 136) and that women may forego preventive examinations (80%, n = 118). Participants did not support OTC availability (93%, n = 136). Pharmacists prescribing (including initiation of HC) revealed controversial results, but a combined access model (initial prescription from physician and follow-up prescriptions by pharmacists) found acceptance in 70% (n = 103). (4) Conclusions: Participating physicians stated that prescription-only status for HC could be lifted under certain conditions but also some concerns, e.g., patients’ safety or neglection of preventive examinations, were raised. Future research should focus on specific conditions in which extended access to HC could be agreed on. MDPI 2021-11-12 /pmc/articles/PMC8628942/ /pubmed/34842813 http://dx.doi.org/10.3390/pharmacy9040184 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yous, Tamara
Allemann, Samuel
Lutters, Monika
Physicians’ Opinion Regarding Extended Access to Hormonal Contraception in Switzerland
title Physicians’ Opinion Regarding Extended Access to Hormonal Contraception in Switzerland
title_full Physicians’ Opinion Regarding Extended Access to Hormonal Contraception in Switzerland
title_fullStr Physicians’ Opinion Regarding Extended Access to Hormonal Contraception in Switzerland
title_full_unstemmed Physicians’ Opinion Regarding Extended Access to Hormonal Contraception in Switzerland
title_short Physicians’ Opinion Regarding Extended Access to Hormonal Contraception in Switzerland
title_sort physicians’ opinion regarding extended access to hormonal contraception in switzerland
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628942/
https://www.ncbi.nlm.nih.gov/pubmed/34842813
http://dx.doi.org/10.3390/pharmacy9040184
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