Recommended Citation
Newlon, Jenny L.; Campi, Jennifer A.; Rafie, Sally; and Meredith, Ashley H., "Determining user implementation needs for pharmacist-prescribed contraception using concept mapping: A participatory, multiple stakeholder approach" (2024). Purdue University Libraries Open Access Publishing Fund. Paper 228.
http://dx.doi.org/10.1016/j.rcsop.2024.100525
DOI
10.1016/j.rcsop.2024.100525
Date of this Version
10-24-2024
Keywords
Pharmacist, Contraception, Service implementation
Abstract
Background
As of October 2024, 29 states and the District of Columbia allow community pharmacists to prescribe hormonal contraceptives. Pharmacists have reported many challenges and barriers to service implementation.
Methods
Concept mapping was used to gather insights from diverse stakeholders to identify resources to facilitate implementation of pharmacist-prescribed contraceptive services. Stakeholders included end-users (pharmacy managers, staff pharmacists) and decision-makers (pharmacy owners/executives). Participants' ideas for resources were collected via multi-stakeholder focus groups. Participants then rated each idea (i.e. statement) in terms of importance and feasibility (1 = not at all important/feasible, 4 = extremely important/feasible) and sorted ideas into groups based on similarity via an online survey. Sorting data were analyzed using multidimensional scaling and hierarchical cluster analysis to develop a cluster map. Descriptive statistics were used to analyze rating data to develop a go-zone map, where statements rated above average in terms of both importance and feasibility are plotted in the “go-zone” and are considered the most actionable ideas.
Results
Participants (focus groups n = 19, survey n = 48) generated 46 unique statements which created four clusters via multidimensional scaling: 1) implementation guidance for practice setup, 2) marketing resources, 3) billing and payment resources, and 4) appointment management. The majority of the statements (13 of 15) considered the most actionable were from the implementation guidance and appointment management clusters.
Conclusions
Stakeholders seek guidance on implementation, marketing, billing and payment, and appointment management. To increase the ability of community pharmacies to meet the contraceptive needs of patients, resources should be dedicated to creating tools and solutions to address these identified needs.
Comments
This is the publisher PDF of Newlon, JL; Campi, JA; Rafie, S; Meredith, AH. (2024). Determining user implementation needs for pharmacist-prescribed contraception using concept mapping: A participatory, multiple stakeholder approach Exploratory Research in Clinical and Social Pharmacy, 16, 100525. This article is distributed under a CC-BY-NC license, and is available at DOI: 10.1016/j.rcsop.2024.100525.