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Feasibility of a contraceptive-specific electronic health record system to promote the adoption of pharmacist-prescribed contraceptive services in community pharmacies in the United States.
Bustin, Devin J; Simmons, Rebecca; Galdo, Jake; Kucek, Mary E; Logan, Lissette; Cohn, Rich; Smith, Heather.
Afiliación
  • Bustin DJ; OvaryIt, LLC, Lancaster, PA 17601, United States.
  • Simmons R; Division of Family Planning, University of Utah, Salt Lake City, UT 84132, United States.
  • Galdo J; CPESN Health Equity, Nashville, TN 37217, United States.
  • Kucek ME; OvaryIt, LLC, Lancaster, PA 17601, United States.
  • Logan L; OvaryIt, LLC, Lancaster, PA 17601, United States.
  • Cohn R; Independent Consultant, Chapel Hill, NC 27516, United States.
  • Smith H; Department of Obstetrics and Gynecology, Women & Infants Hospital, Providence, RI 02905, United States.
JAMIA Open ; 7(3): ooae071, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39040536
ABSTRACT

Objectives:

Pharmacists in over half of the United States can prescribe contraceptives; however, low pharmacist adoption has impeded the full realization of potential public health benefits. Many barriers to adoption may be addressed by leveraging an electronic health records (EHR) system with clinical decision support tools and workflow automation. We conducted a feasibility study to determine if utilizing a contraceptive-specific EHR could improve potential barriers to the implementation of pharmacist-prescribed contraceptive services. Materials and

Methods:

20 pharmacists each performed two standardized patient encounter simulations one on the EHR and one on the current standard of care paper-based workflow. A crossover study design was utilized, with each pharmacist performing encounters on both standardized patients with the modality order randomized. Encounters were timed, contraceptive outputs were recorded, and the pharmacists completed externally validated workload and usability surveys after each encounter, and a Perception, Attitude, and Satisfaction survey created by the research team after the final encounter.

Results:

Pharmacists were more likely to identify contraceptive ineligibility using the EHR-based workflow compared to the paper workflow (P = .003). Contraceptive encounter time was not significantly different between the 2 modalities (P = .280). Pharmacists reported lower mental demand (P = .003) and greater perceived usefulness (P = .029) with the EHR-based workflow compared to the paper modality. Discussion and

Conclusion:

Pharmacist performance and acceptance of contraceptive services delivery were improved with the EHR workflow. Pharmacist-specific contraceptive EHR workflows show potential to improve pharmacist adoption and provision of appropriate contraceptive care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JAMIA Open Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JAMIA Open Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos