Alternative approaches to partner notification, diagnosis, and treatment: pharmacists' perspectives on proposed patient delivered partner therapy in New York State, 2007.
BACKGROUND
Supported by the American Medical Association, patient delivered partner therapy (PDPT) is becoming legal in many states. For some individuals exposed to sexually transmitted infections, the pharmacist may become the sole point of contact with the medical system.


METHODS
To determine pharmacists' perceptions about PDPT, education on sexually transmitted infections, and potential barriers that need to be addressed in pharmacies for successful implementation of PDPT, we conducted a survey of pharmacists and observed privacy-related spaces in pharmacies. In 8 counties of the Capital Region, all community pharmacies were invited to participate. In 8 additional counties convenience sampling was utilized. The response proportion was 67.3% overall.


RESULTS
Of the 193 pharmacists responding to the survey, 63% supported PDPT for Chlamydia and 78% do not want a behind-the-counter status for Chlamydia antibiotics. The majority (88%) of pharmacists want prescriptions marked as PDPT to alert them to counseling needs. About half the pharmacists reported they would automatically submit PDPT prescriptions to insurance company, a confidentiality issue. The barrier cited most often to patient counseling was time (49%).


CONCLUSIONS
Pharmacists are open to considering PDPT as part of their professional functions. Although pharmacists need additional sexually transmitted infections education in general, capacity for this training can be developed. Confidentiality issues remain a priority issue to address to protect individuals treated through PDPT.
McNutt
Louise-Anne
LA
Department of Epidemiology and Biostatistics, University at Albany, School of Public Health, One University Place, GEC 125, Rensselaer, NY 12144, USA. lamcnutt@gmail.com
Davis
Christopher F
CF
Bednarczyk
Robert A
RA
Fischer
Andrea
A
Zeolla
Mario
M
Coles
Bruce F
BF
D000328:Adult; D001291:Attitude of Health Personnel; D016358:Contact Tracing; D003376:Counseling; D003695:Delivery of Health Care / Q000639:trends*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009518:New York; D010358:Patient Participation / Q000379:methods*; D010595:Pharmacists / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology*; D015231:Sexually Transmitted Diseases, Bacterial / Q000175:diagnosis / Q000188:drug therapy* / Q000517:prevention & control; D055815:Young Adult