Role of community pharmacies in relation to HIV prevention and drug misuse: findings from the 1995 national survey in England and Wales
Abstract Objectives: To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988. Design: Self completion questionnaire (four mailings) to a random 1 in 4 sample of al...
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Published in | BMJ Vol. 313; no. 7052; pp. 272 - 274 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
London
British Medical Journal Publishing Group
03.08.1996
British Medical Association BMJ Publishing Group Ltd BMJ Publishing Group LTD BMJ Publishing Group BMJ Group |
Edition | International edition |
Subjects | |
Online Access | Get full text |
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Abstract | Abstract Objectives: To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988. Design: Self completion questionnaire (four mailings) to a random 1 in 4 sample of all community pharmacies, stratified by family health services authority. Setting: England and Wales. Subjects: Data provided by pharmacist in charge of the dispensary, on service provision at the pharmacy. Main outcome measures: Quantitative reports of current activity levels for (a) dispensing of controlled drugs to drug misusers, (b) sale of needles and syringes, (c) needle and syringe exchange. Results: 74.8% response rate (1984/2654). In 1995, 50.1% (992/1980) of pharmacies were dispensing controlled drugs (mostly methadone), compared with 23.0% (562/2457) in 1988; 34.5% (677/1962) of pharmacies were selling injecting equipment, compared with 28.0% (676/2434) in 1988; 18.9% (366/1937) were providing a needle exchange service, compared with 3.0% (65/2415) in 1988. Conclusion: Activity levels increased substantially across all three service areas. Increased activity included greater individual activity as well as higher proportions of pharmacies participating. The network of community pharmacies represents an underused point of contact for this Health of the Nation target population. Key messages Many communities pharmacies have a role in providing HIV prevention services for injecting drug misusers—such as dispensing controlled drugs on prescription, selling injecting equipment, and operating needle exchange schemes Since 1988 the proportion of pharmacies dispensing prescribed controlled drugs has dou- bled, and the proportion taking part in needle exchange schemes has increased sixfold A large reservoir of untapped potential still exists among community pharmacists The community pharmacist has a high level of contact with often “hard to reach” drug misusers; the potential for maximising such contacts should be explored |
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AbstractList | Abstract Objectives: To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988. Design: Self completion questionnaire (four mailings) to a random 1 in 4 sample of all community pharmacies, stratified by family health services authority. Setting: England and Wales. Subjects: Data provided by pharmacist in charge of the dispensary, on service provision at the pharmacy. Main outcome measures: Quantitative reports of current activity levels for (a) dispensing of controlled drugs to drug misusers, (b) sale of needles and syringes, (c) needle and syringe exchange. Results: 74.8% response rate (1984/2654). In 1995, 50.1% (992/1980) of pharmacies were dispensing controlled drugs (mostly methadone), compared with 23.0% (562/2457) in 1988; 34.5% (677/1962) of pharmacies were selling injecting equipment, compared with 28.0% (676/2434) in 1988; 18.9% (366/1937) were providing a needle exchange service, compared with 3.0% (65/2415) in 1988. Conclusion: Activity levels increased substantially across all three service areas. Increased activity included greater individual activity as well as higher proportions of pharmacies participating. The network of community pharmacies represents an underused point of contact for this Health of the Nation target population. Key messages Many communities pharmacies have a role in providing HIV prevention services for injecting drug misusers—such as dispensing controlled drugs on prescription, selling injecting equipment, and operating needle exchange schemes Since 1988 the proportion of pharmacies dispensing prescribed controlled drugs has dou- bled, and the proportion taking part in needle exchange schemes has increased sixfold A large reservoir of untapped potential still exists among community pharmacists The community pharmacist has a high level of contact with often “hard to reach” drug misusers; the potential for maximising such contacts should be explored null 12 references A self-completion questionnaire was sent to a random 1 in 4 sample of all community pharmacies in England and Wales to establish activity levels of community pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988. OBJECTIVES--To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988. DESIGN--Self completion questionnaire (four mailings) to a random 1 in 4 sample of all community pharmacies, stratified by family health services authority. SETTING--England and Wales. SUBJECTS--Data provided by pharmacist in charge of the dispensary, on service provision at the pharmacy. MAIN OUTCOME MEASURES--Quantitative reports of current activity levels for (a) dispensing of controlled drugs to drug misusers, (b) sale of needles and syringes, (c) needle and syringe exchange. RESULTS--74.8% response rate (1984/2654). In 1995, 50.1% (992/1980) of pharmacies were dispensing controlled drugs (mostly methadone), compared with 23.0% (562/2457) in 1988; 34.5% (677/1962) of pharmacies were selling injecting equipment, compared with 28.0% (676/2434) in 1988; 18.9% (366/1937) were providing a needle exchange service, compared with 3.0% (65/2415) in 1988. CONCLUSION--Activity levels increased substantially across all three service areas. Increased activity included greater individual activity as well as higher proportions of pharmacies participating. The network of community pharmacies represents an underused point of contact for this Health of the Nation target population. Objectives: To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988. Design: Self completion questionnaire (four mailings) to a random 1 in 4 sample of all community pharmacies, stratified by family health services authority. Setting: England and Wales. Subjects: Data provided by pharmacist in charge of the dispensary, on service provision at the pharmacy. Main outcome measures: Quantitative reports of current activity levels for (a) dispensing of controlled drugs to drug misusers, (b) sale of needles and syringes, (c) needle and syringe exchange. Results: 74.8% response rate (1984/2654). In 1995, 50.1% (992/1980) of pharmacies were dispensing controlled drugs (mostly methadone), compared with 23.0% (562/2457) in 1988; 34.5% (677/1962) of pharmacies were selling injecting equipment, compared with 28.0% (676/2434) in 1988; 18.9% (366/1937) were providing a needle exchange service, compared with 3.0% (65/2415) in 1988. Conclusion: Activity levels increased substantially across all three service areas. Increased activity included greater individual activity as well as higher proportions of pharmacies participating. The network of community pharmacies represents an underused point of contact for this Health of the Nation target population. Key messages Many communities pharmacies have a role in providing HIV prevention services for injecting drug misusers—such as dispensing controlled drugs on prescription, selling injecting equipment, and operating needle exchange schemes Since 1988 the proportion of pharmacies dispensing prescribed controlled drugs has dou- bled, and the proportion taking part in needle exchange schemes has increased sixfold A large reservoir of untapped potential still exists among community pharmacists The community pharmacist has a high level of contact with often “hard to reach” drug misusers; the potential for maximising such contacts should be explored To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988. Self completion questionnaire (four mailings) to a random 1 in 4 sample of all community pharmacies, stratified by family health services authority. England and Wales. Data provided by pharmacist in charge of the dispensary, on service provision at the pharmacy. Quantitative reports of current activity levels for (a) dispensing of controlled drugs to drug misusers, (b) sale of needles and syringes, (c) needle and syringe exchange. 74.8% response rate (1984/2654). In 1995, 50.1% (992/1980) of pharmacies were dispensing controlled drugs (mostly methadone), compared with 23.0% (562/2457) in 1988; 34.5% (677/1962) of pharmacies were selling injecting equipment, compared with 28.0% (676/2434) in 1988; 18.9% (366/1937) were providing a needle exchange service, compared with 3.0% (65/2415) in 1988. Activity levels increased substantially across all three service areas. Increased activity included greater individual activity as well as higher proportions of pharmacies participating. The network of community pharmacies represents an underused point of contact for this Health of the Nation target population. To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988.OBJECTIVESTo establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings with the levels identified in 1988.Self completion questionnaire (four mailings) to a random 1 in 4 sample of all community pharmacies, stratified by family health services authority.DESIGNSelf completion questionnaire (four mailings) to a random 1 in 4 sample of all community pharmacies, stratified by family health services authority.England and Wales.SETTINGEngland and Wales.Data provided by pharmacist in charge of the dispensary, on service provision at the pharmacy.SUBJECTSData provided by pharmacist in charge of the dispensary, on service provision at the pharmacy.Quantitative reports of current activity levels for (a) dispensing of controlled drugs to drug misusers, (b) sale of needles and syringes, (c) needle and syringe exchange.MAIN OUTCOME MEASURESQuantitative reports of current activity levels for (a) dispensing of controlled drugs to drug misusers, (b) sale of needles and syringes, (c) needle and syringe exchange.74.8% response rate (1984/2654). In 1995, 50.1% (992/1980) of pharmacies were dispensing controlled drugs (mostly methadone), compared with 23.0% (562/2457) in 1988; 34.5% (677/1962) of pharmacies were selling injecting equipment, compared with 28.0% (676/2434) in 1988; 18.9% (366/1937) were providing a needle exchange service, compared with 3.0% (65/2415) in 1988.RESULTS74.8% response rate (1984/2654). In 1995, 50.1% (992/1980) of pharmacies were dispensing controlled drugs (mostly methadone), compared with 23.0% (562/2457) in 1988; 34.5% (677/1962) of pharmacies were selling injecting equipment, compared with 28.0% (676/2434) in 1988; 18.9% (366/1937) were providing a needle exchange service, compared with 3.0% (65/2415) in 1988.Activity levels increased substantially across all three service areas. Increased activity included greater individual activity as well as higher proportions of pharmacies participating. The network of community pharmacies represents an underused point of contact for this Health of the Nation target population.CONCLUSIONActivity levels increased substantially across all three service areas. Increased activity included greater individual activity as well as higher proportions of pharmacies participating. The network of community pharmacies represents an underused point of contact for this Health of the Nation target population. |
Audience | Professional |
Author | Sheridan, Janie Strang, John Glanz, Alan Barber, Nick |
AuthorAffiliation | National Addiction Centre, Institute of Psychiatry, London |
AuthorAffiliation_xml | – name: National Addiction Centre, Institute of Psychiatry, London |
Author_xml | – sequence: 1 givenname: Janie surname: Sheridan fullname: Sheridan, Janie organization: aNational Addiction Centre, Institute of Psychiatry and Maudsley Hospital, London SE AF – sequence: 2 givenname: John surname: Strang fullname: Strang, John organization: aNational Addiction Centre, Institute of Psychiatry and Maudsley Hospital, London SE AF – sequence: 3 givenname: Nick surname: Barber fullname: Barber, Nick organization: aCentre for Pharmacy Practice, School of Pharmacy, London WCN AX – sequence: 4 givenname: Alan surname: Glanz fullname: Glanz, Alan organization: aNational Addiction Centre, Institute of Psychiatry and Maudsley Hospital, London SE AF |
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Keywords | Human Immunopathology Drug addiction Chemist AIDS Immune deficiency Infection Exchange Prevention Mail inquiry Sales Viral disease Needle Syringe Drug of abuse Public health Comparative study |
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References | 1993; 251 1995 1993 1996; 313 1991; 247 Glanz, Byrne, Jackson 1989; 299 1994; 252 8973250 - BMJ. 1996 Dec 7;313(7070):1480-1 8704526 - BMJ. 1996 Aug 3;313(7052):245-6 |
References_xml | – volume: 247 start-page: 223 year: 1991 article-title: Pharmaceutical services for drug misusers (policy statement). publication-title: Pharmaceutical Journal – volume: 313 start-page: 270 year: 1996 article-title: Prescribing injectable and oral methadone to opiate addicts: results from the 1995 national postal survey of community pharmacies in England and Wales. publication-title: BMJ – volume: 247 start-page: 304 year: 1991 publication-title: Pharmaceutical Journal – volume: 251 start-page: 20 year: 1993 article-title: Guidelines for pharmacists involved in schemes to supply clean needles and syringes. publication-title: Pharmaceutical Journal – year: 1993 article-title: The health of the nation: key area handbook, HIV/AIDS and sexual health. publication-title: DoH: London, – volume: 252 start-page: 53 year: 1994 publication-title: Pharmaceutical Journal – year: 1995 article-title: Statistics of drug addicts notified to the Home Office, United Kingdom 1994. publication-title: HMSO, – volume: 299 start-page: 1076 year: 1989 article-title: The role of community pharmacies in the prevention of AIDS among injecting drug misusers: findings of a survey in England and Wales. publication-title: BMJ – reference: 8973250 - BMJ. 1996 Dec 7;313(7070):1480-1 – reference: 8704526 - BMJ. 1996 Aug 3;313(7052):245-6 |
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Snippet | Abstract Objectives: To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to... Objectives: To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare... Objectives—To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these... To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare these findings... Abstract Objectives : To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to... A self-completion questionnaire was sent to a random 1 in 4 sample of all community pharmacies in England and Wales to establish activity levels of community... null 12 references OBJECTIVES--To establish activity levels of community (high street) pharmacies in the provision of HIV prevention services to drug misusers and to compare... |
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SubjectTerms | AIDS virus carriers Amphetamines Biological and medical sciences Communities Controlled substances Disease prevention Drug abuse Drug and alcohol surveys Drug Prescriptions Drug stores Drugstores England General Practice Health services Health Surveys HIV HIV carriers HIV Infections - prevention & control Human immunodeficiency virus Humans Immunodeficiencies Immunodeficiencies. Immunoglobulinopathies Immunopathology Medical sciences Medical supplies Medical syringes Methadone Narcotics Narcotics - supply & distribution Narcotics - therapeutic use Needle exchange programs Pharmaceutical preparations Pharmacies Pharmacies - statistics & numerical data Pharmacists Prescription drugs Professional Practice Questionnaires Services Substance Abuse, Intravenous - prevention & control Substance-Related Disorders - prevention & control Surveys Surveys and Questionnaires Wales |
Title | Role of community pharmacies in relation to HIV prevention and drug misuse: findings from the 1995 national survey in England and Wales |
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