Availability of emergency contraception: a survey of hospital emergency department staff
Language: 
English
Short Title: 
Availability of emergency contraception
Abstract: 

STUDY OBJECTIVE: I investigate accessibility of emergency contraception pills at hospital emergency departments and survey staff at Catholic and non-Catholic hospitals across the United States. More specifically, I sought to report the likelihood that a woman calling a hospital and seeking emergency contraception could access the medication; (2) if emergency contraception is not provided, whether hospital staff would provide a referral to another facility; and (3) the outcome of the referral process. METHODS: Using a "mystery client" approach, I telephoned staff at all 597 Catholic hospitals in the United States and at 17% of non-Catholic hospitals (n=615). I used this interviewing method to reflect the experience of a laywoman calling to inquire about the availability of emergency contraception. RESULTS: I found that staff at 42% of non-Catholic hospitals and 55% of Catholic hospitals said that they do not dispense emergency contraception, even in cases of sexual assault. Overall, more respondents at Catholic hospitals (23%) reported that they provide emergency contraception only to victims of sexual assault compared with staff at non-Catholic hospitals (17%). Among staff who said that their hospital does not provide emergency contraception under any circumstances, only about half gave callers a valid referral, and most referrals were ineffective. CONCLUSION: To improve women's access to emergency contraception, hospitals can (1) use collaborative drug-therapy agreements to enable hospital pharmacies to dispense emergency contraception without a prescription, (2) develop and communicate written policies that support provision of emergency contraception, and (3) encourage health care providers who observe religious or ethical guidelines to provide effective referrals for women seeking emergency contraception.

Author(s): 
Harrison, Teresa
Item Type: 
Journal Article
Publication Title: 
Annals of Emergency Medicine
Journal Abbreviation: 
Ann Emerg Med
Publication Date: 
2005-08
Publication Year: 
2005
Pages: 
105-110
Volume: 
46
Issue: 
2
ISSN: 
1097-6760
DOI: 
10.1016/j.annemergmed.2005.01.017
Library Catalog: 
PubMed
Extra: 
PMID: 16046937

Turabian/Chicago Citation

Teresa Harrison. 2005-08. "Availability of emergency contraception: a survey of hospital emergency department staff." Annals of Emergency Medicine 46: 2: 105-110. 10.1016/j.annemergmed.2005.01.017.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1016/j.annemergmed.2005.01.017 | issn = 1097-6760 | volume = 46 | pages = 105-110 | last = Harrison | first = Teresa | coauthors = | title = Availability of emergency contraception: a survey of hospital emergency department staff | journal = Annals of Emergency Medicine | date = 2005-08 | pmid = | pmc = }} </ref>