An Observational Study of Nicotine Replacement Therapy Availability Through Pharmacist Prescribing in the California Central Valley.

Background: California's Central Valley has high rates of tobacco product use and low rates of access to healthcare providers, making it difficult for residents to acquire effective tobacco cessation treatment. To address this disparity, California pharmacists can act as healthcare providers, with t...

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Publicado en:Tobacco Use Insights Vol. 18; pp. 1 - 12
Autores principales: Halliday, Deanna M., Schneider, Sara, Wakefield, Tanner, Durazo, Arturo, Tracy, Darrin, Song, Anna V., Apollonio, Dorie E.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 10/17/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 10/17/2025
      vid: 18
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: An Observational Study of Nicotine Replacement Therapy Availability Through Pharmacist Prescribing in the California Central Valley.
      aug:
        au:
          Halliday, Deanna M.
          Schneider, Sara
          Wakefield, Tanner
          Durazo, Arturo
          Tracy, Darrin
          Song, Anna V.
          Apollonio, Dorie E.
        affil: Center for Tobacco Control Research and Education, UCSF Cardiovascular Research Institute, University of California, San Francisco, CA, USA
      sug:
        subj:
          Nicotine Replacement Therapy
          Pharmacists California
          Non-Medical Prescribing
          Health Services Accessibility
          Human
          Nonexperimental Studies
          California
          Funding Source
          Interviews
          Rural Areas
          Cross Sectional Studies
          Data Analysis Software
          Thematic Analysis
          Descriptive Statistics
      ab: Background: California's Central Valley has high rates of tobacco product use and low rates of access to healthcare providers, making it difficult for residents to acquire effective tobacco cessation treatment. To address this disparity, California pharmacists can act as healthcare providers, with the ability to provide counseling and independently prescribe nicotine replacement therapy (NRT) medications through a process known as "furnishing". Methods: All corporate and independent pharmacies in the Central Valley who serve the general community were contacted (n = 586) to ask whether pharmacists furnished NRT. The authors visited pharmacy locations (n = 23) that indicated they furnished NRT to request participation in a survey and interview. The authors analyzed if pharmacies furnished NRT, the characteristics of those that furnished, the creation of implementation of protocols, barriers, and facilitators, and how services were fostered. Results: In interviews, pharmacists expressed generally positive attitudes toward furnishing, but were concerned about barriers, including concerns about feasibility and affordability, lack of administrative support, and perceived limited demand. Conclusions: Despite the region's high tobacco usage rates, few pharmacies (n = 5; 0.88%) furnished NRT. To increase furnishing rates, corporate policy changes, recognition of pharmacists as providers by insurance companies, and support from the California Board of Pharmacy are likely needed. Increasing advertising, building rapport, and knowing patients' tobacco history may increase NRT utilization.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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