Healthcare professional surveys to investigate the implementation of the isotretinoin Pregnancy Prevention Programme: a descriptive study

Ineke Crijns, Aukje Mantel-Teeuwisse, Rudi Bloemberg, Eldridge Pinas, Sabine Straus, Lolkje de Jong-van den Berg

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: Three online surveys explored compliance with the PPP by pharmacists and dermatologists, in the Netherlands. In 2007 and 2011, two pharmacist surveys were conducted to assess improvement over time.

METHODS: In 2007, survey was sent to members of the Utrecht Pharmacy Panel for Education & Research (UPPER) network (n = 1000) and in 2011, to the research group of the Dutch Association of Pharmacists (KNMP) (n = 556). In 2010, a survey was sent to 564 dermatologists of the Dutch Association of Dermatology and Venereology (NVDV).

RESULTS: Both pharmacists' questionnaires had response rates of 20% and the dermatologist questionnaire of 28%. Pharmacists' checks on 30-day dispensing remained 82%, but a check whether the prescription is out-of-date decreased (61 to 53%). Pharmacists asked the patient for a negative pregnancy test in 15%, but use of contraception was checked by 44 - 49%. One hundred and five dermatologists (64%) always prescribe contraception; 35 (22%) occasionally. Ninety-three percent of the dermatologists were of the opinion that they performed the PPP. Analysis of different elements of the PPP showed that 41 (25%) were compliant.

CONCLUSIONS: The observed non-adherence to the isotretinoin PPP calls for careful evaluation of risk minimisation plans and participation of all stakeholders in the development of these plans.

Original languageEnglish
Pages (from-to)29-38
Number of pages10
JournalExpert Opinion on Drug Safety
Volume12
Issue number1
DOIs
Publication statusPublished - Jan 2013

Keywords

  • Abnormalities, Drug-Induced
  • Attitude of Health Personnel
  • Awareness
  • Community Pharmacy Services
  • Contraception
  • Dermatologic Agents
  • Dermatology
  • Drug Prescriptions
  • Female
  • Guideline Adherence
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice
  • Health Plan Implementation
  • Humans
  • Isotretinoin
  • Netherlands
  • Patient Education as Topic
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians'
  • Pregnancy
  • Pregnancy Tests
  • Program Evaluation
  • Risk Assessment
  • Risk Factors
  • Surveys and Questionnaires

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