Distribution - on or off prescription (of oral contraceptives)?

Family planning information service Pub Date : 1978-02-01
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Abstract

Restrictions on sale of oral contraceptives (OCs) in Australia are based on their classification as Schedule 4 poisons; as such they are "restricted substances" and obtainable only on a prescription. In general only a medical practitioner can prescribe OCs and only a chemist or a licensed person can dispense them. Doctors at Family Planning Clinics and Hospital Outpatient Departments may also supply OCs. There are arguments for and against a relaxation of restrictions controlling the distribution of OCs, many of these views were stated in submissions to the Royal Commission on Human Relationships. At present in Australia, a nurse must work under the supervision of a medical practitioner when providing family planning services. A doctor may delegate certain functions to nursing staff but remains ultimately responsible. The Royal Commission "suggests that steps should be taken to enable nurse practitioners to take a wider role in prescribing oral contraceptives." They also think "that the pill should be available only through a person trained to give information and advice on its proper use. (They) would not necessarily restrict the categories of such persons; they might include nurses, or other specially trained personnel, at family planning clinics, specially trained social workers, pharmacists, and possibly others. It would be important to establish proper standards for training these personnel and for their competence to be recognized by the Commonwealth and States under appropriate legislation. This would require cooperation. The Family Planning Associations or other recognized training bodies could be authorized to issue certificates of competence to persons who have received the appropriate training; this would in turn authorize those persons to prescribe OCs. When more is known about the OC it is hoped that it will be possible to make it available without restriction.

(口服避孕药)处方内或处方外的分发?
澳大利亚对口服避孕药(OCs)销售的限制是基于其属于附表4毒药的分类;因此,它们是“限制物质”,只有在处方上才能获得。一般而言,只有医生才能开出OCs处方,而只有药剂师或持牌人才能配发OCs。计划生育诊所和医院门诊部的医生也可以提供OCs。支持和反对放宽对OCs分配的限制都有争议,其中许多观点在提交给皇家人际关系委员会的文件中都有陈述。目前在澳大利亚,护士在提供计划生育服务时必须在医生的监督下工作。医生可能会将某些功能委托给护理人员,但最终还是要负责。皇家委员会“建议应采取措施,使执业护士在处方口服避孕药方面发挥更大的作用。”他们还认为,“只有经过培训、能提供正确使用信息和建议的人才能获得避孕药。”(他们)不一定会限制这些人的类别;他们可能包括计划生育诊所的护士或其他受过专门训练的人员、受过专门训练的社会工作者、药剂师,可能还有其他人。必须制订适当的标准来培训这些人员,并使他们的能力得到英联邦和各国根据适当立法的承认。这需要合作。可授权计划生育协会或其他公认的培训机构向接受过适当培训的人员颁发胜任证书;这将反过来授权这些人士订明法团。当对OC了解得更多时,希望可以不受限制地提供它。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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