Characteristics of patients vaccinated against influenza in physician offices versus pharmacies and predictors of vaccination location: a cross-sectional study (original) (raw)

Impact of pharmacist administration of influenza vaccines on uptake in Canada

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2016

Uptake of influenza vaccination in Canada remains suboptimal despite widespread public funding. To increase access, several provinces have implemented policies permitting pharmacists to administer influenza vaccines in community pharmacies. We examined the impact of such policies on the uptake of seasonal influenza vaccination in Canada. We pooled data from the 2007-2014 cycles of the Canadian Community Health Survey (n = 481 526). To determine the impact of influenza vaccine administration by pharmacists, we estimated the prevalence ratio for the association between the presence of a pharmacist policy and individual-level vaccine uptake using a modified Poisson regression model (dependent variable: vaccine uptake) with normalized weights while controlling for numerous health and sociodemographic factors. Across all survey cycles combined, 28.8% of respondents reported receiving a seasonal influenza vaccine during the 12 months before survey participation. Introduction of a policy f...

Pharmacy patron perspectives of community pharmacist administered influenza vaccinations

Research in social & administrative pharmacy : RSAP, 2018

One approach to boost influenza vaccination coverage has been to expand immunization authority. In 2012, the province of Ontario gave community pharmacists the authority to administer the influenza vaccine. This study investigates the perspectives of Ontario pharmacy patrons, who had not recently received this vaccine from a pharmacist, regarding this pharmacist service. A survey was administered in six Ontario community pharmacies to pharmacy patrons who had not received an influenza vaccination from a pharmacist during the previous year. The instrument included questions about influenza vaccination, and knowledge of and attitudes toward vaccines and pharmacist-administered immunization. A total of 541 pharmacy patrons completed the survey (53.9% response rate). About one-third (30.5%) of respondents were not aware that pharmacists could give the influenza vaccine, with younger individuals being less likely to be aware (OR 0.48, 95% CI 0.29-0.77, p < 0.05) and less likely to rec...

The role of pharmacists in the delivery of influenza vaccinations

Vaccine, 2004

Objectives: The purpose of this study is to determine whether influenza vaccine rates have increased in states where pharmacists can give vaccines. Methods: Secondary analysis of the Behavioral Risk Factor Surveillance System (BRFSS) from the years 1995 and 1999. Information regarding legislation allowing pharmacists to administer vaccines was obtained from the American Pharmaceutical Association. Results: Individuals aged 65 years and older who lived in states where pharmacists could provide vaccines had significantly higher (P < 0.01) influenza vaccine rates than individuals of this age who resided in states where pharmacists could not provide vaccines. Conclusions: Allowing pharmacists to provide vaccinations is associated with higher influenza vaccination rates for individuals aged 65 years and older.

Factors associated with staff and physician influenza immunization at a children's hospital in Ontario, Canada

International Journal of General Medicine, 2012

In 2005, employees and physicians of the Children's Hospital of Eastern Ontario were surveyed about their experiences with and receipt of the 2003-2004 influenza vaccination. With a 29% response rate, 91% of respondents stated that they had received the 2003-2004 vaccine, and physicians were the most likely to have done so (97.2%). Using logistic regression, the only factor significantly predictive of whether an employee or physician received the vaccine was whether they had awareness of a previous formal influenza immunization campaign.

Influenza vaccination rates among pharmacists

Journal of the American Pharmacists Association, 2010

Objectives: To quantify influenza vaccination rates and determine perceived barriers to influenza vaccination among U.S. pharmacists from various practice settings. Design: Prospective study. Setting: United States in 2008. Participants: 1,028 respondents, including 895 pharmacists. Intervention: A survey request was distributed manually at the 2008 National Community Pharmacists Association annual meeting, and an initial e-mail was sent with two follow-up e-mails to all pharmacists who receive e-mails via Pharmacist e-link. Main outcome measures: Vaccination rates and barriers to vaccination among pharmacists. Results: Pharmacists reported an influenza vaccination rate of 78%, with coverage varying across practice settings: hospital (88%), academia (86%), clinic (83%), and community (75%). Employers infrequently required the influenza vaccine as a condition of employment (7%), and slightly more than one-half (58%) compensated pharmacists for being vaccinated; both of these were significantly associated with higher influenza vaccination rates (P < 0.001 for both). One-quarter of pharmacists (26%) expressed at least one issue regarding the influenza vaccine. Pharmacists were significantly less likely to be vaccinated if they expressed a concern (91% vs. 43%, P < 0.0001). Community pharmacists were significantly less likely to be compensated for receiving the influenza vaccination and significantly more likely to express one or more concerns than pharmacists from any other practice setting. Conclusion: Pharmacists reported high influenza vaccination rates overall, with slight variability among practice settings. Although employers infrequently required influenza vaccination, approximately one-half of employers compensated their pharmacists for being vaccinated. Employer incentives and pharmacist attitudes were highly correlated with influenza vaccination.

Factors associated with staff and physician influenza immunization at a children's hospital in Ontario, Canada

Abstract: In 2005, employees and physicians of the Children's Hospital of Eastern Ontario were surveyed about their experiences with and receipt of the 2003–2004 influenza vaccination. With a 29% response rate, 91% of respondents stated that they had received the 2003–2004 vaccine, and physicians were the most likely to have done so (97.2%). Using logistic regression, the only factor significantly predictive of whether an employee or physician received the vaccine was whether they had awareness of a previous formal influenza immunization campaign.

Improved Influenza Vaccination Rates in a Rural Population as a Result of a Pharmacist-Managed Immunization Campaign

Pharmacotherapy, 2001

To increase the rate of influenza vaccinations in high-risk patients by means of a pharmacist-managed immunization campaign. Design. Unblinded, single intervention. Setting. Rural primary care clinic. Patients. Six hundred fifty-seven patients at high risk for contracting influenza according to criteria established by the Centers for Disease Control and Prevention. Intervention. High-risk patients identified by chart review were mailed an education packet on influenza immunization. Vaccinations were given in specially designated clinics and during routine clinic visits. Campaign success and reasons why patients remained unvaccinated were determined by follow-up surveys. Measurements and Main Results. The influenza vaccination rate increased from 28% at baseline (before program initiation) to 54% after program initiation. Unvaccinated patients were younger and resided in more urban areas than vaccinated patients; vaccinated patients had a higher frequency of cardiovascular disease or diabetes mellitus. Vaccinated patients consistently identified the education packet and their health care providers as primary motivators for vaccination. Conclusion. Our pharmacist-managed vaccine program increased the influenza immunization rate in high-risk patients.

Does policy change to allow pharmacist provision of influenza vaccination increase population uptake? A systematic review

Australian Health Review, 2020

Objective The aims of this study were to estimate the effect of pharmacists’ vaccinating for influenza on overall vaccination rates and to assess whether any effect differs for at-risk subgroups compared with the general population. Methods A systematic review was undertaken, adhering to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Databases were searched during July 2019 and included Medline (Ovid), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus and the Cochrane Library. Results The largest difference reported in overall population vaccination rates associated with pharmacists undertaking influenza vaccinations was an increase of 10%; the smallest showed no discernible effect. The effect was graduated: pharmacists with the most autonomy demonstrated the largest rate increases. There was evidence of substitution by pharmacists, but the effect size was small. Conclusions The effect of allowing pharmacists to ad...