Hind Caroline A, Bond Christine M, Lee Amanda J, van Teijlingen Edwin R
Pharmacy Medicines Unit, Westholme, Woodend Hospital, Aberdeen, UK.
J Travel Med. 2008 Sep-Oct;15(5):328-34. doi: 10.1111/j.1708-8305.2008.00231.x.
Community pharmacists in the UK currently provide limited travel medicine services. An enhanced service could offer the traveling public general advice, provision of immunizations, and malaria prophylaxis. The assessment of need for a travel vaccine service from community pharmacies is key to the decision to develop the service.
The needs assessment used a questionnaire survey of potential travelers recruited from community pharmacies and the regional travel clinic.
In total, 151 completed questionnaires were received (response rate 40%); nearly three times as many replies were from females (74%) than males (26%). Details for 230 different proposed visits abroad and 174 different past visits were analyzed. General medical practice (54.3%) and community pharmacies (36.4%) were rated as providing the most useful advice. Most respondents (76.4%) required advice on vaccines, 53.9% on malaria prophylaxis, and 54.9% on bite prevention. Many (58.9%) agreed, or strongly agreed, that they would use the community pharmacy to provide travel immunizations, while 43% (strongly) agreed that they would be prepared to pay to obtain travel medicine services including immunizations. The median amount that participants were prepared to pay for a full travel assessment was pound 10, pound 13 for the administration of typhoid vaccine, pound 70 for a course of rabies vaccine, and pound 25 for malaria tablets for Kenya. Nearly three quarters (74.8%) agreed, or strongly agreed, that the community pharmacy would provide a convenient location from which to obtain travel services and 70.2% that the pharmacy could provide a one-stop shop for travel medicine services.
Members of the traveling public do visit community pharmacies, and most people are traveling for holiday purposes. The results suggest that travelers would be prepared to use the community pharmacy to provide travel advice and immunizations.
英国的社区药剂师目前提供的旅行医学服务有限。强化服务可为出行公众提供一般建议、疫苗接种及疟疾预防措施。评估社区药房旅行疫苗服务的需求是决定开展此项服务的关键。
需求评估采用对从社区药房及地区旅行诊所招募的潜在旅行者进行问卷调查的方式。
共收到151份完整问卷（回复率40%）；女性回复者（74%）几乎是男性回复者（26%）的三倍。对230次不同的拟议出国访问及174次不同的既往访问细节进行了分析。全科医疗（54.3%）和社区药房（36.4%）被评为提供最有用建议的机构。大多数受访者（76.4%）需要疫苗接种方面的建议，53.9%需要疟疾预防方面的建议，54.9%需要防叮咬方面的建议。许多人（58.9%）同意或强烈同意会利用社区药房提供旅行疫苗接种服务，而43%（强烈）同意会准备付费获取包括疫苗接种在内的旅行医学服务。参与者准备为全面旅行评估支付的中位数金额为10英镑，伤寒疫苗接种为13英镑，狂犬病疫苗疗程为70英镑，肯尼亚疟疾药片为25英镑。近四分之三（74.8%）的人同意或强烈同意社区药房是获取旅行服务的便利场所，70.2%的人认为药房可提供一站式旅行医学服务。
出行公众会光顾社区药房，且大多数人出行是为了度假。结果表明旅行者愿意利用社区药房提供旅行建议和疫苗接种服务。
