Emory University, Rollins School of Public Health, Hubert Department of Global Health, Atlanta, GA 30322, USA.
Public Health Rep. 2013 May-Jun;128(3):198-211. doi: 10.1177/003335491312800310.
Emergency response involving mass vaccination requires the involvement of traditional vaccine providers as well as other health-care providers, including pharmacists, obstetricians, and health-care providers at correctional facilities. We explored differences in provider experiences administering pandemic vaccine during a public health emergency.
We conducted a cross-sectional survey of H1N1 vaccine providers in Washington State, examining topics regarding pandemic vaccine administration, participation in preparedness activities, and communication with public health agencies. We also examined differences among provider types in responses received (n=619, 80.9% response rate).
Compared with other types of vaccine providers (e.g., family practitioners, obstetricians, and specialists), pharmacists reported higher patient volumes as well as higher patient-to-practitioner ratios, indicating a broad capacity for community reach. Pharmacists and correctional health-care providers reported lower staff coverage with seasonal and H1N1 vaccines. Compared with other vaccine providers, pharmacists were also more likely to report relying on public health information from federal sources. They were less likely to report relying on local health departments (LHDs) for pandemic-related information, but indicated a desire to be included in LHD communications and plans. While all provider types indicated a high willingness to respond to a public health emergency, pharmacists were less likely to have participated in training, actual emergency response, or surge capacity initiatives. No obstetricians reported participating in surge capacity initiatives.
Results from this survey suggest that efforts to increase communication and interaction between public health agencies and pharmacy, obstetric, and correctional health-care vaccine providers may improve future preparedness and emergency response capability and reach.
涉及大规模疫苗接种的应急响应需要传统疫苗提供者以及其他卫生保健提供者（包括药剂师、产科医生和惩教设施的卫生保健提供者）的参与。我们探讨了在公共卫生紧急情况下，不同类型的提供者在接种大流行性疫苗方面的经验差异。
我们对华盛顿州的 H1N1 疫苗提供者进行了横断面调查，调查了大流行性疫苗接种管理、参与准备活动以及与公共卫生机构沟通等方面的主题。我们还研究了不同类型提供者的回复差异（n=619，回复率为 80.9%）。
与其他类型的疫苗提供者（如家庭医生、产科医生和专家）相比，药剂师报告的患者数量更高，患者与从业者的比例也更高，这表明他们在社区中具有广泛的覆盖能力。药剂师和惩教卫生保健提供者报告说，季节性和 H1N1 疫苗的工作人员覆盖率较低。与其他疫苗提供者相比，药剂师更有可能报告依赖联邦来源的公共卫生信息。他们较少依赖当地卫生部门（LHD）获取与大流行相关的信息，但表示希望被纳入 LHD 的沟通和计划中。虽然所有类型的提供者都表示非常愿意应对公共卫生紧急情况，但药剂师参与培训、实际应急响应或应急能力计划的可能性较小。没有产科医生报告参与应急能力计划。
这项调查的结果表明，加强公共卫生机构与药房、产科和惩教卫生保健疫苗提供者之间的沟通和互动的努力可能会提高未来的准备和应急响应能力和覆盖面。
