Richman Alice R, Swanson Ryan S, Branham Ashley R, Partridge Brittney N
College of Health and Human Performance, East Carolina University, Greenville, NC, USA.
J Pharm Pract. 2013 Dec;26(6):556-61. doi: 10.1177/0897190013488801. Epub 2013 Jun 6.
To assess North Carolina pharmacists' level of support for expanded authority to administer human papillomavirus (HPV) vaccines to identify concerns/benefits about expanded authority and to understand what factors predict support for expanded authority.
A 16-item electronic survey was e-mailed to all the pharmacists registered with the North Carolina Board of Pharmacy (n = 9502) between January and February 2011 (1600 pharmacists responded). The survey assessed HPV knowledge, level of support for expanded authority, and comfort level of HPV vaccine administration.
Many (64%) pharmacists were supportive of a rule change/legislation that would authorize pharmacists to administer HPV vaccines. Younger pharmacists were more supportive of expansion when compared to older pharmacists (r = -.138, P < .001). Pharmacists with higher knowledge scores were more supportive of expansion (r = .223, P < .001). Reporting a higher level of comfort in administering HPV vaccines at their pharmacy was significantly and positively correlated with higher level of support for expansion (r = .624, P < .001). In the multivariate analysis, HPV knowledge, comfort level in administering vaccine, patient age, and type of pharmacy were all predictive of higher level of support for expanded authority where employed.
A large proportion of pharmacists were supportive of an expanded role in providing HPV vaccines. Exploring alternate delivery mechanisms like this one is advantageous.
评估北卡罗来纳州药剂师对扩大人乳头瘤病毒（HPV）疫苗接种权限的支持程度，以确定对扩大权限的担忧/益处，并了解哪些因素可预测对扩大权限的支持。
2011年1月至2月期间，通过电子邮件向北卡罗来纳州药剂师委员会注册的所有药剂师（n = 9502）发送了一份包含16个条目的电子调查问卷（1600名药剂师回复）。该调查评估了HPV知识、对扩大权限的支持程度以及HPV疫苗接种的舒适度。
许多（64%）药剂师支持一项规则变更/立法，该变更/立法将授权药剂师接种HPV疫苗。与年长药剂师相比，年轻药剂师对扩大权限的支持度更高（r = -0.138，P < 0.001）。知识得分较高的药剂师对扩大权限的支持度更高（r = 0.223，P < 0.001）。报告在其药房接种HPV疫苗时舒适度较高与对扩大权限的较高支持度呈显著正相关（r = 0.624，P < 0.001）。在多变量分析中，HPV知识、疫苗接种舒适度、患者年龄和药房类型均预测在其工作场所对扩大权限的较高支持度。
很大一部分药剂师支持在提供HPV疫苗方面发挥更大作用。探索这样的替代给药机制是有利的。
