Valiquette Jean Rémi, Bédard Pascal
CHU Sainte-Justine.
Can J Public Health. 2015 Mar 12;106(3):e89-94. doi: 10.17269/cjph.106.4880.
To describe the knowledge, beliefs and attitudes of Quebec's pharmacists towards immunization and determine their perceived barriers to pharmacist-led immunization.
The current study was a descriptive survey of pharmacists working in a community setting in Quebec. Pharmacists were randomly chosen from a list of Quebec's community pharmacies and were contacted by phone from January 17 to 25, 2013. Participating pharmacists were given a web link to the online questionnaire. An e-mail reminder was sent 5-7 days after the first contact.
A total of 201 community pharmacists were contacted during the study period, and 115 answered the survey, generating a 57% response rate. The vast majority of respondents answered that vaccines have more benefits than adverse effects. Approximately 52% answered that pharmacists should be able to prescribe and administer vaccines, pending a legislative change. These pharmacists were more interested in administering travel (92%), flu (88%) and pandemic (85%) vaccines than regularly scheduled vaccines for adults (65%) or children (18%). Leading barriers to pharmacist-led immunization were lack of time (90%) and training (92%), and the most common factors that would help its implementation were increased immunization training (95%) and adequate remuneration (92%).
These findings should push for a renewed discussion about the role of pharmacists as immunization agents in Canadian provinces where pharmacists do not have the right to administer vaccines.
描述魁北克药剂师对免疫接种的知识、信念和态度,并确定他们认为药剂师主导免疫接种存在的障碍。
本研究是对在魁北克社区工作的药剂师进行的描述性调查。药剂师从魁北克社区药房名单中随机选取,并于2013年1月17日至25日通过电话联系。参与的药剂师会收到在线问卷的网络链接。首次联系5 - 7天后会发送电子邮件提醒。
研究期间共联系了201名社区药剂师,115人回复了调查,回复率为57%。绝大多数受访者表示疫苗的益处多于不良反应。约52%的受访者表示,在立法变更之前,药剂师应能够开处方和接种疫苗。这些药剂师对接种旅行疫苗(92%)、流感疫苗(88%)和大流行疫苗(85%)的兴趣高于对成人常规疫苗(65%)或儿童常规疫苗(18%)的兴趣。药剂师主导免疫接种的主要障碍是时间不足(90%)和培训不足(92%),而有助于其实施的最常见因素是增加免疫接种培训(95%)和适当报酬(92%)。
这些发现应推动在药剂师无权接种疫苗的加拿大省份,重新讨论药剂师作为免疫接种剂的角色。