Atkins Katherine, van Hoek Albert Jan, Watson Conall, Baguelin Marc, Choga Lethiwe, Patel Anika, Raj Thara, Jit Mark, Griffiths Ulla
Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK Respiratory Disease Department, Public Health England, London, UK.
BMJ Open. 2016 Feb 16;6(2):e009739. doi: 10.1136/bmjopen-2015-009739.
To evaluate the effectiveness and cost of the pan-London pharmacy initiative, a programme that allows administration of seasonal influenza vaccination to eligible patients at pharmacies.
We analysed 2013-2015 data on vaccination uptake in pharmacies via the Sonar reporting system, and the total vaccination uptake via 2011-2015 ImmForm general practitioner (GP) reporting system data. We conducted an online survey of London pharmacists who participate in the programme to assess time use data, vaccine choice, investment costs and opinions about the programme. We conducted an online survey of London GPs to assess vaccine choice of vaccine and opinions about the pharmacy vaccine delivery programme.
All London boroughs.
London-based GPs, and pharmacies that currently offer seasonal flu vaccination.
Not applicable.
Comparison of annual vaccine uptake in London across risk groups from years before pharmacy vaccination introduction to after pharmacy vaccination introduction. Completeness of vaccine uptake reporting data. Cost to the National Health Service (NHS) of flu vaccine delivery at pharmacies with that at GPs. Cost to pharmacists of flu delivery. Opinions of pharmacists and GPs regarding the flu vaccine pharmacy initiative.
No significant change in the uptake of seasonal vaccination in any of the risk groups as a result of the pharmacy initiative. While on average a pharmacy-administered flu vaccine dose costs the NHS up to £2.35 less than a dose administered at a GP, a comparison of the 2 recording systems suggests there is substantial loss of data.
Flu vaccine delivery through pharmacies shows potential for improving convenience for vaccine recipients. However, there is no evidence that vaccination uptake increases and the use of 2 separate recording systems leads to time-consuming data entry and missing vaccine record data.
评估泛伦敦药房计划的有效性和成本，该计划允许药房为符合条件的患者接种季节性流感疫苗。
我们通过声纳报告系统分析了2013 - 2015年药房疫苗接种数据，以及通过2011 - 2015年免疫表格全科医生（GP）报告系统数据得出的总体疫苗接种情况。我们对参与该计划的伦敦药剂师进行了在线调查，以评估时间使用数据、疫苗选择、投资成本以及对该计划的看法。我们还对伦敦的全科医生进行了在线调查，以评估疫苗选择和对药房疫苗接种计划的看法。
伦敦所有行政区。
伦敦的全科医生以及目前提供季节性流感疫苗接种的药房。
不适用。
比较伦敦在引入药房接种疫苗前后各风险组的年度疫苗接种情况。疫苗接种报告数据的完整性。国家医疗服务体系（NHS）在药房和全科医生处提供流感疫苗的成本。药剂师提供流感疫苗的成本。药剂师和全科医生对流感疫苗药房计划的看法。
药房计划实施后，任何风险组的季节性疫苗接种率均无显著变化。虽然平均而言，药房接种一剂流感疫苗的成本比全科医生处低2.35英镑，但对两个记录系统的比较表明存在大量数据丢失。
通过药房提供流感疫苗显示出提高疫苗接种者便利性的潜力。然而，没有证据表明疫苗接种率有所提高，并且使用两个单独的记录系统导致数据录入耗时且疫苗记录数据缺失。
