Burson Randall C, Buttenheim Alison M, Armstrong Allison, Feemster Kristen A
a Department of Anesthesiology and Critical Care , Perelman School of Medicine, University of Pennsylvania , Philadelphia , PA , USA.
b Department of Family and Community Health , University of Pennsylvania School of Nursing , Philadelphia , PA , USA.
Hum Vaccin Immunother. 2016 Dec;12(12):3146-3159. doi: 10.1080/21645515.2016.1215393. Epub 2016 Aug 15.
Vaccine-preventable deaths among adults remain a major public health concern, despite continued efforts to increase vaccination rates in this population. Alternative approaches to immunization delivery may help address under-vaccination among adults. This systematic review assesses the feasibility, acceptability, and effectiveness of community pharmacies as sites for adult vaccination. We searched 5 electronic databases (PubMed, EMBASE, Scopus, Cochrane, LILACS) for studies published prior to June 2016 and identified 47 relevant articles. We found that pharmacy-based immunization services (PBIS) have been facilitated by state regulatory changes and training programs that allow pharmacists to directly provide vaccinations. These services are widely accepted by both patients and pharmacy staff, and are capable of improving access and increasing vaccination rates. However, political and organizational barriers limit the feasibility and effectiveness of vaccine delivery in pharmacies. These studies provide evidence to inform policy and organizational efforts that promote the efficacy and sustainability of PBIS.
尽管一直在努力提高成年人的疫苗接种率，但成年人中可通过疫苗预防的死亡仍然是一个主要的公共卫生问题。免疫接种的替代方法可能有助于解决成年人疫苗接种不足的问题。本系统评价评估了社区药房作为成人疫苗接种地点的可行性、可接受性和有效性。我们检索了5个电子数据库（PubMed、EMBASE、Scopus、Cochrane、LILACS），查找2016年6月之前发表的研究，共识别出47篇相关文章。我们发现，州监管政策的变化和培训项目推动了基于药房的免疫服务（PBIS），这些项目允许药剂师直接提供疫苗接种服务。这些服务受到患者和药房工作人员的广泛接受，并且能够改善疫苗接种的可及性并提高接种率。然而，政治和组织方面的障碍限制了在药房提供疫苗的可行性和有效性。这些研究为促进PBIS的有效性和可持续性的政策及组织工作提供了参考依据。
