Schwerzmann Joy, Graitcer Samuel B, Jester Barbara, Krahl David, Jernigan Daniel, Bridges Carolyn B, Miller Joseph
1Battelle Memorial Institute,Atlanta,Georgia.
2Immunization Services Division,Centers for Disease Control and Prevention,Atlanta,Georgia.
Disaster Med Public Health Prep. 2017 Oct;11(5):587-593. doi: 10.1017/dmp.2017.1. Epub 2017 Feb 21.
The objective of this study was to quantify the potential retail pharmacy vaccine administration capacity and its possible impact on pandemic influenza vaccine uptake.
We developed a discrete event simulation model by use of ExtendSim software (Imagine That Inc, San Jose, CA) to forecast the potential effect of retail pharmacy vaccine administration on total weekly vaccine administration and the time needed to reach 80% vaccination coverage with a single dose of vaccine per person.
Results showed that weekly national vaccine administration capacity increased to 25 million doses per week when retail pharmacist vaccination capacity was included in the model. In addition, the time to achieve 80% vaccination coverage nationally was reduced by 7 weeks, assuming high public demand for vaccination. The results for individual states varied considerably, but in 48 states the inclusion of pharmacies improved time to 80% coverage.
Pharmacists can increase the numbers of pandemic influenza vaccine doses administered and reduce the time to achieve 80% single-dose coverage. These results support efforts to ensure pharmacist vaccinators are integrated into pandemic vaccine response planning. (Disaster Med Public Health Preparedness. 2017;11:587-593).
本研究的目的是量化零售药店潜在的疫苗接种能力及其对大流行性流感疫苗接种率可能产生的影响。
我们使用ExtendSim软件（加利福尼亚州圣何塞市的Imagine That Inc公司）开发了一个离散事件模拟模型，以预测零售药店疫苗接种对每周疫苗接种总量以及每人单剂疫苗达到80%接种覆盖率所需时间的潜在影响。
结果显示，当模型纳入零售药剂师的疫苗接种能力时，全国每周的疫苗接种能力增加到2500万剂。此外，假设公众对疫苗接种有较高需求，全国达到80%接种覆盖率的时间缩短了7周。各个州的结果差异很大，但在48个州，纳入药店后达到80%覆盖率的时间有所改善。
药剂师可以增加大流行性流感疫苗的接种剂量，并缩短达到80%单剂接种覆盖率的时间。这些结果支持努力确保药剂师接种人员纳入大流行疫苗应对计划。（《灾难医学与公共卫生防范》。2017年；11:587 - 593）
