Balls Food Stores, Grandview, MO, USA.
University of Kansas School of Pharmacy, Lawrence, KS, USA.
J Community Health. 2018 Apr;43(2):297-303. doi: 10.1007/s10900-017-0421-9.
To determine if pharmacy-initiated interventions improved the rate of influenza and pneumococcal vaccinations in adult patients with asthma and/or chronic obstructive pulmonary disease (COPD). Adult patients who filled prescriptions at one of three community pharmacies, who had a dispensing history indicative of an asthma and/or COPD diagnosis were randomized to receive a personal phone call or standardized mailed letter recommending influenza and pneumococcal vaccinations, or control with no vaccination information. The rate of influenza and pneumococcal vaccinations was measured for each group and measured using Chi square. Of 831 eligible participants, 210 patients completed the study, and self-reported a diagnosis of asthma and/or COPD. The influenza vaccine was administered to 56 (72.7%), 55 (87.3%), and 62 (88.6%) patients (p = 0.019); pneumococcal vaccine was administered to 46 (59.7%), 39 (61.9%), and 39 (55.7%) patients in the phone call, letter, and control groups, respectively. While the control group had significantly more influenza vaccinations, between the interventions the letter showed a higher rate of influenza vaccination over the phone call. Reviewing patients under age 65, the letter had a significantly higher rate of influenza vaccination than the phone call (p = 0.021). No significant improvement was found for the pneumococcal vaccination. Patients under age 65 who received a mailed letter had a significantly higher rate of influenza vaccination than those who received a phone call, and had a higher rate of pneumococcal vaccination. A standardized, mailed letter may help community pharmacists improve vaccination rates in patients with asthma and/or COPD.
为了确定药房发起的干预措施是否能提高患有哮喘和/或慢性阻塞性肺疾病（COPD）的成年患者接种流感和肺炎球菌疫苗的比例。在三家社区药店之一配药的成年患者，其配药记录表明患有哮喘和/或 COPD 诊断，被随机分配接受个人电话或标准化邮寄信，建议接种流感和肺炎球菌疫苗，或不提供疫苗接种信息作为对照。为每个组测量流感和肺炎球菌疫苗的接种率，并使用卡方检验进行测量。在 831 名符合条件的参与者中，有 210 名患者完成了研究，并自我报告患有哮喘和/或 COPD 诊断。接种流感疫苗的患者分别为 56 名（72.7%）、55 名（87.3%）和 62 名（88.6%）（p=0.019）；接种肺炎球菌疫苗的患者分别为 46 名（59.7%）、39 名（61.9%）和 39 名（55.7%），在电话、信件和对照组中。虽然对照组的流感疫苗接种率显著更高，但在干预措施之间，信件组的流感疫苗接种率高于电话组。在审查年龄在 65 岁以下的患者时，信件组的流感疫苗接种率明显高于电话组（p=0.021）。肺炎球菌疫苗接种率没有显著改善。收到邮寄信件的年龄在 65 岁以下的患者接种流感疫苗的比例明显高于收到电话的患者，且接种肺炎球菌疫苗的比例也更高。标准化的邮寄信件可能有助于社区药剂师提高哮喘和/或 COPD 患者的疫苗接种率。
