Shah Parth D, Calo William A, Marciniak Macary W, Golin Carol E, Sleath Betsy L, Brewer Noel T
The Cecil G. Sheps Center for Health Services Research, University of North Carolina, United States; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, United States.
Department of Public Health Sciences, Penn State College of Medicine, United States; Penn State Cancer Institute, United States.
Prev Med. 2018 Apr;109:106-112. doi: 10.1016/j.ypmed.2018.01.002. Epub 2018 Jan 9.
We sought to examine whether pharmacy service quality was associated with parents' willingness to have immunizing pharmacists administer human papillomavirus (HPV) vaccine to their adolescent children. Participants were a national sample of 1504 US parents of adolescents ages 11 to 17 who completed an online survey in 2014. Analyses used structural equation modeling. Parents rated service quality and feelings of satisfaction with their pharmacies as moderate to high. Many (44%) were willing to get HPV vaccine from immunizing pharmacists for their adolescent children. Compared with parents who went to chain pharmacies, parents who went to independent pharmacies gave higher ratings of service quality (professionalism, confidentiality, milieu, all p < .001). Parents who went to clinic pharmacies, compared with parents who went to chain pharmacies gave lower ratings for milieu (p < .01). Parents who went to independent pharmacies had lower willingness to get HPV vaccine from pharmacists compared to parents who went to chain pharmacies (p = .001), but there was no difference in willingness for parents who went to clinic versus chain pharmacies. Service quality and satisfaction partially mediated the effect between independent pharmacies compared to chain pharmacies and willingness (p < .05). Parents who knew their pharmacists or expressed more confidence in HPV vaccine also had higher willingness to get their children HPV vaccine from pharmacist. Many parents were willing to go to immunizing pharmacists for their children's HPV vaccination. Pharmacies that are considering offering HPV vaccine may be able to improve vaccine uptake by increasing perception of service quality.
我们试图研究药学服务质量是否与父母愿意让具备免疫接种资质的药剂师为其青春期子女接种人乳头瘤病毒（HPV）疫苗有关。研究对象为2014年完成在线调查的1504名美国11至17岁青少年的父母所组成的全国性样本。分析采用结构方程模型。父母对其药房的服务质量和满意度评价为中等偏高。许多父母（44%）愿意让具备免疫接种资质的药剂师为其青春期子女接种HPV疫苗。与前往连锁药房的父母相比，前往独立药房的父母对服务质量（专业性、保密性、环境，所有p<0.001）的评价更高。与前往连锁药房的父母相比，前往诊所药房的父母对环境的评价更低（p<0.01）。与前往连锁药房的父母相比，前往独立药房的父母让药剂师接种HPV疫苗的意愿更低（p=0.001），但前往诊所药房与连锁药房的父母在意愿方面没有差异。与连锁药房相比，服务质量和满意度在一定程度上介导了独立药房与意愿之间的关系（p<0.05）。认识药剂师或对HPV疫苗表现出更多信心的父母，让孩子从药剂师处接种HPV疫苗的意愿也更高。许多父母愿意让具备免疫接种资质的药剂师为孩子接种HPV疫苗。考虑提供HPV疫苗的药房或许可以通过提高服务质量感知来提高疫苗接种率。
