School of Pharmacy, University of Waterloo, 200 University Ave. W., Waterloo ON, N2L 3G1, Canada.
Travel Health Network, #30 - 200 St. Albert Trail, St. Albert, AB, T8N 5H9, Canada.
Travel Med Infect Dis. 2018 May-Jun;23:21-26. doi: 10.1016/j.tmaid.2018.02.011. Epub 2018 Mar 2.
In Alberta, Canada, authorized pharmacists may prescribe medications and vaccines and administer injections. Some have implemented travel clinics to meet the growing demand for pre-travel consultations. As a new service, the outcomes of independent pharmacist-performed pre-travel consultations is unknown.
Chart review and post-travel surveys were performed among a convenience sample of patients presenting to a pharmacist-managed travel clinic for consultation. Data collected included patients' travel plans, recommendations for vaccines and other prescription and non-prescription drugs and adherence to these recommendations, satisfaction with the service, and health issues experienced during travel.
103 patients participated in the study. The overwhelming majority (79%) of recommended vaccinations were administered in clinic. The post-travel questionnaire was completed by 76% of patients, with 94% of these reporting being satisfied or very satisfied with the care received. Health issues during travel were infrequent, with gastrointestinal illness most common. Of those patients who experienced any health issue during their trip, 93% felt adequately prepared to manage the condition.
This study reports positive patient satisfaction and health status while travelling following a pharmacist-performed pre-travel consultation including authorization to prescribe and to administer vaccines. These results support the continued expansion of pharmacists' scope in this area.
在加拿大阿尔伯塔省，授权药剂师可以开处方和疫苗，并进行注射。一些药剂师已经开设了旅行诊所，以满足对旅行前咨询的日益增长的需求。作为一项新服务，独立药剂师进行的旅行前咨询的结果尚不清楚。
对在药剂师管理的旅行诊所就诊的患者进行了方便样本的图表回顾和旅行后调查。收集的数据包括患者的旅行计划、疫苗和其他处方药和非处方药的建议以及对这些建议的遵守情况、对服务的满意度以及旅行期间经历的健康问题。
103 名患者参与了研究。绝大多数（79%）推荐的疫苗都在诊所接种。76%的患者完成了旅行后问卷调查，其中 94%的患者对所接受的护理表示满意或非常满意。旅行期间健康问题很少见，胃肠道疾病最常见。在旅行中出现任何健康问题的患者中，93%的人认为自己有足够的能力来处理这种情况。
这项研究报告了积极的患者满意度和旅行期间的健康状况，这是在经过药剂师进行旅行前咨询包括授权开处方和接种疫苗之后。这些结果支持在该领域继续扩大药剂师的服务范围。
