Luder Heidi R, Kunze Natalie, Heaton Pamela C, Frede Stacey M
J Am Pharm Assoc (2003). 2018 May-Jun;58(3):290-295. doi: 10.1016/j.japh.2018.02.010. Epub 2018 Mar 27.
To incorporate the assessment of vaccination status and administration of vaccines in an appointment-based model (ABM) and measure the impact on vaccinations administered and patient and pharmacist satisfaction with the appointment-based model.
An ABM was implemented to systematically assess vaccination status and administer vaccines. Patients made an appointment to pick up synchronized prescriptions, and pharmacists assessed vaccination histories and administered vaccinations during the appointment. In addition, pharmacists could access the statewide immunization information system to objectively determine vaccination histories and document administered vaccines.
This project was conducted at 24 Kroger Pharmacies in the Cincinnati-Dayton Area. Any patient filling more than 1 maintenance medication was eligible for the ABM program. Pharmacists were encouraged to target patients at high risk for medication problems and vaccine-preventable diseases, including patients 60 years of age or older with more than 5 medications and high-risk disease states such as diabetes, asthma, and chronic obstructive pulmonary disease.
Pharmacies were randomized, and an a priori analysis was conducted to ensure that the 24 intervention and 78 control stores were similar at baseline. Postimplementation data on the mean number of vaccines per store were compared between the intervention stores and the control stores from September 2014 through December 2015. Patient and pharmacist satisfaction with the ABM was assessed via surveys.
The pharmacist vaccine assessment as part of the ABM program showed higher overall mean vaccinations per store compared with the control group during the project period (1810.71 ± 500.88 vs. 1455.09 ± 754.43; P = 0.01). Patients and pharmacists felt that the ABM program facilitated vaccine discussions.
The ABM program with a focus on vaccinations allowed pharmacists to systematically assess patient vaccination histories and administer vaccines in the pharmacy. Patients and pharmacists appreciated the dedicated time to discuss vaccinations.
将疫苗接种状况评估及疫苗接种纳入基于预约的模式（ABM），并衡量其对疫苗接种量以及患者和药剂师对基于预约模式的满意度的影响。
实施了一种基于预约的模式，以系统地评估疫苗接种状况并进行疫苗接种。患者预约领取同步处方，药剂师在预约期间评估疫苗接种史并进行疫苗接种。此外，药剂师可以访问全州免疫信息系统，以客观确定疫苗接种史并记录所接种的疫苗。
该项目在辛辛那提 - 代顿地区的24家克罗格药店开展。任何正在服用超过1种维持药物的患者都有资格参加基于预约的模式项目。鼓励药剂师将有用药问题和疫苗可预防疾病高风险的患者作为目标，包括60岁及以上且服用超过5种药物的患者以及患有糖尿病、哮喘和慢性阻塞性肺疾病等高风险疾病状态的患者。
药店被随机分组，并进行了一项先验分析，以确保24家干预药店和78家对照药店在基线时相似。比较了2014年9月至2015年12月期间干预药店和对照药店每家店平均疫苗接种数量的实施后数据。通过调查评估患者和药剂师对基于预约模式的满意度。
作为基于预约模式项目的一部分，药剂师进行的疫苗评估显示，在项目期间，与对照组相比，每家店的总体平均疫苗接种量更高（1810.71 ± 500.88对1455.09 ± 754.43；P = 0.01）。患者和药剂师认为基于预约的模式项目促进了疫苗讨论。
专注于疫苗接种的基于预约的模式项目使药剂师能够系统地评估患者的疫苗接种史并在药房进行疫苗接种。患者和药剂师赞赏有专门时间讨论疫苗接种。
