Thidrickson Doug, Goodyer Larry
Access Fort Garry, Winnipeg Regional Health Authority, Winnipeg, MB R3T 6E8, Canada.
School of Pharmacy, De Montfort University, Leicester LE1 9BH, UK.
Pharmacy (Basel). 2019 Apr 27;7(2):42. doi: 10.3390/pharmacy7020042.
Since 2007, community pharmacists in Canada have become increasingly involved in delivering Travel Health services, including the recommendation and administration of vaccines. This qualitative scoping survey examines some of the activities and opinions of those early pharmacist adopters delivering these services. A Survey Monkey free text questionnaire was emailed to pharmacists who were involved in delivering travel medicine services. 21 pharmacists responding represented seven Canadian provinces. Only 5 pharmacists estimated that they were seeing five or more patients a week on average. Amongst the challenges they faced the most quoted was lack of time when running a busy pharmacy (62%) a lack of prescribing authority, (52%), and lack of access to public health vaccines (52%). 'Word of mouth' was widely quoted as a means of developing the service, indicating a good patient satisfaction. Also expressed were the advantages of convenience in terms of being a 'one stop shop', ease of billing to insurance companies and convenient appointment times. There are a number of challenges which are still to be faced which may be resolved by further legislation allowing access to public health vaccines and more widespread prescribing rights. The relatively low level of consultations reported by some is of concern if those pharmacists are to maintain competence.
自2007年以来，加拿大的社区药剂师越来越多地参与提供旅行健康服务，包括疫苗的推荐和接种。这项定性范围调查研究了那些早期采用这些服务的药剂师的一些活动和观点。通过Survey Monkey向参与提供旅行医学服务的药剂师发送了一份自由文本问卷。21名回复的药剂师代表了加拿大的七个省份。只有5名药剂师估计他们平均每周接待5名或更多患者。他们面临的最常被提及的挑战包括经营繁忙药房时缺乏时间（62%）、缺乏处方权（52%）以及无法获得公共卫生疫苗（52%）。“口碑”被广泛引述为发展这项服务的一种方式，这表明患者满意度较高。还提到了作为“一站式服务”的便利性优势、向保险公司计费的便捷性以及方便的预约时间。仍有一些挑战有待面对，这些挑战可能通过进一步立法允许获得公共卫生疫苗和更广泛的处方权来解决。如果这些药剂师要保持专业能力，一些人报告的相对较低的咨询水平令人担忧。
