Sepp Kristiina, Kukk Carmen, Cavaco Afonso, Volmer Daisy
Institute of Pharmacy, Faculty of Medicine, University of Tartu , Tartu, Estonia.
Faculty of Pharmacy, University of Lisbon , Lisboa, Portugal.
Expert Rev Vaccines. 2020 Oct;19(10):983-990. doi: 10.1080/14760584.2020.1825949. Epub 2020 Oct 5.
In Estonia, seasonal influenza vaccination coverage is poor, being in recent years the lowest in the older age groups. In 2018 the flu vaccination was first provided at community pharmacies in Estonia. The aims of this study were to evaluate the experience of flu vaccination at community pharmacies by pharmacy customers and to learn about the perception of community pharmacists regarding the immunization service.
Two cross-sectional surveys: among pharmacy customers after receiving flu vaccination (n = 257), and for pharmacy professionals (n = 209). Descriptive statistics were calculated in both studies.
In the pharmacy customers` study, 54.9% received flu vaccination for the first time. Most of the respondents (96.8%) were satisfied with the quality of service. In both studies, community pharmacies were described as an accessible and convenient setting for immunization. Age and working experience of pharmacy professionals influenced the readiness to provide flu immunization, with younger pharmacists (<36 years) keener to be involved in vaccination services (p < 0.01).
Increasing influenza vaccination in high-risk patient groups is crucial. The involvement of other healthcare professionals, such as community pharmacists, could be key to reaching these patient groups and improving access to vaccination services in general. The development of the pharmacy profession has also shifted from pharmaceutical product based to patient oriented approach with provision of more clinical services. This enables to use professional competency of pharmacists in healthcare more widely. Lack of resources (financial, healthcare professionals, etc.) and an aging population are driving new ways to deliver healthcare more efficiently with the pharmacist working with other healthcare providers taking greater responsibility for patient health outcomes.
Vaccination service at community pharmacy has a great potential to expand flu immunization coverage in Estonia. Despite on pharmacy professionals are not allowed to provide vaccination service at the moment, their contribution to increase public awareness about flu vaccination is significant.
在爱沙尼亚，季节性流感疫苗接种率较低，近年来老年人群体的接种率为最低。2018年，爱沙尼亚首次在社区药房提供流感疫苗接种服务。本研究的目的是评估药房顾客在社区药房接种流感疫苗的体验，并了解社区药剂师对免疫服务的看法。
两项横断面调查：一项针对接种流感疫苗后的药房顾客（n = 257），另一项针对药房专业人员（n = 209）。两项研究均计算了描述性统计数据。
在药房顾客研究中，54.9%的人首次接种流感疫苗。大多数受访者（96.8%）对服务质量感到满意。在两项研究中，社区药房都被描述为进行免疫接种的便利场所。药房专业人员的年龄和工作经验影响了提供流感免疫接种的意愿，年轻药剂师（<36岁）更愿意参与疫苗接种服务（p < 0.01）。
提高高危患者群体的流感疫苗接种率至关重要。其他医疗保健专业人员（如社区药剂师）的参与可能是接触这些患者群体并总体上改善疫苗接种服务可及性的关键。药学专业的发展也已从基于药品的模式转向以患者为导向的模式，提供更多临床服务。这使得能够更广泛地利用药剂师在医疗保健方面的专业能力。资源（资金、医疗保健专业人员等）短缺和人口老龄化促使人们探索新的方式，以便更有效地提供医疗保健服务，药剂师与其他医疗保健提供者共同为患者的健康结果承担更大责任。
社区药房的疫苗接种服务在扩大爱沙尼亚流感疫苗接种覆盖率方面具有巨大潜力。尽管目前药房专业人员不允许提供疫苗接种服务，但他们对提高公众对流感疫苗接种的认识贡献重大。
