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新西兰药剂师对药剂师接种疫苗的看法和愿望。

Pharmacists' views and desires regarding pharmacist administration of vaccines in New Zealand.

机构信息

Natalie Gauld Ltd, Auckland, New Zealand.

Pharmaceutical Society of New Zealand, Wellington, New Zealand.

出版信息

Int J Pharm Pract. 2021 Mar 17;29(2):126-133. doi: 10.1093/ijpp/riaa012.

Abstract

OBJECTIVES

To explore pharmacists' views and experiences of pharmacist-administered vaccinations, motivators and barriers to pharmacists administering vaccinations and their preferences for expansions to such services.

METHODS

All practising pharmacist members (n = 3400) of the Pharmaceutical Society of New Zealand were invited to participate in an online survey in 2017.

KEY FINDINGS

A total of 468 pharmacists completed the survey (14%). Most (86%) strongly agreed/agreed that pharmacists should provide vaccinations, primarily citing patient benefit, for example, convenience, potential for increased vaccination uptake, easing general practice burden and better utilisation of the pharmacist. Half had completed vaccinator training, mainly for professional satisfaction, to help public or community health and/or to provide a new service for their community. Trained pharmacists had administered influenza (95%), pertussis (47%), zoster (45%) and/or meningococcal vaccines (13%), with patient cost limiting some vaccination uptake. Cost or workplace constraints were leading reasons for the 17% not planning to undertake vaccinator training. Key barriers for pharmacy owners not offering vaccinations were set-up or other costs, insufficient funding (62%) or staffing/time concerns (27%). Some trained vaccinators (39%) wanted the recipient age lowered below 13 years, and 44% wanted intern pharmacists to be able to administer vaccinations.

CONCLUSION

This study found strong support for this service, including benefits for patients, and for customer relationships. Identified barriers including service setup and patient costs could be reduced by expanding the categories (e.g. pharmacy students and technicians) of staff able to vaccinate and having more government funded vaccines available through pharmacies, therefore, improving access for patients.

摘要

目的

探讨药剂师对药剂师接种疫苗的看法和经验、接种疫苗的动机和障碍,以及他们对扩大此类服务的偏好。

方法

2017 年,新西兰药剂师学会邀请所有执业药剂师会员(n=3400 人)参加在线调查。

主要发现

共有 468 名药剂师完成了调查(14%)。大多数(86%)强烈同意/同意药剂师应该提供疫苗接种服务,主要是因为患者受益,例如方便、潜在的更高接种率、减轻普通科医生的负担以及更好地利用药剂师。一半的人已经完成了接种者培训,主要是为了获得专业满意度,以帮助公众或社区健康,或为他们的社区提供新的服务。接受过培训的药剂师已经接种了流感(95%)、百日咳(47%)、带状疱疹(45%)和/或脑膜炎球菌疫苗(13%),但患者费用限制了一些疫苗接种率。17%的人不打算接受接种者培训的主要原因是成本或工作场所限制。不愿提供疫苗接种服务的药店老板的主要障碍是设置或其他成本、资金不足(62%)或人员/时间问题(27%)。一些接受过培训的接种者(39%)希望将接种年龄降低到 13 岁以下,44%希望实习药剂师能够接种疫苗。

结论

本研究发现,这项服务得到了强烈支持,包括对患者和客户关系的好处。确定的障碍包括服务设置和患者成本,可以通过扩大能够接种疫苗的员工类别(如药房学生和技术员)和通过药房提供更多政府资助的疫苗来减少,从而改善患者的获得途径。

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