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“抗击疫情!”西澳药剂师对 COVID-19 疫苗的看法:一项定性研究。

"Fighting the pandemic!" Western Australian pharmacists' perspectives on COVID-19 vaccines: A qualitative study.

机构信息

Pharmacy Discipline, School of Allied Health, The University of Western Australia, Perth, Western Australia, Australia.

Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, Nedlands, Western Australia, Australia; School of Social Sciences, The University of Western Australia, Perth, Western Australia, Australia.

出版信息

Vaccine. 2023 Nov 22;41(48):7234-7243. doi: 10.1016/j.vaccine.2023.10.045. Epub 2023 Oct 25.

DOI:10.1016/j.vaccine.2023.10.045
PMID:37891049
Abstract

BACKGROUND

In Western Australia, community pharmacists are authorized to administer a range of vaccines without a prescription. Since mid-July 2021, pharmacists can also administer Coronavirus Disease 2019 (COVID-19) vaccines. Little is known about how pharmacists think and feel about giving and receiving COVID-19 vaccines and how they discuss it with patients.

AIM

This study aimed to explore Western Australian pharmacists' perceptions on being vaccinated with, administering, and communicating about COVID-19 vaccines.

METHODS

Semi structured interviews were conducted with 20 pharmacists from metropolitan and regional areas of Western Australia across a two-week period in July and early August 2021. Interview transcripts were coded using NVivo 20 and data was thematically analyzed using the framework method.

RESULTS

Most pharmacists (n = 16, 80 %) had received at least one dose of a COVID-19 vaccine. Some expressed difficulty accessing the vaccine while two unvaccinated pharmacists were hesitant to receive it due to concerns about vaccine development. The majority of pharmacists spoke positively about administering the vaccines, discussing perceived facilitators such as designated vaccination days but also perceived barriers such as inadequate financial reimbursement compared to other healthcare providers. Many pharmacists obtained their information from Australian government sources and training modules. Pharmacists were only passively promoting COVID-19 vaccines, with conversations mostly initiated by patients. Most pharmacists specified they would highlight the common side effects when administering the vaccine and would provide patients with written information.

CONCLUSION

The majority of pharmacists were willing to administer and be vaccinated with COVID-19 vaccines. Since pharmacists play an important role in increasing vaccine uptake, governments should provide equitable reimbursement to pharmacists in line with other vaccinators such as General Practitioners. We welcome the recent resources produced by governments and pharmacy professional organizations to help pharmacists actively promote the vaccines since this work was undertaken.

摘要

背景

在澳大利亚西部,社区药剂师被授权在没有处方的情况下接种一系列疫苗。自 2021 年 7 月中旬以来,药剂师也可以接种 2019 年冠状病毒病(COVID-19)疫苗。对于药剂师对接种、管理和与患者讨论 COVID-19 疫苗的看法和感受,以及他们如何与患者讨论这些问题,我们知之甚少。

目的

本研究旨在探讨西澳大利亚药剂师对接种、管理和交流 COVID-19 疫苗的看法。

方法

2021 年 7 月和 8 月初的两周内,对来自澳大利亚西部大都市和地区的 20 名药剂师进行了半结构化访谈。使用 NVivo 20 对访谈记录进行编码,并使用框架方法对数据进行主题分析。

结果

大多数药剂师(n=16,80%)至少接种了一剂 COVID-19 疫苗。一些药剂师表示难以获得疫苗,而两名未接种疫苗的药剂师则由于对疫苗开发的担忧而犹豫不决。大多数药剂师对接种疫苗持积极态度,讨论了认为有助于接种的因素,如指定的接种日,但也讨论了认为有障碍的因素,如与其他医疗保健提供者相比,经济补偿不足。许多药剂师从澳大利亚政府来源和培训模块中获取信息。药剂师只是被动地推广 COVID-19 疫苗,主要由患者发起对话。大多数药剂师表示,在接种疫苗时会强调常见的副作用,并向患者提供书面信息。

结论

大多数药剂师愿意接种和接种 COVID-19 疫苗。由于药剂师在提高疫苗接种率方面发挥着重要作用,政府应根据其他疫苗接种者(如全科医生)向药剂师提供公平的补偿。我们欢迎政府和药房专业组织最近制作的资源,以帮助药剂师积极推广疫苗,因为这项工作是在进行的。

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