Houle Sherilyn K D, Alsabbagh Mhd Wasem, Waite Nancy M
School of Pharmacy, University of Waterloo, Kitchener, Ontario.
Can Pharm J (Ott). 2023 Jul 30;156(5):257-264. doi: 10.1177/17151635231188343. eCollection 2023 Sep-Oct.
Due to workload and competing priorities, vaccination-related interactions in community pharmacies tend to be more reactive than proactive. The aim of this study is to determine the proportion of users of a web-based scheduling system for influenza and COVID-19 vaccines who may be eligible for herpes zoster or human papillomavirus (HPV) vaccination and interested in discussing these vaccines with a pharmacist.
Individuals scheduling an influenza or COVID-19 vaccine at a pharmacy using the MedEssist platform between October 2021 and March 2022 were asked about their vaccination status against HPV (if aged 9-45) or herpes zoster (if aged ≥50). Those who were unvaccinated or unsure were asked to indicate their willingness to discuss this with a pharmacist. Logistic regression was performed to identify patient characteristics associated with responses to these screening questions.
Among 36,659 bookings by those aged 9 to 45 and 55,728 by those aged ≥50 that included responses to screening questions, 70.1% and 55.5% were potentially unvaccinated against HPV and herpes zoster, respectively, with approximately 1 in 5 also indicating willingness to have a discussion with the pharmacist. Those scheduling appointments for COVID-19 vaccines were significantly less likely to be vaccinated against HPV or herpes zoster and less willing to discuss this with a pharmacist than those seeking influenza vaccination.
Automated prompts while booking influenza or COVID-19 vaccinations have the potential to identify vaccine-willing individuals who may benefit from further discussion on their vaccination needs.
Community pharmacies can leverage available technology to support the efficient and effective identification of individuals eligible for vaccination.
由于工作量和其他优先事项的竞争,社区药房中与疫苗接种相关的互动往往更具反应性而非主动性。本研究的目的是确定使用基于网络的流感和新冠疫苗预约系统的用户中,可能有资格接种带状疱疹疫苗或人乳头瘤病毒(HPV)疫苗且有兴趣与药剂师讨论这些疫苗的比例。
询问在2021年10月至2022年3月期间使用MedEssist平台在药房预约流感或新冠疫苗的个体的HPV疫苗接种状况(如果年龄在9至45岁)或带状疱疹疫苗接种状况(如果年龄≥50岁)。未接种或不确定的人被要求表明他们是否愿意与药剂师讨论此事。进行逻辑回归以确定与这些筛查问题的回答相关的患者特征。
在年龄在9至45岁的人群的36,659次预约以及年龄≥50岁的人群的55,728次预约中(包括对筛查问题的回答),分别有70.1%和55.5%的人可能未接种HPV疫苗和带状疱疹疫苗,约五分之一的人还表示愿意与药剂师讨论此事。预约新冠疫苗的人接种HPV疫苗或带状疱疹疫苗的可能性明显低于预约流感疫苗的人,且与药剂师讨论此事的意愿也更低。
在预约流感或新冠疫苗接种时的自动提示有可能识别出可能从进一步讨论其疫苗接种需求中受益的有接种意愿的个体。
社区药房可以利用现有技术来支持高效且有效地识别有资格接种疫苗的个体。