Bhardwaj Shiven, Galanter Nina, Berenbrok Lucas A, Shah Parth D, Bacci Jennifer L
The Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, School of Pharmacy, University of Washington, Seattle, WA 98195, United States.
Department of Biostatistics, School of Public Health, University of Washington, Seattle, WA 98195, United States.
Health Aff Sch. 2025 Feb 10;3(2):qxaf028. doi: 10.1093/haschl/qxaf028. eCollection 2025 Feb.
Pediatric vaccination rates in the United States lag national goals. Policies that expand pharmacy-based vaccinations among children could help improve vaccination rates. Opponents argue, however, that such policies will result in delayed or missed well-child visits as most children receive routine vaccinations in primary care settings. We evaluated the likelihood of having a timely well-child visit following a routine vaccination in pharmacies and primary care settings among children aged 4-17 years. We conducted a retrospective cohort analysis with commercial claims data from 2016-2019, using conditional logistic regression models. A timely well-child visit was defined as one within 12 months after a preceding well-child visit for primary analysis and 15 months for secondary analysis. Approximately 95% of the sample consisted of children with influenza among their index vaccine(s). The odds of having a timely well-child visit were similar between children who received vaccines in pharmacies and those who received them in primary care settings. Findings suggest that guardians or parents who choose pharmacy-based pediatric vaccinations for their commercially insured children do not forgo well-child visits and may actually be more likely to obtain a timely well-child visit. Extending pharmacy-based vaccinations to patients of all ages can help improve pediatric vaccination rates.
美国儿童疫苗接种率落后于国家目标。扩大儿童药房接种疫苗的政策有助于提高接种率。然而，反对者认为，此类政策将导致儿童定期健康检查延迟或错过，因为大多数儿童在初级保健机构接受常规疫苗接种。我们评估了4至17岁儿童在药房和初级保健机构进行常规疫苗接种后及时进行儿童定期健康检查的可能性。我们使用条件逻辑回归模型，对2016年至2019年的商业理赔数据进行了回顾性队列分析。及时的儿童定期健康检查在初次分析中定义为在前一次儿童定期健康检查后12个月内进行的检查，在二次分析中定义为15个月内进行的检查。大约95%的样本包括在其索引疫苗中有流感疫苗的儿童。在药房接种疫苗的儿童和在初级保健机构接种疫苗的儿童及时进行儿童定期健康检查的几率相似。研究结果表明，为其商业保险儿童选择药房儿童疫苗接种的监护人或父母不会放弃儿童定期健康检查，实际上可能更有可能及时进行儿童定期健康检查。将基于药房的疫苗接种扩展到所有年龄段的患者有助于提高儿童疫苗接种率。
