Expanding the role of pharmacists as vaccinators in New Zealand: a retrospective analysis of influenza vaccination trends following policy change.

IF 2.5 Q3 PHARMACOLOGY & PHARMACY
Anna Larson, Rachel Mitrovich, Isabel Musse, Aimee J Lansdale, Amanda L Eiden
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Abstract

Objectives: Pharmacy-based influenza vaccination became part of New Zealand's public vaccination programme in 2017, eliminating out-of-pocket costs to consumers. This study evaluated trends in pharmacy-based influenza vaccination among adults aged ≥65 in New Zealand following the 2017 funding policy change, with the aim of examining whether the availability of government-funded influenza vaccination increased pharmacy-based vaccination in this population.

Methods: Data on influenza vaccinations administered between 2015 and 2021 to adults ≥65 were provided by the New Zealand Ministry of Health from the National Immunisation Register. Descriptive analyses were employed to assess the absolute number and percentage of vaccinations given by each provider type from 2015 through 2021 to document trends after the public funding policy change and in the early years of the COVID-19 pandemic.

Key findings: The total number of influenza vaccinations administered increased from 322 161 in 2015 to 525 769 in 2021. After public funding for influenza vaccination began in pharmacies, annual physician- and nurse-administered vaccinations ranged from 401 840 to 426 005 and 12 590 to 19 586, respectively, between 2018 and 2021, while pharmacist-administered vaccinations steadily increased from 16 042 to 96 343. The percentage of influenza vaccinations administered by pharmacists grew from nearly 0% in 2015 to 3.7% in 2018 and 18.3% in 2021.

Conclusions: Research findings suggest that public funding for pharmacist-administered influenza vaccinations contributed to expanding overall influenza vaccine access in New Zealand among adults ≥65. In addition, the increase in pharmacist-delivered vaccinations did not negatively impact vaccinations administered by traditional providers, further demonstrating the value and growing role of pharmacies in advancing national immunization efforts.

扩大新西兰药剂师作为疫苗接种员的作用:对政策变化后流感疫苗接种趋势的回顾性分析。
2017年,基于药房的流感疫苗接种成为新西兰公共疫苗接种计划的一部分,消除了消费者的自付费用。本研究评估了2017年资助政策改变后新西兰≥65岁成年人基于药物的流感疫苗接种趋势,目的是研究政府资助的流感疫苗的可获得性是否增加了该人群的基于药物的流感疫苗接种。方法:新西兰卫生部从国家免疫登记中提供了2015年至2021年间对65岁以上成年人接种流感疫苗的数据。采用描述性分析来评估2015年至2021年期间每种提供者类型接种疫苗的绝对数量和百分比,以记录公共资金政策变化后和COVID-19大流行早期的趋势。主要发现:接种流感疫苗的总次数从2015年的322 161次增加到2021年的525 769次。在药房开始为流感疫苗接种提供公共资金后,2018年至2021年期间,医生和护士每年接种的疫苗分别为401 840至426 005次和12 590至19 586次,而药剂师接种的疫苗则从16 042次稳步增加到96 343次。药剂师接种流感疫苗的比例从2015年的近0%增长到2018年的3.7%和2021年的18.3%。结论:研究结果表明,为药剂师接种流感疫苗提供公共资金有助于扩大新西兰65岁以上成年人流感疫苗的总体可及性。此外,药剂师提供的疫苗接种的增加并未对传统提供者提供的疫苗接种产生负面影响,这进一步证明了药房在推动国家免疫工作方面的价值和日益重要的作用。
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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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