Assessing Pneumococcal Vaccination Availability in Under-Vaccinated Rural Counties: A Pharmacy Perspective

Colorafi, Karen; Panther, Shannon G.; McKeirnan, Kimberly C.; Potyk, Daryl; McCarthy, John F.; Temple, Sarah

doi:10.4140/tcp.n.2018.163

Cited by 3 publications

(8 citation statements)

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“…The academic detailing intervention used in this study may have increased provider and staff knowledge of the complex pneumococcal vaccination schedule thereby increasing available opportunities for vaccination. In fact, the exam room posters (Figure 5) were the element in the academic detailing intervention that clinic providers and staff expressed most satisfaction with [19,20]. In an attempt to make vaccination more accessible to patients, clinic workflows wer re-organized so that medical assistants who roomed patients were altered (by a flag in on clinic and a report in the second clinic), to the need for vaccination.…”

Section: Discussionmentioning

confidence: 99%

“…The 12-month intervention began with a needs assessment, from which mutually agreed upon goals were established for the project. These included conducting a workflow assessment of the use of practice-based health information technology (e.g., electronic health record (EHR) and practice management (PM) systems), providing vaccination training to affiliated pharmacy personnel, practice providers and staff, and the creation and distribution of exam-room posters that invited a patient to discuss the need for vaccination with their provider [19,20]. Repeat visits (six in total) were made to each practice at regular intervals to deliver education, discuss needs, select priorities and develop action plans from recommendations.…”

Section: Interventionmentioning

confidence: 99%

“…Repeat visits (six in total) were made to each practice at regular intervals to deliver education, discuss needs, select priorities and develop action plans from recommendations. A detailed description of the academic detailing intervention and practice visit schedule has been published elsewhere and summarized in Table 1 [19,20]. The academic detailing intervention was accomplished through multiple visits to the site, each with its own purpose and goals.…”

Section: Interventionmentioning

confidence: 99%

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Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership

et al. 2021

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Academic detailing is an educational approach involving provision of evidence-based information by healthcare providers for healthcare providers with the goal of improving clinical decision-making. An interprofessional academic detailing initiative was developed to encourage rural providers to utilize guidelines when deciding which patients to vaccinate against pneumonia. This study utilized a quasi-experimental, single-group, pre-post observational design with physicians, nurses, and staff at two rural medical clinics. The 12-month academic detailing intervention included a needs assessment, workflow assessment of practice-based health information technology, vaccination training for providers and staff, and creation of exam-room posters encouraging patients to discuss vaccination with their provider. Six visits were made to deliver education, discuss needs, select priorities, and develop action plans from recommendations. Data were collected from each site for three years prior to the intervention year and for one year following the intervention. The annual rate of patients vaccinated increased during the five-year study. The cumulative proportion of the sample population that received vaccination also increased over time. Interprofessional academic detailing was well received and increased pneumococcal vaccination rates among rural-dwelling older adults. Given the alarming disparities in health outcomes for rural patients, educational outreach is needed to improve healthcare access and outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

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Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership

et al. 2021

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“…29,32,33 Providing convenient modalities for vaccination through walk-in or extended opening hours may reduce accessibility constraints that are frequent in rural areas. 26,45 We identi ed 4 barriers that were common to every vulnerable category. The lack of a strong provider reference can be addressed by better linking patients to pharmacists through conversation initiation by the pharmacy team.…”

Section: Vulnerability Categoriesmentioning

confidence: 99%

“…As examples, suggestions range from a universal vaccine registry, to sharing the accesses to the pharmacological and medical le, to simplifying the eligibility criteria. 45,47,64 Other vulnerable groups provide their own targeting challenges. Considering that nearly half of all pregnancies in the US are unplanned 65 , efforts to ensure adequate vaccination during pregnancy should be extended to all women of childbearing age.…”

Section: The Challenges Of De Ning Vulnerable Communitiesmentioning

confidence: 99%

Vaccine Promotion Strategies in Community Pharmacy Addressing Vulnerable Populations: a Scoping Review

Chadi

Thirion

David

2023

Preprint

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Context: Social determinants of health drivers of vaccine inequity and leading to higher risks of complication from infectious diseases in under vaccinated communities. In many countries, pharmacists have gained the rights to prescribe and administer vaccines, which contributes in improve vaccination rates. Little is however known on how they define and target vulnerable communities. Objective: The purpose of this study is to describe how vulnerable communities are targeted in community pharmacies. Methods: We performed a systematic search of the Embase and Medline database in August 2021 inspired by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocols (PRISMA ScR). Articles in English, French or Spanish addressing any vaccine in a community pharmacy context and that target a population defined as vulnerable were screened for inclusion. Results: A total of 1039 articles were identified through the initial search and 63 articles met the inclusion criteria. The vast majority of the literature originated from the North America (n = 54, 86%) and was addressed influenza vaccination (n = 29, 46%), pneumonia (n = 14, 22%), herpes zoster (n = 14, 22%) or human papilloma virus (n = 14, 22%). Lifecycle vulnerabilities (n = 48, 76%) such as age and pregnancy were most often used to target vulnerable patients followed by clinical factors (n = 18, 29%), socio-economical determinants (n = 16, 25%) and geographical vulnerabilities (n = 7, 11%). The most frequently listed strategy was providing a strong recommendation for vaccination, promotional posters in pharmacy, distributing leaflet/bag stuffers and providing staff training. A total of 24 barriers and 25 facilitators were identified. The main barriers associated to each vulnerable category were associated to effective promotional strategies to overcome them. Conclusion: Pharmacists prioritize lifecycle and clinical vulnerability at the expense of narrowing down the definition of vulnerability. Some vulnerable groups are also under targeted in pharmacies. A wide variety of promotional strategies are available to pharmacies in order to overcome the specific barriers experienced by various groups.

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Vaccine promotion strategies in community pharmacy addressing vulnerable populations: a scoping review

Chadi,

Thirion,

David

2023

BMC Public Health

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Context Social determinants of health are drivers of vaccine inequity and lead to higher risks of complications from infectious diseases in under vaccinated communities. In many countries, pharmacists have gained the rights to prescribe and administer vaccines, which contributes to improving vaccination rates. However, little is known on how they define and target vulnerable communities. Objective The purpose of this study is to describe how vulnerable communities are targeted in community pharmacies. Methods We performed a systematic search of the Embase and MEDLINE database in August 2021 inspired by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocols (PRISMA ScR). Articles in English, French or Spanish addressing any vaccine in a community pharmacy context and that target a population defined as vulnerable were screened for inclusion. Results A total of 1039 articles were identified through the initial search, and 63 articles met the inclusion criteria. Most of the literature originated from North America (n = 54, 86%) and addressed influenza (n = 29, 46%), pneumococcal (n = 14, 22%), herpes zoster (n = 14, 22%) or human papilloma virus vaccination (n = 14, 22%). Lifecycle vulnerabilities (n = 48, 76%) such as age and pregnancy were most often used to target vulnerable patients followed by clinical factors (n = 18, 29%), socio-economical determinants (n = 16, 25%) and geographical vulnerabilities (n = 7, 11%). The most frequently listed strategy was providing a strong recommendation for vaccination, promotional posters in pharmacy, distributing leaflet/bag stuffers and providing staff training. A total of 24 barriers and 25 facilitators were identified. The main barriers associated to each vulnerable category were associated to effective promotional strategies to overcome them. Conclusion Pharmacists prioritize lifecycle and clinical vulnerability at the expense of narrowing down the definition of vulnerability. Some vulnerable groups are also under targeted in pharmacies. A wide variety of promotional strategies are available to pharmacies to overcome the specific barriers experienced by various groups.

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Assessing Pneumococcal Vaccination Availability in Under-Vaccinated Rural Counties: A Pharmacy Perspective

Abstract: Access to pneumococcal vaccines will be enhanced by pharmacist administration, resulting in improved availability, accessibility, accommodation, affordability, and acceptability for patients in rural Washington.

Cited by 3 publications

References 0 publications

Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership

Improving Pneumococcal Vaccination Rates among Rural Older Adults through Academic Detailing: Medicine, Nursing and Pharmacy Partnership

Vaccine Promotion Strategies in Community Pharmacy Addressing Vulnerable Populations: a Scoping Review

Vaccine promotion strategies in community pharmacy addressing vulnerable populations: a scoping review

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