Competing visions for travel health services in Canada

Zimmer, Rudy

doi:10.1093/jtm/tax096

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…52 YF vaccination and official documentation must be received at designated YF vaccination centres, which are becoming more prevalent in Canada. 53 Pharmacies can become designated centres, provided they specify a nominated health care practitioner with prescribing authority to ensure requirements are met. 54 Notably, recent YF vaccine supply restraints have limited vaccine accessibility to travellers.…”

Section: Yellow Fever Vaccinementioning

confidence: 99%

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Travel vaccines: Update for Canadian pharmacists

Bascom

2019

Can Pharm J

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Section: Yellow Fever Vaccinementioning

confidence: 99%

“…4 However, in 2017, Health Canada supported the use of fractional dosing of YF vaccine to extend available supply. 53,55 Using 1/5 the dose has been shown to provide similar protection as a full dose, for at least 1 year. 55 Consult CATMAT guidelines for using fractional YF dosing.…”

Section: Yellow Fever Vaccinementioning

confidence: 99%

Travel vaccines: Update for Canadian pharmacists

Bascom

2019

Can Pharm J

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“…By implication this would indicate a broad satisfaction with the pharmacist provided travel health services, as found by Houle [2]. In the article by Zimmer [7] an argument was made against a market-driven approach for the provision of travel health services in Canada as might be provided by pharmacists. The implication was that patients may be coerced into unnecessary vaccinations.…”

Section: Discussionmentioning

confidence: 95%

Pharmacy Travel Health Services in Canada: Experience of Early Adopters

Thidrickson

Goodyer

2019

Pharmacy

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Since 2007, community pharmacists in Canada have become increasingly involved in delivering Travel Health services, including the recommendation and administration of vaccines. This qualitative scoping survey examines some of the activities and opinions of those early pharmacist adopters delivering these services. A Survey Monkey free text questionnaire was emailed to pharmacists who were involved in delivering travel medicine services. 21 pharmacists responding represented seven Canadian provinces. Only 5 pharmacists estimated that they were seeing five or more patients a week on average. Amongst the challenges they faced the most quoted was lack of time when running a busy pharmacy (62%) a lack of prescribing authority, (52%), and lack of access to public health vaccines (52%). ‘Word of mouth’ was widely quoted as a means of developing the service, indicating a good patient satisfaction. Also expressed were the advantages of convenience in terms of being a ‘one stop shop’, ease of billing to insurance companies and convenient appointment times. There are a number of challenges which are still to be faced which may be resolved by further legislation allowing access to public health vaccines and more widespread prescribing rights. The relatively low level of consultations reported by some is of concern if those pharmacists are to maintain competence.

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“…5 Yet, the federal and provincial governments continue to avoid addressing this ongoing problem, in part because of constitutional confusion over responsibility. 6 Across Canada, provincial governments such as Ontario 7,8 have removed pretravel clinical prevention from public insurance plans, while at the same time paying physicians in other countries for unregulated care, when travellers seek medical attention for fully preventable or self-treatable diseases. This financing paradox applied to travel medicine's continuum of care perversely promotes cashstrapped high-risk travellers to avoid effective pretravel clinical prevention for life-threatening conditions and vaccinepreventable diseases such as malaria.…”

mentioning

confidence: 99%

Competing visions for travel health services in Canada

Cited by 4 publications

References 21 publications

Travel vaccines: Update for Canadian pharmacists

Travel vaccines: Update for Canadian pharmacists

Pharmacy Travel Health Services in Canada: Experience of Early Adopters

A forgotten vulnerable group: Canadian children visiting relatives in the developing world

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