Publicly funded remuneration for the administration of injections by pharmacists

Houle, Sherilyn K.D.; Grindrod, Kelly; Chatterley, Trish; Tsuyuki, Ross T.

doi:10.1177/1715163513506369

Cited by 24 publications

(18 citation statements)

References 11 publications

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“…If they feel good with themselves, and obviously, improve their health outcomes, which is our biggest, main driver of the service, the motivation of the service. Our patients are losing up to20,25 kilos. We have about 5 patients who have done that."…”

mentioning

confidence: 86%

“…weight management, smoking cessation). [19][20][21][22][23][24] Pharmacists are increasingly also more involved in public health services such as the provision of pharmacist-administered vaccination services [25][26][27] with pharmacists in the United States already providing this service since 1995. 28 A 2013 review highlighted that many studies have demonstrated the beneficial effects of professional services provided by pharmacists that resulted in positive patient health outcomes.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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Successful implementation and provision of enhanced and extended pharmacy services

Hattingh

Sim

Sunderland

et al. 2020

Research in Social and Administrative Pharmacy

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Background: Careful planning is important for successful implementation and ongoing provision of enhanced and extended pharmacy services. Objective: To explore the factors that contributed to the successful implementation and ongoing provision of enhanced and extended services in Western Australian community pharmacies. Methods: In-depth semi-structured telephone interviews were conducted with purposively selected pharmacists from various practice settings. Interviews explored experiences and perspectives on the provision of enhanced and extended professional services and continued until saturation was achieved. Analysis focused on prior investigation before implementation of services, perceptions of the impact of the services and factors to be considered. The COMB (Capability, Opportunity, Motivation and Behaviour) model was applied post hoc to the thematic analysis to explore whether there was an overlap between themes and the model. Results: In total 26 pharmacists (16 males, 10 females) participated in semi-structured interviews during October 2017 and February 2018. They classified as 20 community, 13 accredited and 7 specialist pharmacists and 11 pharmacist immunisers (some classified as more than one). Interview duration was 55 minutes (minimum 22, maximum 91 minutes). Responses regarding prior investigation/research conducted varied in approach followed and level of enquiry. Opinions about services were overall positive such as enhanced collaboration with other healthcare professionals, positive patient outcomes, increased staff satisfaction and acceptance of pharmacists as primary care providers. New services did not always provide direct financial benefit. Three major themes emerged as factors that impacted on provision of services: 1) pharmacist characteristics, 2) local needs, structures and support, and 3) an enabling practice framework.

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confidence: 86%

Section: Accepted Manuscriptmentioning

confidence: 99%

Successful implementation and provision of enhanced and extended pharmacy services

Hattingh

Sim

Sunderland

et al. 2020

Research in Social and Administrative Pharmacy

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“…Most pharmacist vaccination programs worldwide were developed with the initial goal of improving vaccination rates for influenza, and a number of regions restrict pharmacist-administered vaccinations to the influenza vaccine, while others provide a restricted list of vaccines that often focus on routine vaccines and exclude those for travel purposes. 43 Apart from the yellow fever vaccine which, as a live vaccine, requires careful consideration of its timing in relation to other vaccines and is contraindicated in immunocompromised patients, 44 no additional risks are anticipated by pharmacists administering travel vaccinations when compared to influenza vaccinations. Even in the absence of pharmacist prescribing authority for vaccines requiring a prescription, the ability for patients to receive the injection at their pharmacy has the potential to improve adherence to multiple-dose vaccine regimens due to the greater accessibility and convenience of pharmacies when compared to other primary care centers.…”

Section: Future Prospectsmentioning

confidence: 99%

Pharmacy travel health services: current perspectives and future prospects

Houle

2018

IPRP

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Rates of international travel are increasing annually, with particular growth observed in travel to Southeast Asia and to emerging economies. While all patients traveling across geographic regions are recommended to receive a pre-travel consultation to consider their individual risks, many do not, or receive care and recommendations that are not consistent with current evidence-based guidelines. As experts in drug therapy, and given the largely preventive nature of most travel health recommendations, pharmacists are well suited to help address this need. Pharmacists generally possess a high degree of knowledge and confidence with more commonly observed travel health topics in community practice such as travelers’ diarrhea; however, training in more specialized travel health topics such as travel vaccinations and traveling at altitude has generally been lacking from pharmacy curricula. Pharmacists with an interest in providing pre-travel consultations are encouraged to pursue additional training in this specialty and to consider Certificate in Travel Health designation from the International Society of Travel Medicine. Future roles for pharmacists to include the prescribing of medications and vaccines for travel and the in-pharmacy administration of travel vaccinations may improve patient access to pre-travel consultations and recommended preventive measures, improving the health of travelers and potentially reducing the burden of communicable disease worldwide. Pharmacists providing travel care to patients are also reminded to consider noninfectious risks of illness and injury abroad and to counsel patients on strategies to minimize these risks in addition to providing drug and vaccine recommendations.

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“…13 The easy access to community pharmacists is one of the major benefits of pharmacist immunisations and these programmes have been shown to lead to increased vaccination rates, low adverse effects and high consumer satisfaction. 9 14–21 …”

Section: Introductionmentioning

confidence: 99%

Evaluation of the first pharmacist-administered vaccinations in Western Australia: a mixed-methods study

et al. 2016

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ObjectivesThis study evaluated the uptake of Western Australian (WA) pharmacist vaccination services, the profiles of consumers being vaccinated and the facilitators and challenges experienced by pharmacy staff in the preparation, implementation and delivery of services.DesignMixed-methods methodology with both quantitative and qualitative data through surveys, pharmacy computer records and immuniser pharmacist interviews.SettingCommunity pharmacies in WA that provided pharmacist vaccination services between March and October 2015.ParticipantsImmuniser pharmacists from 86 pharmacies completed baseline surveys and 78 completed exit surveys; computer records from 57 pharmacies; 25 immuniser pharmacists were interviewed.Main outcome measuresPharmacy and immuniser pharmacist profiles; pharmacist vaccination services provided and consumer profiles who accessed services.Results15 621 influenza vaccinations were administered by immuniser pharmacists at 76 WA community pharmacies between March and October 2015. There were no major adverse events, and <1% of consumers experienced minor events which were appropriately managed. Between 12% and 17% of consumers were eligible to receive free influenza vaccinations under the National Immunisation Program but chose to have it at a pharmacy. A high percentage of vaccinations was delivered in rural and regional areas indicating that provision of pharmacist vaccination services facilitated access for rural and remote consumers. Immuniser pharmacists reported feeling confident in providing vaccination services and were of the opinion that services should be expanded to other vaccinations. Pharmacists also reported significant professional satisfaction in providing the service. All participating pharmacies intended to continue providing influenza vaccinations in 2016.ConclusionsThis initial evaluation of WA pharmacist vaccination services showed that vaccine delivery was safe. Convenience and accessibility were important aspects in usage of services. There is scope to expand pharmacist vaccination services to other vaccines and younger children; however, government funding to pharmacists needs to be considered.

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Publicly funded remuneration for the administration of injections by pharmacists

Cited by 24 publications

References 11 publications

Successful implementation and provision of enhanced and extended pharmacy services

Successful implementation and provision of enhanced and extended pharmacy services

Pharmacy travel health services: current perspectives and future prospects

Evaluation of the first pharmacist-administered vaccinations in Western Australia: a mixed-methods study

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