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Impact of Pharmacist Immunization Authority on Seasonal Influenza Immunization Rates Across States.
Clin Ther. 2017 Aug; 39(8):1563-1580.e17.CT

Abstract

PURPOSE

The goal of this study was to investigate the impact on immunization rates of policy changes that allowed pharmacists to administer influenza immunizations across the United States.

METHODS

Influenza immunization rates across states were compared before and after policy changes permitting pharmacists to administer influenza immunizations. The study used Behavioral Risk Factor Surveillance System (BRFSS) survey data on influenza immunization rates between 2003 and 2013. Logistic regression models were constructed and incorporated adjustments for the complex sample design of the BRFSS to predict the likelihood of a person receiving an influenza immunization based on various patient health, demographic, and access to care factors.

FINDINGS

Overall, as states moved to allow pharmacists to administer influenza immunizations, the odds that an adult resident received an influenza immunization rose, with the effect increasing over time. The average percentage of people receiving influenza immunizations in states was 35.1%, rising from 32.2% in 2003 to 40.3% in 2013. The policy changes were associated with a long-term increase of 2.2% to 7.6% in the number of adults aged 25 to 59 years receiving an influenza immunization (largest for those aged 35-39 years) and no significant change for those younger or older.

IMPLICATIONS

These findings suggest that pharmacies and other nontraditional settings may offer accessible venues for patients when implementing other public health initiatives.

Authors+Show Affiliations

Avalere Health, Washington, DC. Electronic address: edrozd@avalere.com.National Association of Chain Drug Stores, Arlington, Virginia.Avalere Health, Washington, DC.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28781217

Citation

Drozd, Edward M., et al. "Impact of Pharmacist Immunization Authority On Seasonal Influenza Immunization Rates Across States." Clinical Therapeutics, vol. 39, no. 8, 2017, pp. 1563-1580.e17.
Drozd EM, Miller L, Johnsrud M. Impact of Pharmacist Immunization Authority on Seasonal Influenza Immunization Rates Across States. Clin Ther. 2017;39(8):1563-1580.e17.
Drozd, E. M., Miller, L., & Johnsrud, M. (2017). Impact of Pharmacist Immunization Authority on Seasonal Influenza Immunization Rates Across States. Clinical Therapeutics, 39(8), 1563-e17. https://doi.org/10.1016/j.clinthera.2017.07.004
Drozd EM, Miller L, Johnsrud M. Impact of Pharmacist Immunization Authority On Seasonal Influenza Immunization Rates Across States. Clin Ther. 2017;39(8):1563-1580.e17. PubMed PMID: 28781217.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of Pharmacist Immunization Authority on Seasonal Influenza Immunization Rates Across States. AU - Drozd,Edward M, AU - Miller,Laura, AU - Johnsrud,Michael, Y1 - 2017/08/07/ PY - 2017/04/26/received PY - 2017/06/20/revised PY - 2017/07/03/accepted PY - 2017/8/7/pubmed PY - 2018/2/21/medline PY - 2017/8/8/entrez KW - immunizations KW - influenza KW - pharmacy services KW - vaccines SP - 1563 EP - 1580.e17 JF - Clinical therapeutics JO - Clin Ther VL - 39 IS - 8 N2 - PURPOSE: The goal of this study was to investigate the impact on immunization rates of policy changes that allowed pharmacists to administer influenza immunizations across the United States. METHODS: Influenza immunization rates across states were compared before and after policy changes permitting pharmacists to administer influenza immunizations. The study used Behavioral Risk Factor Surveillance System (BRFSS) survey data on influenza immunization rates between 2003 and 2013. Logistic regression models were constructed and incorporated adjustments for the complex sample design of the BRFSS to predict the likelihood of a person receiving an influenza immunization based on various patient health, demographic, and access to care factors. FINDINGS: Overall, as states moved to allow pharmacists to administer influenza immunizations, the odds that an adult resident received an influenza immunization rose, with the effect increasing over time. The average percentage of people receiving influenza immunizations in states was 35.1%, rising from 32.2% in 2003 to 40.3% in 2013. The policy changes were associated with a long-term increase of 2.2% to 7.6% in the number of adults aged 25 to 59 years receiving an influenza immunization (largest for those aged 35-39 years) and no significant change for those younger or older. IMPLICATIONS: These findings suggest that pharmacies and other nontraditional settings may offer accessible venues for patients when implementing other public health initiatives. SN - 1879-114X UR - https://www.unboundmedicine.com/medline/citation/28781217/Impact_of_Pharmacist_Immunization_Authority_on_Seasonal_Influenza_Immunization_Rates_Across_States_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0149-2918(17)30771-3 DB - PRIME DP - Unbound Medicine ER -