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Forward and backward transitions in pharmacy-based immunization services.

Salisa C Westrick1

  • 1Pharmacy Care Systems, Harrison School of Pharmacy, Auburn University, 207 Dunstan Hall, Auburn, AL 36849, USA. westrsc@auburn.edu

Research in Social & Administrative Pharmacy : RSAP
|March 2, 2010
PubMed
Summary
This summary is machine-generated.

Community pharmacies’ adoption of immunization services depends on how they perceive outsourced versus in-house mechanisms. Perceived benefits and complexities influence transitions, guiding strategies to sustain these vital public health services.

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Area of Science:

  • Pharmacy Practice
  • Health Services Research
  • Organizational Behavior

Background:

  • Community pharmacies offer immunization services via outsourced or in-house models.
  • Pharmacies often begin with outsourced mechanisms due to lower organizational commitment.
  • Transitions include maintaining outsourced services, abandoning services, or adopting in-house services.

Purpose of the Study:

  • To identify associations between perceived characteristics of immunization services and pharmacy transitions (backward or forward).
  • Utilizes Rogers' Diffusion of Innovations and Behavioral Theory of the Firm.
  • Examines factors influencing community pharmacies' decisions regarding immunization service delivery models.

Main Methods:

  • Cross-sectional mail survey of 106 Washington State community pharmacies (May-July 2004).
  • Classified pharmacies as Fence sitters, Backward movers, or Forward movers based on service transitions.
  • Analyzed relationships using bivariate and multinomial logistic regression.

Main Results:

  • Backward and Forward movers viewed outsourced services less favorably than Fence sitters.
  • Forward movers perceived in-house services as superior to outsourced ones, unlike Backward movers.
  • Decreased perceived benefits of outsourced services and increased perceived compatibility/decreased complexity of in-house services predicted Forward mover transitions.

Conclusions:

  • Perceived characteristics of outsourced and in-house immunization service innovations are linked to organizational transitions.
  • Findings can inform strategies to encourage organizational change and prevent service abandonment.
  • Understanding these perceptions is crucial for sustaining community pharmacy-based immunization programs.