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Addressing common barriers in adult immunizations: a review of interventions.

Expert review of vaccines·2019
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Using Community Pharmacy Immunization Screening Forms to Identify Potential Immunization Opportunities.

Albert T Bach1, Jeffery A Goad1

  • 1School of Pharmacy, Chapman University, Irvine, CA 92618, USA.

Pharmacy (Basel, Switzerland)
|November 30, 2019
PubMed
Summary

Pharmacy immunization screening forms can identify patients eligible for additional vaccines, not just contraindications. This proactive approach helps pharmacists optimize patient vaccination status and public health outcomes.

Keywords:
indicationsmissed opportunitiespharmacyscreeningvaccines

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Area of Science:

  • Pharmacy Practice
  • Vaccinology
  • Public Health

Background:

  • Immunization screening forms are crucial for determining vaccine eligibility by assessing contraindications.
  • Current use of these forms primarily focuses on identifying reasons *not* to vaccinate.

Purpose of the Study:

  • To evaluate if patient responses on pharmacy immunization screening forms can identify potential *indications* for additional vaccines.
  • To assess the feasibility of pharmacists proactively identifying immunization opportunities beyond contraindications.

Main Methods:

  • Retrospective data collection from 8669 screening forms across 11 community pharmacies in California and Michigan.
  • Analysis of de-identified patient demographics, screening answers, and administered vaccines.
  • Application of Advisory Committee on Immunization Practices (ACIP) recommendations to forecast vaccine needs.

Main Results:

  • 34.6% of patients may be indicated for both zoster and pneumococcal vaccines based on age (date of birth).
  • 13.9% of patients showed a potential need for pneumococcal vaccines based on medical history questions.
  • Screening forms identified significant patient populations eligible for additional vaccinations.

Conclusions:

  • Pharmacy immunization screening forms can be effectively utilized to identify potential vaccine indications.
  • Pharmacists can proactively enhance patient immunization status by leveraging screening forms for both contraindications and indications.
  • This strategy supports improved public health through optimized vaccine uptake.