创新免疫实践模型改善人口健康的影响:项目IMPACT免疫扩展示范结果
Benjamin M Bluml1, Kelly A Brock2, William R Doucette3
1Research and Innovation, American Pharmacists Association Foundation, Washington, DC.
Innovations in pharmacy
|November 29, 2023
概括
社区药剂师可以有效地识别和解决未满足的成年人疫苗接种需求,使用临床决策支持技术. 这种创新模式通过在例行接触期间主动解决患者免疫缺口,提高了疫苗接种率.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践.
- 免疫接种 免疫接种
背景情况:
- 美国成年人疫苗接种率较低,对公共卫生构成重大挑战.
- 由于其可访问性和临床专业知识,社区药剂师有很好的机会解决疫苗接种缺口.
- 现有的系统往往无法有效地识别和解决个体成年人疫苗接种需求.
研究的目的:
- 评估一种创新的实践模式,用于在社区药房中识别和解决未满足的成年人疫苗接种需求.
- 评估与国家免疫信息系统 (IIS) 集成的临床决策支持技术的影响.
- 通过药剂师主导的干预措施,提高成年人疫苗接种率.
主要方法:
- 一项前性的,多地点的观察性研究,涉及爱荷华州和华盛顿州的22家社区药房.
- 药剂师利用临床决策支持技术审查来自国家IIS的患者疫苗接种预测.
- 干预措施包括患者教育和在各种临床接触期间给予推疫苗.
主要成果:
- 药剂师审查了6234个疫苗接种预测,确定了11789个未满足的疫苗接种需求 (人均1.9).
- 超过54%的未满足需求得到解决,其中60%的需求在同一天得到解决.
- 该研究表明,成功地识别和解决了疫苗接种缺口,预测的疫苗中只有很小一部分是先前注射过的或违禁的.
结论:
- 将疫苗接种史审查纳入社区药房实践,可以有效识别和解决成人免疫需求.
- 该模型表明,社区药房有潜力显著提高成年人疫苗接种覆盖率.
- 使用技术的药剂师主导的干预措施可以克服成年人疫苗接种的障碍.
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