Evidence map›Paper›PMID 27777781›Full record

ArticleJournal of pharmaceutical policy and practice2016

Impact of pharmacists as immunizers on influenza vaccination coverage in the community-setting in Nova Scotia, Canada: 2013-2015.

Jennifer E Isenor, Jessica L Killen, Beverly A Billard, Shelly A McNeil, Donna MacDougall, Beth A Halperin, Kathryn L Slayter, Susan K Bowles

Abstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Public hesitancy to COVID-19 vaccine and the role of pharmacists in addressing the problem and improving uptake.Journal of pharmacy practice and research : official journal of the Society of Hospital Pharmacists of Australia · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Barriers to adult vaccination in Canada: A qualitative systematic review.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Article
  14. Article
  15. Evidence for pharmacist vaccination.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jennifer E IsenorCollege of Pharmacy, Dalhousie University, 5968 College Street, PO Box 15000, Halifax, Nova Scotia B3H 4R2 Canada ; Canadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia B3K 6R8 Canada ; Faculty of Medicine, Dalhousie University, 1459 Oxford St, Halifax, Nova Scotia B3H 4R2 Canada.
Jessica L KillenCollege of Pharmacy, Dalhousie University, 5968 College Street, PO Box 15000, Halifax, Nova Scotia B3H 4R2 Canada.
Beverly A BillardNova Scotia Department of Health and Wellness, PO Box 488, Halifax, Nova Scotia B3J 2R8 Canada.
Shelly A McNeilCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia B3K 6R8 Canada ; Faculty of Medicine, Dalhousie University, 1459 Oxford St, Halifax, Nova Scotia B3H 4R2 Canada.
Donna MacDougallCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia B3K 6R8 Canada ; School of Nursing, St. Francis Xavier University, PO Box 5000, Antigonish, Nova Scotia B2G 2W5 Canada.
Beth A HalperinCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia B3K 6R8 Canada ; School of Nursing, Dalhousie University, 5869 University Avenue, PO Box 15000, Halifax, Nova Scotia B3H 4R2 Canada.
Kathryn L SlayterCanadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia B3K 6R8 Canada ; IWK Health Centre, 5850/5980 University Avenue, Halifax, Nova Scotia B3K 6R8 Canada.
Susan K BowlesCollege of Pharmacy, Dalhousie University, 5968 College Street, PO Box 15000, Halifax, Nova Scotia B3H 4R2 Canada ; Canadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, 5850/5980 University Ave, Halifax, Nova Scotia B3K 6R8 Canada ; Faculty of Medicine, Dalhousie University, 1459 Oxford St, Halifax, Nova Scotia B3H 4R2 Canada ; Department of Pharmacy, 1796 Summer St, Nova Scotia Health Authority- Central Zone, Halifax, Nova Scotia B3H 3A6 Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnnual immunization is the most effective way to prevent influenza and its associated complications. However, optimal immunization rates are not being met in Nova Scotia, Canada. Additional providers, such as pharmacists, may improve access and convenience to receive vaccines. Pharmacists began immunizing patients 5 years of age and older within the publicly funded universal influenza vaccination program during the 2013-2014 influenza season. The objective of this study was to evaluate influenza immunization coverage rates before and after pharmacists in Nova Scotia gained authority to immunize as part of the publicly funded universal influenza vaccination program.

methodsInfluenza immunization data was obtained from the Department of Health and Wellness from 2010 to 2015. Data included billing data from physicians and pharmacists, and local public health data. Vaccination coverage was calculated as proportion of vaccinations received in comparison to the total population.

resultsPrior to pharmacists immunizing, overall vaccination coverage for Nova Scotia residents 6 months of age and older was 35.8 % in 2012-2013, increasing to 41.8 % coverage in 2013-2014 the year pharmacists began immunizing. A decrease of 1.9 to 39.9 % was observed in 2014-2015. In patients 65 years of age and older living in the community, coverage has increased from 61.8 % in 2012-2013 to 71.6 % in 2013-2014, and again to 73.3 % in 2014-2015 with the addition of pharmacists immunizing. Prior to pharmacists immunizing the highest coverage noted for this portion of the population was 61.8 %.

conclusionsThe addition of pharmacists as immunizers within a publicly funded universal influenza vaccination program was found to increase overall vaccination coverage in the first year and to maintain higher coverage rates in the second year than those observed before pharmacists began immunizing. Increases in coverage in both years were observed in the elderly. Future research will be required to determine the ongoing impact of the addition of pharmacists as immunizers and other strategies to improve vaccination coverage.

Indexed as

CanadaImmunizationInfluenza vaccinationPharmaceutical servicesPharmacistVaccine coverage

Identifiers

PMID27777781
PMCPMC5070082

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.