Evidence map›Paper›PMID 30498367›Full record

ArticleClinicoEconomics and outcomes research : CEOR2018

Economic analysis of pharmacist-administered influenza vaccines in Ontario, Canada.

Daria J O'Reilly, Gord Blackhouse, Sheri Burns, James M Bowen, Natasha Burke, Jeff Mehltretter, Nancy M Waite, Sherilyn Kd Houle

Open access · goldAbstract read
In one paragraph

Article in ClinicoEconomics and outcomes research : CEOR, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
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, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. European community pharmacists practice in tackling influenza.Exploratory research in clinical and social pharmacy · 2024
    Review
  3. Review
  4. Influenza vaccination in community pharmacy: A cross-sectional survey of Canadian adults' knowledge, attitude and beliefs.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. How pharmacists are improving immunization in Canada.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Article
  13. Time for harmonization: Pharmacists as immunizers across Canadian jurisdictions.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Article
  14. Article
  15. Opportunities for pharmacists to recommend and administer routine vaccines.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Review
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 at 3 institutions in 1 country.

Daria J O'ReillyDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada, oreilld@mcmaster.ca.
Gord BlackhouseDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada, oreilld@mcmaster.ca.
Sheri BurnsPrograms for Assessment of Technology in Health (PATH), The Research Institute of St. Joe's Hamilton, Hamilton, ON, Canada, oreilld@mcmaster.ca.
James M BowenDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada, oreilld@mcmaster.ca.
Natasha BurkeDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada, oreilld@mcmaster.ca.
Jeff MehltretterNeighbourhood Pharmacy Association of Canada, Toronto, ON, Canada.
Nancy M WaiteSchool of Pharmacy, Faculty of Science, University of Waterloo, Waterloo, ON, Canada.
Sherilyn Kd HouleSchool of Pharmacy, Faculty of Science, University of Waterloo, Waterloo, ON, Canada.
Programs for Assessment of Technology in Health Research Institute · CAUniversity of Waterloo · CANeighbourhood Pharmacy Association of Canada · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate the impact of pharmacist administration of influenza vaccine in Ontario on: 1) vaccination-associated costs related to the number of people vaccinated; 2) annual influenza-related outcomes and costs; and 3) change in productivity costs.

methodsUsing available data for Ontario, the total number of vaccinations given by providers in the 2011/12 influenza season (pre) was compared to the 2013/14 influenza season (post). Vaccine costs and provider fees for administration were assigned for both periods. An economic model was created to estimate the impact of the change in influenza vaccination volume on influenza-related outcomes and on the health care costs associated with treating influenza-related outcomes. Productivity costs due to both time off work due to getting vaccinated and influenza illness were considered. One-way sensitivity analysis was used to assess parameter uncertainty.

resultsThe number of vaccinations received by Ontarians increased by 448,000 (3% of the population), with pharmacists vaccinating approximately 765,000 people/year. The increased cost to the Ontario Ministry of Health and Long-term Care was $6.3 million, while the money saved due to reduced influenza-related outcome costs was $763,158. Productivity losses were reduced by $4.5 million and $3.4 million for the time invested to get vaccinated and time off work due to influenza illness, respectively.

conclusionAfter two influenza seasons, following the introduction of pharmacist-administered influenza vaccinations, there was a net immunization increase of almost 450,000, which potentially saved $2.3 million in direct health care costs and lost productivity in the province.

Indexed as

costsimmunizationpharmacistproductivityuniversal influenza vaccination

Identifiers

PMID30498367
PMCPMC6207261
OpenAlexW2896465630

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.