Evidence map›Paper›PMID 37696631›Full record

ArticleBMJ open2023

Pharmacists' approaches to vaccination consultations in Switzerland: a qualitative study comparing the roles of complementary and alternative medicine (CAM) and biomedicine.

Clara Zimmermann, Meliha Jusufoska, Josipa Tolic, Marta Abreu de Azevedo, Philip E Tarr, Michael J Deml

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Clara Zimmermann *University Department of Medicine, Kantonsspital Baselland, Bruderholz, Switzerland.ORCID 0009-0001-8649-3760
Meliha Jusufoska *University of Basel, Basel, Switzerland.ORCID 0000-0002-6807-1900
Josipa Tolic *University of Basel, Basel, Switzerland.
Marta Abreu de AzevedoUniversity of Basel, Basel, Switzerland.
Philip E Tarr *University of Basel, Basel, Switzerland philip.tarr@unibas.ch.ORCID 0000-0002-1488-5407
Michael J Deml *Institute of Sociological Research, Department of Sociology, University of Geneva, Geneva, Switzerland.ORCID 0000-0003-2224-8173

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany community pharmacies in Switzerland provide complementary and alternative medicine (CAM) approaches in addition to providing biomedical services, and a few pharmacies specialise in CAM. A common perception is that CAM providers are sceptical towards, or opposed to, vaccination.

objectivesKey objectives of this study are to examine the potential roles of biomedically oriented and CAM-specialised pharmacists regarding vaccine counselling and to better understand the association between vaccine hesitancy and CAM.

designWe conducted semistructured, qualitative interviews. Transcripts were coded and analysed using thematic analysis. Interview questions were related to: type of pharmaceutical care practised, views on CAM and biomedicine, perspectives on vaccination, descriptions of vaccination consultations in community pharmacies and views on vaccination rates.

settingQualitative interviews in three language regions of Switzerland (German, French and Italian).

participantsWe interviewed 18 pharmacists (N=11 biomedically oriented, N=7 CAM specialised).

resultsPharmacist participants expressed generally positive attitudes towards vaccination. Biomedically oriented pharmacists mainly advised customers to follow official vaccination recommendations but rarely counselled vaccine-hesitant customers. CAM-specialised pharmacists were not as enthusiastic advocates of the Swiss vaccination recommendations as the biomedically oriented pharmacists we interviewed. Rather, they considered that each customer should receive individualised, nuanced vaccination advice so that customers can reach their own decisions. CAM-specialised pharmacists described how mothers in particular preferred getting a second opinion when they felt insufficiently advised by biomedically oriented paediatricians.

conclusionsVaccination counselling in community pharmacies represents an additional option to customers who have unmet vaccination consultation needs and who seek reassurance from healthcare professionals (HCPs) other than physicians. By providing individualised vaccination counselling to vaccine-hesitant customers, CAM-specialised pharmacists are likely meeting specific needs of vaccine-hesitant customers. As such, research and implementation efforts should more systematically involve pharmacists as important actors in vaccination provision. CAM-specialised pharmacists particularly should not be neglected as they are important HCPs who counsel vaccine-hesitant customers.

Indexed as

Health PersonnelPharmacistsHumansReferral and ConsultationSwitzerlandVaccinationCOMPLEMENTARY MEDICINEDecision MakingPREVENTIVE MEDICINEPublic healthQUALITATIVE RESEARCH

Identifiers

PMID37696631
PMCPMC10496653

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Registered trials

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