Research Notes
Daily versus single-day offering of influenza vaccine in community pharmacies
John D. Grabenstein, BPharm, PhD
J Am Pharm Assoc (2003) 2009;49:628-631. doi:10.1331/JAPhA.2009.08118


Objective  To assess the cumulative number of influenza vaccinations delivered per pharmacy in relation to number of days of offering vaccination per season.

Methods  Automated records of pharmacies involved in a cohort study were queried for number of influenza vaccinations delivered in each of three influenza vaccination seasons between 1996 and 1998. Eleven pharmacies in Washington State were compared with 13 pharmacies in Oregon, contrasting years when nurses offered influenza vaccine 1 day per season with years when pharmacists offered influenza vaccine daily for several months.

Results  Pharmacies in which pharmacists offered influenza vaccination daily averaged 528 to 807 doses per pharmacy per season compared with 91 to 233 doses per pharmacy in seasons when nurses offered vaccination on a single day.

Conclusion  Professionals dedicated to providing adult vaccination on any given day outperformed professionals who attended to both vaccination and other clinical duties, but the cumulative effect of offering vaccinations on multiple days can achieve a greater number of vaccinations over a several-month interval.

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Grabenstein JD, Guess HA, Hartzema AG.  People vaccinated by pharmacists: descriptive epidemiology. J Am Pharm Assoc. 2001;41:46–52.
Grabenstein JD, Guess HA, Hartzema AG, et al. Effect of vaccination by community pharmacists among adult prescription recipients. Med Care. 2001;39:340–8.[PubMed][CrossRef]
Grabenstein JD, Guess HA, Hartzema AG, et al. Attitudinal factors among adult prescription recipients associated with choice of where to be vaccinated. J Clin Epidemiol. 2002;55:279–84.[PubMed]
Grabenstein JD.  Pharmacists as immunizers: effects on sites and rates of vaccine delivery [doctoral dissertation]. Chapel Hill, NC:  University of North Carolina;  1999:xxii + 313pages.
Thompson WW, Shay DK, Weintraub E, et al. Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA. 2003;289:179–86.[PubMed]
Willis BC, Ndiaye SM, Hopkins D, et al. Improving influenza and pneumococcal polysaccharide, and hepatitis B vaccination coverage among adults aged <65 years at high risk: a report on recommendations of the Task Force on Community Preventative Services. MMWR Recomm Rep. 2005;54(RR-5):1–11.[PubMed]
 Centers for Disease Control & Prevention. Influenza and pneumococcal vaccination coverage levels. Accessed at www.cdc.gov/flu/professionals/vaccination/#coverage, June 21,  2008.
Williams WW, Hickson MA, Kane MA, et al. Immunization policies and vaccine coverage among adults: the risk for missed opportunities. Ann Intern Med. 1988;108:616–25.[PubMed]
Kyaw MH, Greene CM, Schaffner W, et al. Adults with invasive pneumococcal disease: missed opportunities for vaccination. Am J Prev Med. 2006;31:286–92.[PubMed]
Knapp KK, Paavola FG, Maine LL, et al. Availability of primary care providers and pharmacists in the United States. J Am Pharm Assoc. 1999;39:127–35.
Grabenstein JD.  Pharmacists as vaccine advocates: roles in community pharmacies, nursing homes, and hospitals. Vaccine. 1998;16:705–10.
Hogue MD, Grabenstein JD, Foster S, Rothholz M. Pharmacist-administered immunizations: a decade of professional advancement. J Am Pharm Assoc. 2006;46:168–82, erratum 308.
 Bureau of the Census, U.S. Department of Commerce. 1990 summary tape file 3 standard extract report: basic tables. Accessed at www.oseda.missouri.edu/uic/xtabs3.html, May 1,  1999.
 Health Care Financing Administration. Influenza immunizations paid for by Medicare, September-December 1995, non-HMO beneficiaries age 65 or older. Accessed at www.hcfa.gov, April 14,  1998.
 Centers for Disease Control & Prevention. Pneumococcal and influenza vaccination coverage levels among adults aged ≥65. years: United States, 1995. MMWR Morb Mortal Wkly Rep. 1997;46:913–9, erratum 974.[PubMed]
Grabenstein JD, Hayton BD.  Pharmacoepidemiologic program for identifying patients in need of vaccination. Am J Hosp Pharm. 1990;47:1774–81.[PubMed]
Grabenstein JD, Hartzema AG, Guess HA, Johnston WP.  Community pharmacists as immunization advocates: a clinical pharmacoepidemiologic experiment. Int J Pharm Pract. 1993;2:5–10.
Ernst ME, Chalstrom CV, Currie JD, Sorofman B. Implementation of a community pharmacy-based influenza vaccination program. J Am Pharm Assoc. 1997;37:570–80.
Steyer TE, Ragucci KR, Pearson WS, Mainous AG III.  The role of pharmacists in the delivery of influenza vaccinations. Vaccine. 2004;22:1001–6.[PubMed]
Bearden DT, Holt T. Statewide impact of pharmacist-delivered adult influenza vaccinations. Am J Prev Med. 2005;29:450–2.[PubMed]
Prosser LA, O’Brien MA, Molinari NA, et al. Non-traditional settings for influenza vaccination of adults: costs and cost effectiveness. Pharmacoeconomics. 2008;26:163–78.[PubMed]
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