Journal of American Pharmacists Association

January-February 2010, Vol. 50, No. 1 >

Research

Pharmacy characteristics, vaccination service characteristics, and service expansion: An analysis of sustainers and new adopters

Salisa C. Westrick, PhD

J Am Pharm Assoc. 2010;50:52-61. doi:10.1331/JAPhA.2010.09036

Article

References

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Abstract

Objective To compare earlier (sustainers) and later (new) adopters in terms of pharmacy characteristics and characteristics of in-house vaccination services and to identify how sustainers modified their in-house vaccination services over time.

Design Nonexperimental multistage study.

Setting Washington State during 2003, 2004, and 2006–2007.

Participants Community pharmacies included in this study's analyses must have participated in all data collection stages and provided in-house vaccination services during the third stage. Based on key informants' self-reports, those who had provided in-house services before or since 2003 were sustainers and those who started their services after 2004 were new adopters.

Intervention Mixed-mode survey.

Main outcome measures Pharmacy characteristics and characteristics of in-house vaccination services offered in 2003 and 2006 were measured in terms of service accessibility, scope, and supportive personnel.

Results A total of 37 sustainers and 27 new adopters met the inclusion criteria. The majority of independent and supermarket pharmacies were sustainers, whereas the majority of chain and mass merchant pharmacies were new adopters. In-house services offered by sustainers were broader in service accessibility and scope and involved a greater number of pharmacists trained in immunization delivery than services offered by new adopters in the same year. Further, when comparing sustainers' in-house services offered in 2003 and 2006, the 2006 services were expanded to provide year-round services, involved a greater number of settings, included services to adolescents, and involved a greater number of trained pharmacists.

Conclusion Community pharmacies started their in-house vaccination services on a small scale and later expanded to a larger scale. Pharmacies with expanded in-house services can make greater contributions to their business, their patients, and the profession by bringing in additional revenues, improving vaccination rates among high-risk patients, and facilitating the growth of pharmacy-based services.

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References

U.S. Department of Health and Human Services. Healthy People 2010. Accessed at http://health.gov/healthypeople, February 24, 2009.

Centers for Disease Control and Prevention. Influenza and pneumococcal vaccination coverage among persons aged ≥65 years and persons aged 18–64 years with diabetes or asthma: United States, 2003. MMWR Morb Mortal Wkly Rep. 2004;53:1007–12.[PubMed]

Lu P, Bridges CB, Euler GL, Singleton JA. Influenza vaccination of recommended adult populations, U.S., 1989-2005. Vaccine. 2008;26:1786–93.[PubMed][CrossRef]

Zimmerman RK, Santibanez TA, Janosky JE, et al. What affects influenza vaccination rates among older patients? An analysis from inner-city, suburban, rural, and veterans affairs practices. Am J Med. 2003;114:31–8.[PubMed]

Kung H, Hoyert DL, Xu J, Murphy SL. Deaths: final data for 2005. Natl Vital Stat Rep. 2008;56(10):1–120.[PubMed]

Centers for Disease Control and Prevention. Adult immunization programs in nontraditional settings: quality standards and guidance for program evaluation: a report of the National Vaccine Advisory Committee. MMWR Morb Mortal Wkly Rep. 2000;48:243–8.

Grabenstein JD, Guess HA, Hartzema AG, et al. Effect of vaccination by community pharmacists among adult prescription recipients. Med Care. 2001;34:340–8.

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.

Hogue M, Benske JA. Pharmacists as immunization advocates. Wis Pharm. 1997;66:82–5.

Madhavan SS, Rosenbluth SA, Amonkar M, et al. Pharmacists and immunizations: a national survey. J Am Pharm Assoc. 2001;41:32–45.

Bearden DT, Holt T. Statewide impact of pharmacist-delivered adult influenza vaccinations. Am J Prev Med. 2005;29:450–52.[PubMed]

Savino LB. Your pharmacy and immunizations. America's Pharmacist. 1998;120(7):49–53.

Chamnanmoh S. Adoption of immunization services in pharmacies [dissertation]. Madison, WI: University of Wisconsin; 2004.

Morton MR, Spruill WJ, Cooper JW. Pharmacist impact on pneumococcal vaccination rates in long-term care facilities. Am J Hosp Pharm. 1988;45:73.[PubMed]

Prosser LA, O'Brian MA, Molinari NM, et al. Non-traditional settings for influenza vaccination of adults: costs and cost effectiveness. Pharmacoeconomics. 2008;26:163–78.[PubMed]

Steyer TE, Ragucci KR, Pearson WS, Mainous AG. The role of pharmacists in the delivery of influenza vaccinations. Vaccine. 2004;22:1001–6.[PubMed]

Hogue MD, Grabenstein JD, Foster SL, Rothholz MC. Pharmacist involvement with immunizations: a decade of professional advancement. J Am Pharm Assoc. 2006;46:168–81.

Kim M, Mount JK, Westrick SC. Pharmacist provision of immunizations in 2006: analysis of state laws in the United States. Kansas City, MO: National Immunization Conference; 2007.

The Associated Press. New law lets pharmacists administer flu vaccinations. New York Times.September 6, 2008:B4.

Westrick SC, Mount JK, Watcharadamrongkun S, Breland ML. Pharmacy stages of involvement in pharmacy-based immunization services: results from a 17-state survey. J Am Pharm Assoc. 2008;48:764–73.

Kummer GL, Foushee LL. Description of the characteristics of pharmacist-based immunization services in North Carolina: results of a pharmacist survey. J Am Pharm Assoc. 2008;48:744–51.

Kamal KM, Madhavan SS, Maine LL. Pharmacy and immunization services: pharmacists' participation and impact. J Am Pharm Assoc. 2003;43:470–87.

Westrick SC, Mount JK. Impact of perceived innovation characteristics on adoption of pharmacy-based in-house immunization services. Int J Pharm Pract. 2009;17:1–8.[PubMed]

Rogers EM. Diffusion of innovations.5th ed. New York: Free Press; 2003.

Greenhalgh T, Robert G, Bate P, et al. Diffusion of innovations in health service organizations: a systematic literature review. Malden, MA: Blackwell; 2005.

Goodman RM, Steckler AB. The life and death of a health promotion program: an institutionalization case study. Int Q Community Health Educ. 1987– 1988;8:5–21.[PubMed]

Shediac-Rizkallah MC, Bone LR. Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice, and policy. Health Educ Res. 1998;13:87–108.[PubMed]

Glaser EM. Durability of innovations in human service organizations: a case study analysis. Knowledge: Creation, Diffusion, Utilization. 1981;3:167–85.

Evashwick C, Ory M. Organizational characteristics of successful innovative health care programs sustained over time. Fam Community Health. 2003;26:177–93.[PubMed]

Scheirer MA. Is sustainability possible? A review and commentary on empirical studies of program sustainability. Am J Eval. 2005;26:320–47.

O'Loughlin J, Renaud L, Richard L, et al. Correlates of the sustainability of community-based heart health promotion interventions. Prev Med. 1998;27:702–12.[PubMed]

Westrick SC, Breland ML. Sustainability of pharmacy-based innovations: the case of in-house immunization services. J Am Pharm Assoc. 2009;49:48–56.

Dillman DA. Design and administration of mail surveys. Annu Rev Sociol. 1991;17:225–49.

Dillman DA. Mail and Internet surveys: the tailored design method.2nd ed. New York: Wiley & Sons; 1999.

Westrick SC, Mount JK. Evaluating telephone follow-up of a mail survey of community pharmacies. Res Social Adm Pharm. 2007;3:160–82.[PubMed]

Doucette WR, Kreling DH, Schommer JC, et al. Evaluation of community pharmacy service mix: evidence from the 2004 National Pharmacist Workforce Study. J Am Pharm Assoc. 2006;46:348–55.

Frambach RT, Schillewaert N. Organizational innovation adoption: a multi-level framework of determinants and opportunities for future research. J Bus Res. 2002;55:163–76.

Wood HM, McDonough RP, Doucette WR. Retrospective financial analysis of a herpes zoster vaccination program from an independent community pharmacy perspective. J Am Pharm Assoc. 2009;49:12–7.

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