Logistical and fiscal sustainability of a school-based, pharmacist-administered influenza vaccination program
John Fontanesi; Sierra Jue-Leong
J Am Pharm Assoc (2003) 2012;52:e74-e79. doi:10.1331/JAPhA.2012.10113


Objective  To assess the fiscal and logistical viability of school-based, pharmacist-administered influenza vaccination programs.

Design  Econometric observational study.

Setting  Nine schools in the Rincon Unified School District, Santa Rosa, CA.

Participants  Safeway Pharmacies; Rincon Unified School District; California Department of Public Health, Immunization Branch; and University of California, San Diego.

Intervention  Assessment of direct workflow observations and administrative data.

Main outcome measures  Unit costs, productivity, and effectiveness of school-based, pharmacist-administered influenza vaccination programs.

Results  The results showed a unit cost of $23.63 (compared with $25.60 for mass vaccination and $39.79 for walk-in shot-only vaccination clinics). The productivity index ($0.88) and efficiency index ($1.12) were better compared with data reported for comparable vaccination programs.

Conclusion  School-based, pharmacist-administered vaccination programs are fiscally and logistically self-sustaining, viable alternatives to medical office-based or community-based mass vaccination clinics, and may offer a practical strategy for vaccinating children and adolescents.

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