The Anti-vaccine Movement: A Pharmacist’s View
Abstract
Pharmacists are widely known as the most accessible health care providers, and are often called upon to serve as the liaison between other health care professionals, patients, and caregivers to facilitate communication, clarify purpose of therapy, and dispel myths and misconceptions. In the last decade, pharmacists have begun to play an integral role in the provision of vaccinations, and are uniquely positioned to educate the public about vaccines and the current evidence to support their safe use. Currently, all 50 states allow pharmacists to administer vaccines. There are barriers to the continuing expansion of pharmacists in this role, including turf wars with other health care providers, lack of public understanding/acceptance of the pharmacist in that role, lack of understanding regarding the education and training of pharmacists, and lack of structure for compensation of pharmacists from insurers. Nevertheless, pharmacists have demonstrated the ability to increase vaccination rates.
Keywords
Influenza Vaccination Community Pharmacy Community Pharmacist Medicare Part Smallpox VaccineReferences
- 1.Hogue MD, Grabenstein JD, Foster SL, Rothholz MC. Pharmacist involvement with immunizations: a decade of professional advancement. J Am Pharm Assoc. 2006;46(2):168–79. quiz 179–82.CrossRefGoogle Scholar
- 2.Report of task force on the pharmacist’s clinical role. J Am Pharm Assoc. 1971;11(9):482–5.Google Scholar
- 3.Traynor K. With Maine on board, pharmacists in all 50 states can vaccinate: H1N1 prompts emergency vaccination rules for pharmacists. Am J Health Syst Pharm. 2009;66(21):1892. 1894.PubMedCrossRefGoogle Scholar
- 4.APhA approves guidelines for pharmacy-based immunization advocacy and administration. Am J Health Syst Pharm. 1997;54(22):2553–4.Google Scholar
- 5.Doucette W, Gaither C, Kreling D, Mott D, Schommer J. Final report of the 2009 National Sample Survey of the Pharmacist Workforce to determine contemporary demographic and practice characteristics. 2010. http://www.aacp.org/resources/research/pharmacymanpower/Documents/2009%20National%20Pharmacist%20Workforce%20Survey%20-%20FINAL%20REPORT.pdf. Accessed 16 Apr 2012.
- 6.Kremers E, Sonnedecker G. Kremers and Urdang’s history of pharmacy. Madison, WI: American Institute of the History of Pharmacy; 1986.Google Scholar
- 7.Keely JL, Medicine ACoP-ASoI. Pharmacist scope of practice. Ann Intern Med. 2002;136(1):79–85.PubMedCrossRefGoogle Scholar
- 8.Schaffer SJ, Fontanesi J, Rickert D, et al. How effectively can health care settings beyond the traditional medical home provide vaccines to adolescents? Pediatrics. 2008;121 Suppl 1:S35–45.PubMedCrossRefGoogle Scholar
- 9.Morgado M, Rolo S, Castelo-Branco M. Pharmacist intervention program to enhance hypertension control: a randomised controlled trial. Int J Clin Pharm. 2011;33(1):132–40.PubMedCrossRefGoogle Scholar
- 10.Mehuys E, Van Bortel L, De Bolle L, et al. Effectiveness of a community pharmacist intervention in diabetes care: a randomized controlled trial. J Clin Pharm Ther. 2011;36(5):602–13.PubMedCrossRefGoogle Scholar
- 11.Henderson KC, Hindman J, Johnson SC, Valuck RJ, Kiser JJ. Assessing the effectiveness of pharmacy-based adherence interventions on antiretroviral adherence in persons with HIV. AIDS Patient Care STDS. 2011;25(4):221–8.PubMedCrossRefGoogle Scholar
- 12.Aslani P, Rose G, Chen TF, Whitehead PA, Krass I. A community pharmacist delivered adherence support service for dyslipidaemia. Eur J Public Health. 2011;21(5):567–72.PubMedCrossRefGoogle Scholar
- 13.Vivian EM. The pharmacist’s role in maintaining adherence to insulin therapy in type 2 diabetes mellitus. Consult Pharm. 2007;22(4):320–32.PubMedCrossRefGoogle Scholar
- 14.Murray MD, Young J, Hoke S, et al. Pharmacist intervention to improve medication adherence in heart failure: a randomized trial. Ann Intern Med. 2007;146(10):714–25.PubMedCrossRefGoogle Scholar
- 15.Bunting BA, Smith BH, Sutherland SE. The Asheville Project: clinical and economic outcomes of a community-based long-term medication therapy management program for hypertension and dyslipidemia. J Am Pharm Assoc. 2008;48(1):23–31.CrossRefGoogle Scholar
- 16.Bunting BA, Cranor CW. The Asheville Project: long-term clinical, humanistic, and economic outcomes of a community-based medication therapy management program for asthma. J Am Pharm Assoc. 2006;46(2):133–47.CrossRefGoogle Scholar
- 17.Cranor CW, Bunting BA, Christensen DB. The Asheville Project: long-term clinical and economic outcomes of a community pharmacy diabetes care program. J Am Pharm Assoc. 2003;43(2):173–84.CrossRefGoogle Scholar
- 18.Taitel M, Cohen E, Duncan I, Pegus C. Pharmacists as providers: targeting pneumococcal vaccinations to high risk populations. Vaccine. 2011;29(45):8073–6.PubMedCrossRefGoogle Scholar
- 19.Skelton JB, American Pharmacists Association, Academy of Managed Care Pharmacy. Pharmacist-provided immunization compensation and recognition: white paper summarizing APhA/AMCP stakeholder meeting. J Am Pharm Assoc. 2011;51(6):704–12.CrossRefGoogle Scholar
- 20.Steyer TE, Ragucci KR, Pearson WS, Mainous III AG. The role of pharmacists in the delivery of influenza vaccinations. Vaccine. 2004;22(8):1001–6.PubMedCrossRefGoogle Scholar
- 21.Bubalo J, Clark Jr RK, Jiing SS, et al. Medication adherence: pharmacist perspective. J Am Pharm Assoc. 2010;50(3):394–406.CrossRefGoogle Scholar
- 22.Crawford ND, Blaney S, Amesty S, et al. Individual- and neighborhood-level characteristics associated with support of in-pharmacy vaccination among ESAP-registered pharmacies: pharmacists’ role in reducing racial/ethnic disparities in influenza vaccinations in New York City. J Urban Health. 2011;88(1):176–85.PubMedCrossRefGoogle Scholar
- 23.Vlahov D, Coady MH, Ompad DC, Galea S. Strategies for improving influenza immunization rates among hard-to-reach populations. J Urban Health. 2007;84(4):615–31.PubMedCrossRefGoogle Scholar
- 24.Ernst ME, Bergus GR, Sorofman BA. Patients’ acceptance of traditional and nontraditional immunization providers. J Am Pharm Assoc. 2001;41(1):53–9.Google Scholar
- 25.Blake EW, Blair MM, Couchenour RL. Perceptions of pharmacists as providers of immunizations for adult patients. Pharmacotherapy. 2003;23(2):248–54.PubMedCrossRefGoogle Scholar
- 26.Grabenstein JD, Guess HA, Hartzema AG, Koch GG, Konrad TR. Effect of vaccination by community pharmacists among adult prescription recipients. Med Care. 2001;39(4):340–8.PubMedCrossRefGoogle Scholar
- 27.Grabenstein JD, Bonasso J. Health-system pharmacists’ role in immunizing adults against pneumococcal disease and influenza. Am J Health Syst Pharm. 1999;56(17 Suppl 2):S3–22. quiz S23–4.PubMedGoogle Scholar
- 28.Federal Conscience Clause. http://www.pharmacist.com/AM/Template.cfm?Section=Home2&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=15688. Accessed 29 Mar 2012.
- 29.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(6):744–51.CrossRefGoogle Scholar
- 30.Immunization Registries. 2012. http://www.immunize.org/registries/. Accessed 29 Mar 2012.
- 31.Giberson S, Yoder S, Lee MP. Improving patient and health system outcomes through advanced pharmacy practice. A report to the U.S. Surgeon General: Office of the Chief Pharmacist, U.S. Public Health Service. December, 2011. http://www.usphs.gov/corpslinks/pharmacy/comms/pdf/2011advancedpharmacypracticereporttotheussg.pdf. Accessed 16 Apr 2012.
- 32.Snella KA, Trewyn RR, Hansen LB, Bradberry JC. Pharmacist compensation for cognitive services: focus on the physician office and community pharmacy. Pharmacotherapy. 2004;24(3):372–88.PubMedCrossRefGoogle Scholar
- 33.Medicare Preventative Services. 2012. http://www.medicare.gov/navigation/manage-your-health/preventive-services/preventive-service-overview.aspx. Accessed 29 Mar 2012.
- 34.Ruiz AD, Frei CR, Barner JC, et al. Influenza vaccination rates among pharmacists. J Am Pharm Assoc. 2010;50(4):517–22.CrossRefGoogle Scholar
- 35.Mallari J, Goad J, Wu J, Johnson K, Forman T, Neinstein L. Knowledge, attitudes, and practices regarding influenza vaccination among health professional students. J Am Pharm Assoc. 2007;47(4):498–502.CrossRefGoogle Scholar