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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Lam, Annie Y. Chung, Yang |
Spatial Coverage | Washington |
Description | Country affiliation: United States Author Affiliation: Lam AY ( Department of Pharmacy, Health Sciences Center, University of Washington, Seattle, WA 98195, USA. aylam@u.washington.edu) |
Abstract | OBJECTIVE: To describe the establishment, implementation, and economic outcomes of a pharmacist-conducted on-site influenza vaccination service in an assisted-living facility (ALF). DESIGN: Retrospective descriptive report. SETTING: 75-unit senior housing complex in the International District of Seattle, WA, during the 2004 flu season. PATIENTS: 58 indigent, multiethnic, older Asian adult patients, of whom 44 were ALF residents and 14 were adult day health (ADH)/independent-dwelling clients. INTERVENTION: Patient charts were reviewed for contraindications, vaccines were administered, and postvaccination satisfaction surveys were conducted. MAIN OUTCOME MEASURES: Number of residents vaccinated, satisfaction survey results, time spent by a pharmacist and an assistant and their salary rate, cost of vaccines, cost of supplies, and reimbursement data. Service outcomes included vaccination rate and resident satisfaction. A cost analysis reflects the economic outcome. RESULTS: In two 2-hour sessions, 58 ALF residents and ADH clients (age 83.5 +/- 7.7 years [range 65-98]) were vaccinated. The immunization rate in the population improved from 64% in the previous year to 83% with the on-site service. Both the clients and the facility staff rated the service highly. The pharmacist spent a total of 22 hours and the assistant 4 hours providing vaccination services. A net income of \$13 per vaccination was realized after making adjustments for costs (vaccines, supplies, and salaries). CONCLUSION: An on-site pharmacist-conducted influenza vaccination service in the ALF setting expanded the scope and economic outcome of pharmacist-provided pharmaceutical services. Influenza vaccination rates were improved, and patients and staff were highly satisfied with the service. |
File Format | HTM / HTML |
ISSN | 15443191 |
Issue Number | 6 |
Volume Number | 48 |
e-ISSN | 15443450 |
Journal | Journal of the American Pharmacists Association |
Language | English |
Publisher | Elsevier |
Publisher Date | 2008-11-01 |
Publisher Place | United States |
Access Restriction | Subscribed |
Subject Keyword | Discipline Pharmacology Assisted Living Facilities Organization & Administration Immunization Programs Influenza Vaccines Administration & Dosage Pharmacists Aged Aged, 80 And Over Asian Continental Ancestry Group Economics Costs And Cost Analysis Humans Patient Satisfaction Pharmaceutical Services Pharmacists' Aides Poverty Professional Role Retrospective Studies Salaries And Fringe Benefits Time Factors Washington Journal Article |
Content Type | Text |
Resource Type | Article |
Subject Domain (in MeSH) | Eukaryota Complex Mixtures Investigative Techniques Behavior and Behavior Mechanisms Physical Phenomena Social Sciences Non-Medical Public and Private Facilities Persons Population Characteristics Health Care Facilities, Manpower, and Services Health Care Economics and Organizations Health Services Administration Geographic Locations |
Subject | Pharmacology Pharmacology (nursing) Pharmacy |
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