التفاصيل البيبلوغرافية
| العنوان: |
Demographic and Clinical Predictors of Pharmacist-Administered Pediatric Influenza Immunization. |
| المؤلفون: |
Gates, Dana M., Cohen, Steven A., Orr, Kelly, Caffrey, Aisling R. |
| المصدر: |
Journal of Pharmacy Practice; Jun2024, Vol. 37 Issue 3, p612-624, 13p |
| مصطلحات موضوعية: |
INFLUENZA prevention, PREDICTION models, INFLUENZA vaccines, LOGISTIC regression analysis, FISHER exact test, DESCRIPTIVE statistics, AGE distribution, CHI-squared test, PEDIATRICS, ODDS ratio, SOCIODEMOGRAPHIC factors, COMPARATIVE studies, DATA analysis software, CHILDREN |
| مستخلص: |
Background: Pediatricians' offices are primary locations for pediatric influenza vaccination; however, pharmacists are also well-positioned as immunizers. Considering the current COVID-19 pandemic and Public Readiness and Emergency Preparedness (PREP) Act, pharmacists' authority to vaccinate children has been recently expanded. Methods: We used the de-identified Optum ClinformaticsTM Data Mart database to identify demographic and clinical predictors of pharmacist-administered pediatric influenza vaccination compared with influenza vaccination in pediatricians' offices. Procedures codes for influenza vaccinations among children were captured for the 2016-2017 influenza season. Logistic regression was used to identify significant predictors. Results: We included 336 841 children receiving influenza vaccines by a pharmacist (5.2%) or in pediatricians' offices (94.8%). The following significant predictors were identified: older pediatric age groups (13-17 years odds ratio [OR] 91.51, 5-12 years OR 35.41), states allowing pharmacist-administered influenza vaccination at younger ages (no age restrictions OR, 26.68, minimum age 2-4 years old OR, 33.76), influenza vaccination outside of pediatricians' offices in the previous year (pharmacist-administered OR, 22.18, convenience care OR 4.15, emergency care OR 1.69), geographic region (South OR, 2.02, Midwest OR 1.60, and West OR 1.38), and routine health exam or follow-up in the prior 6-months (OR, 1.59). Conclusions: The strongest drivers of pharmacist-administered pediatric influenza vaccination were older pediatric age, more lenient minimum age restrictions, and previous influenza vaccination in a pharmacy. Due to the COVID-19 pandemic, the PREP Act, and forthcoming pediatric COVID-19 vaccines for children, pharmacists may play a greater role in pediatric vaccination resulting in sustained changes in pediatric vaccination practices. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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