Online Program

331041
Impact of Access to Vaccinations in Pharmacy Settings on Disparities in Vaccination Rates


Monday, November 2, 2015 : 11:00 a.m. - 11:15 a.m.

Charles Stoecker, PhD, Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Valerie Yeager, DrPH, Department of Global Health Management and Policy, Tulane School of Public Health and Tropical Medicine, New Orleans, LA
Lizheng Shi, PhD, Department of Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
background: In the past 17 years all states have added explicit authorization for pharmacists to administer some vaccinations; however, this authority is frequently limited to adults or only influenza or pneumococcal vaccinations. 

methods:  We evaluated the impact of the expansions in pharmacist’s authorization on influenza immunization rates.  We combined a novel dataset of state-level statute and regulation changes with state-level influenza immunization rates from the Behavioral Risk Factor Surveillance System.  We use a panel data, differences-in-differences regression framework to control for state-level unobserved confounders and shocks at the national level.

results:  We find giving pharmacists permission to vaccinate had positive impacts on adult immunization rates.  These effects were particularly concentrated in nonwhite and low income populations.

conclusions:  Expanding pharmacist’s scope of practice laws to include administering influenza vaccine had positive impacts on overall health and health disparities.  Access to other vaccines in this nontraditional setting could have further benefits particularly those with lagging benefit effects such as HPV.

Learning Areas:

Provision of health care to the public
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy

Learning Objectives:
Identify the populations that benefit from access to vaccinations in a pharmacy setting.

Keyword(s): Pharmacists, Immunizations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have completed a CDC post-doctoral fellowship examining ways in increase immunization rates. I have first-authored several papers looking at the impact of strategies to increase immunization rates.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.