Are state laws granting pharmacists authority to vaccinate associated with HPV vaccination rates among adolescents?

作者：Trogdon Justin G^*; Shafer Paul R; Shah Parth D; Calo William A

来源：Vaccine, 2016, 34(38): 4514-4519.

DOI：10.1016/j.vaccine.2016.07.056

• Human papillomavirus
• HPV vaccine
• Vaccination laws
• Pharmacist
• Pharmacy practice
• Difference-in-difference

Objectives: We explored whether state laws allowing pharmacists to administer human papillomavirus (HPV) vaccinations to adolescents are associated with a higher likelihood of HPV vaccine uptake.
Methods: We examined provider-reported HPV vaccination among 13-17 year olds in the National Immunization Survey-Teen: 2008-2014 for girls (N = 48,754) and 2010-2014 for boys (N = 31,802). Outcome variables were HPV vaccine initiation (>= 1 dose) and completion (>= 3 doses). The explanatory variable of interest was a categorical variable for the type of pharmacist authority regarding HPV vaccination for adolescents (<18 years) in the state: not permitted (reference), by prescription, by collaborative practice protocol, or independent authority. We ran separate difference-in-difference regression models by sex.
Results: During 2008-2014, 15 states passed laws allowing pharmacists to administer HPV vaccine to adolescents. Pharmacist authority laws were not statistically significantly associated with increased HPV vaccine initiation or completion.
Conclusions: As currently implemented, state laws allowing pharmacists to administer HPV vaccine to adolescents were not associated with uptake. Possible explanations that need further research include restrictions on pharmacists' third-party billing ability and the lack of promotion of pharmacy vaccination services to age-eligible adolescents.

• 出版日期2016-8-31