title: Improved influenza vaccination rates in a rural population as a result of a pharmacist-managed immunization campaign.
abstract: OBJECTIVE
  To increase the rate of influenza vaccinations in high-risk patients by means of a pharmacist-managed immunization campaign.
  
  
  METHODS
  Unblinded, single intervention.
  
  
  METHODS
  Rural primary care clinic.
  
  
  METHODS
  Six hundred fifty-seven patients at high risk for contracting influenza according to criteria established by the Centers for Disease Control and Prevention.
  
  
  METHODS
  High-risk patients identified by chart review were mailed an education packet on influenza immunization. Vaccinations were given in specially designated clinics and during routine clinic visits. Campaign success and reasons why patients remained unvaccinated were determined by follow-up surveys.
  
  
  RESULTS
  The influenza vaccination rate increased from 28% at baseline (before program initiation) to 54% after program initiation. Unvaccinated patients were younger and resided in more urban areas than vaccinated patients; vaccinated patients had a higher frequency of cardiovascular disease or diabetes mellitus. Vaccinated patients consistently identified the education packet and their health care providers as primary motivators for vaccination.
  
  
  CONCLUSIONS
  Our pharmacist-managed vaccine program increased the influenza immunization rate in high-risk patients.
authors.affiliation: From School of Pharmacy, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Van Amburgh
authors.forename: N M
authors.initials: NM
authors.lastname: Waite
authors.forename: E H
authors.initials: EH
authors.lastname: Hobson
authors.forename: H
authors.initials: H
authors.lastname: Migden
mesh_terms: D000328:Adult; D000368:Aged; D003625:Data Collection; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration*; D007252:Influenza Vaccines; D008297:Male; D008875:Middle Aged; D009518:New York; D010595:Pharmacists; D012307:Risk Factors; D012424:Rural Population; D016312:Treatment Refusal / Q000706:statistics & numerical data; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines