title: Pharmacy stages of involvement in pharmacy-based immunization services: results from a 17-state survey.
abstract: OBJECTIVE
  To describe pharmacy stages of involvement in outsourced and inhouse immunization services and to explore the variability of stages of involvement across the sampled states.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Community pharmacies in 17 states, between July 2005 and February 2006.
  
  
  METHODS
  Key informants of 2,558 community pharmacies.
  
  
  METHODS
  Computer-assisted telephone interviews regarding pharmacy involvement in immunization services.
  
  
  METHODS
  Pharmacies' stage of involvement in immunization services, based on the following categories: no interest; interested, no plan; planning; implemented; discontinued; and no response.
  
  
  RESULTS
  Of 2,558 community pharmacies, 1,707 (69.1%) completed the interview. For outsourced immunization services, about one-half of participating pharmacies (50.6%) implemented and planned to implement the services while only 20.7% had no interest in offering the services. These percentages contrast sharply with inhouse immunization services: 24.7% of pharmacies in this category implemented and planned to implement the services and 38.1% indicated no interest in offering the services. Involvement in immunization services varied widely across the 17 states. For outsourced services, implementation ranged from 17.5% to 68.8% of pharmacies, while 13.5% to 39.3% had no interest in the services. For in-house services, implementation ranged from 0% to 42.1% of pharmacies; 19.6% to 49.5% had no interest.
  
  
  CONCLUSIONS
  Understanding stages of pharmacy involvement in immunization services should allow design and implementation of more effective strategies for increasing involvement and decreasing abandonment of immunization practices.
authors.affiliation: Pharmacy Care Systems, Harrison School of Pharmacy, Auburn University, AL 36849, USA. westrsc@auburn.edu
authors.forename: Salisa C
authors.initials: SC
authors.lastname: Westrick
authors.forename: Jeanine K
authors.initials: JK
authors.lastname: Mount
authors.forename: Suntaree
authors.initials: S
authors.lastname: Watcharadamrongkun
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Breland
mesh_terms: D001291:Attitude of Health Personnel; D003157:Community Pharmacy Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003625:Data Collection; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration* / Q000706:statistics & numerical data; D020416:Outsourced Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D010595:Pharmacists / Q000458:organization & administration* / Q000706:statistics & numerical data; D024382:Professional Role; D014481:United States