title: Measuring patient satisfaction in the pharmacy specialty immunization clinic: a pharmacist-run Immunization Clinic at the Veterans Affairs San Diego Healthcare System.
abstract: OBJECTIVE
  The aim was to measure patient satisfaction with the Pharmacy Specialty Immunization Clinic (PSIC), a pharmacist-run vaccination clinic.
  
  
  METHODS
  Patient satisfaction was measured using a non-validated instrument containing 10 items with a five-point Likert scale (strongly agree, agree, not sure, disagree and strongly disagree). Patients who were seen at the PSIC and who received at least one vaccination were eligible to take part in the patient satisfaction survey. Priority index, a method used to identify areas where limited resources can be used to maximize patient satisfaction, was calculated for the different items of the instrument to determine areas for quality improvement. This study was conducted at the Veterans Affairs San Diego Healthcare System (VASDHS).
  
  
  RESULTS
  A total of 188 (55.1%) out of 341 patients who received at least one vaccine in the PSIC completed the survey. Prior to any encounter with the PSIC, patients perceived that the VASDHS was doing a good job providing vaccinations (92.5% answered agree or strongly agree). This perception continued when asked about overall satisfaction after receiving vaccination through the PSIC (86.9% answered agree or strongly agree). When asked about the time the pharmacist spent with the patient, nearly all answered that the pharmacist spent as much time as necessary (97.8% answered agree or strongly agree). Patient satisfaction with pharmacist counselling was equally well received and reflected good communication between patient and pharmacist (97.8% answered agree or strongly agree). In regard to pharmacist competency, 98.9% (n = 184) of patients agreed that pharmacists in the PSIC administered vaccinations appropriately. Priority index identified access to the vaccine as an area where performance-improvement efforts should be committed to improve patient satisfaction.
  
  
  CONCLUSIONS
  Patients perceived good overall satisfaction with the pharmacist-run immunization clinic in terms of professionalism and access to vaccination. Priority index identified access to vaccination as a focus for future quality improvement.
authors.affiliation: Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 90026, USA. Mark.bounthavong@va.gov
authors.forename: Mark
authors.initials: M
authors.lastname: Bounthavong
authors.forename: Melissa L D
authors.initials: ML
authors.lastname: Christopher
authors.forename: Margaret A S
authors.initials: MA
authors.lastname: Mendes
authors.forename: Emerald B
authors.initials: EB
authors.lastname: Foster
authors.forename: Scott T
authors.initials: ST
authors.lastname: Johns
authors.forename: Lesley
authors.initials: L
authors.lastname: Lim
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Rubin
authors.forename: Jignesh J
authors.initials: JJ
authors.lastname: Patel
authors.forename: Anthony G
authors.initials: AG
authors.lastname: Stewart
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities; D002983:Clinical Competence; D003625:Data Collection; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration / Q000592:standards*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards; D017060:Patient Satisfaction; D010593:Pharmaceutical Services / Q000458:organization & administration / Q000592:standards*; D010595:Pharmacists / Q000458:organization & administration / Q000592:standards*; D014481:United States; D014493:United States Department of Veterans Affairs