title: Logistical and fiscal sustainability of a school-based, pharmacist-administered influenza vaccination program.
abstract: OBJECTIVE
  To assess the fiscal and logistical viability of school-based, pharmacist-administered influenza vaccination programs.
  
  
  METHODS
  Econometric observational study.
  
  
  METHODS
  Nine schools in the Rincon Unified School District, Santa Rosa, CA.
  
  
  METHODS
  Safeway Pharmacies; Rincon Unified School District; California Department of Public Health, Immunization Branch; and University of California, San Diego.
  
  
  METHODS
  Assessment of direct workflow observations and administrative data.
  
  
  METHODS
  Unit costs, productivity, and effectiveness of school-based, pharmacist-administered influenza vaccination programs.
  
  
  RESULTS
  The results showed a unit cost of $23.63 (compared with $25.60 for mass vaccination and $39.79 for walk-in shot-only vaccination clinics). The productivity index ($0.88) and efficiency index ($1.12) were better compared with data reported for comparable vaccination programs.
  
  
  CONCLUSIONS
  School-based, pharmacist-administered vaccination programs are fiscally and logistically self-sustaining, viable alternatives to medical office-based or community-based mass vaccination clinics, and may offer a practical strategy for vaccinating children and adolescents.
authors.affiliation: School of Medicine, University of California San Diego, 9500 Gilman Dr., La Jolla, CA 92093-0821, USA. jfontanesi@ucsd.edu
authors.forename: John
authors.initials: J
authors.lastname: Fontanesi
authors.forename: Sierra
authors.initials: S
authors.lastname: Jue-Leong
mesh_terms: D003362:Cost-Benefit Analysis; D006801:Humans; D017589:Immunization Programs / Q000191:economics / Q000458:organization & administration*; D007252:Influenza Vaccines / Q000008:administration & dosage*; D010595:Pharmacists; D012574:Schools / Q000458:organization & administration*
chemical_list: D007252:Influenza Vaccines