A comparison of pharmacist travel-health specialists' versus primary care providers' recommendations for travel-related medications, vaccinations, and patient compliance in a college health setting
Journal of Travel Medicine, ISSN: 1195-1982, Vol: 18, Issue: 1, Page: 20-25
2011
- 36Citations
- 321Usage
- 80Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations36
- Citation Indexes33
- 33
- CrossRef19
- Policy Citations3
- 3
- Usage321
- Downloads287
- Abstract Views34
- Captures80
- Readers80
- 80
Article Description
Background. Pretravel medication and vaccination recommendations and receipt were compared between primary care providers (PCPs) without special training and clinical pharmacists specializing in pretravel health. Methods. A retrospective chart review of patients seen for pretravel health services in a pharmacist-run travel clinic (PTC) compared to PCPs at a University Student Health Center. Vaccine/medication recommendations were assessed for consistency with national/international guidelines. Medical/pharmacy records were queried to determine the receipt of medications/vaccinations. Results. The PTC recommended antibiotics for travelers' diarrhea were given more often when indicated (96% vs 50%, p < 0.0001), and patients seen in the PTC received their medications more often (75% vs 63%, p = 0.04). PCPs prescribed more antibiotics for travelers' diarrhea that were inconsistent with guidelines (not ordered when indicated 49% vs 6%, p < 0.0001 and ordered when not indicated 21% vs 3%, p < 0.0001). The PTC prescribed antimalarials more often when indicated (98% vs 81%, p < 0.0001), while PCPs prescribed more antimalarials that were inconsistent with guidelines (not ordered when indicated 15% vs 1%, p < 0.0001 and ordered when not indicated 19% vs 2%, p < 0.0001). The PTC ordered more vaccines per patient when indicated (mean = 2.77 vs 2.31, p = 0.0012). PTC patients were more likely to receive vaccines when ordered (mean = 2.38 vs 1.95, p = 0.0039). PCPs recommended more vaccines per patient that were inconsistent with guidelines (not ordered when indicated: mean = 0.78 vs 0.12, p < 0.0001, ordered when not indicated: mean 0.18 vs 0.025, p < 0.0001). Conclusions. A pharmacist-run pretravel health clinic can provide consistent evidence-based care and improve patient compliance compared to PCPs without special training. Pretravel health is a dynamic and specialized field that requires adequate time, resources, and expertise to deliver the best possible care. © 2010 International Society of Travel Medicine.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=78650942409&origin=inward; http://dx.doi.org/10.1111/j.1708-8305.2010.00470.x; http://www.ncbi.nlm.nih.gov/pubmed/21199138; https://academic.oup.com/jtm/article-lookup/doi/10.1111/j.1708-8305.2010.00470.x; https://digitalcommons.chapman.edu/pharmacy_articles/5; https://digitalcommons.chapman.edu/cgi/viewcontent.cgi?article=1004&context=pharmacy_articles; https://dx.doi.org/10.1111/j.1708-8305.2010.00470.x; https://academic.oup.com/jtm/article/18/1/20/1817757; http://onlinelibrary.wiley.com/doi/10.1111/j.1708-8305.2010.00470.x/abstract; https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1708-8305.2010.00470.x; https://onlinelibrary.wiley.com/doi/full/10.1111/j.1708-8305.2010.00470.x; https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1708-8305.2010.00470.x; https://academic.oup.com/jtm/article-pdf/18/1/20/5145095/jtm18-0020.pdf; https://academic.oup.com/jtm/article/18/1/20/1817757/A-Comparison-of-Pharmacist-TravelHealth; http://jtm.oxfordjournals.org/lookup/doi/10.1111/j.1708-8305.2010.00470.x; http://jtm.oxfordjournals.org/content/18/1/20; http://doi.wiley.com/10.1111/j.1708-8305.2010.00470.x
Oxford University Press (OUP)
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