Pharmacy's Role in Routine Immunizations: Building on the COVID-10 Experience - Neighbourhood Pharmacy Association of Canada and 19 to Zero ...
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Pharmacy's Role in Routine Immunizations: Building on the COVID-10 Experience Neighbourhood Pharmacy Association of Canada and 19 to Zero
Methodology Survey designed/conducted by Prof. Peter Loewen and Prof. Eric Merkley at the University of Toronto in collaboration with 19 to Zero and NPAC 2,001 adult Canadian citizens surveyed online between June 3-8, 2021 Opt-in non-probability sample provider by Dynata Quotas set on gender, age (18-34, 35-54, 55+), language, region (Atlantic, Quebec, Ontario, West) to match 2016 census benchmarks Raked weighting algorithm used to construct sample weights based on population benchmarks within region by age and gender
The Power of Pharmacy Vaccinations for COVID
Site of First Dose Vaccination
Mass Vaccination Site
Pharmacy
20%
Hospital
Doctor’s Office
73% Pharmacies
Other (e.g. mobile clinic) Mass Vaccination Sites
2%
4% Other (e.g.
mobile clinics)
Hospitals
1%
Physician Office
Source: University of Toronto & 19 to Zero National Vaccine Survey June 2021
Question: Where did you receive your first vaccine?
N = 2,00119 TO ZERO UNITED AGAINST COVID-19 | JULY 2021
Unplanned COVID-19 Vaccinations
If you were at a pharmacy for another reason, would
you take a COVID-19 vaccine immediately, if offered?
A strong majority would receive a
vaccine immediately if offered
9%
while they were at a pharmacy 14%
6%
Unplanned vaccinations can be a 13%
major driver in converting the Yes
vaccine-willing population to No
the vaccinated population Unsure
85%
Second dose opportunity is higher 73%
in line with vaccine minimal
hesitancy among those who have
received first dose
First Dose Second Dose
Question: Imagine you were in a pharmacy to pick up a prescription or a household item and you were offered the chance to receive your [first/second Source: University of Toronto & 19 to Zero National Vaccine Survey June 2021
dose] immediately. Assuming the pharmacy had access to your preferred vaccine, would you take your [first/second dose] there? N = 2,001Answering Vaccine Questions
Would you be more likely to vaccinated if you could
ask the pharmacist questions about the vaccine?
About half of respondents would
be more likely to receive a
vaccine if they could ask a
pharmacist questions 43% 46%
More frequent pharmacist Yes
touch-points creates more No
opportunities to ask questions
than other vaccine channels
57% 54%
First Dose Second Dose
Question: Would you be more likely to get your [first/second dose] if you had an opportunity to ask questions about the vaccine directly to the Source: University of Toronto & 19 to Zero National Vaccine Survey June 2021
pharmacist? N = 2,001Canadian Preferences and Trust in Vaccine Providers
Vaccine Provider Trust
When it comes to giving a vaccine shot, how much
do you trust each of the following providers?
Canadians trust pharmacists to
administer vaccines
Pharmacists are trusted as much
as doctors and nurses when it Trust a lot
45%
54%
58%
comes to delivering a vaccine shot Trust somewhat
Relative trust in pharmacists is Neither
higher in places that are more Distrust somewhat
densely populated, potentially Distrust a lot 35%
30%
due to variable experience with 28%
pharmacy vaccination services
13%
10% 12%
4% 2% 3%
Pharmacist Doctor Nurse
Question: When it comes to giving a vaccine shot, how much do you trust each of the following providers? Source: University of Toronto & 19 to Zero National Vaccine Survey June 2021
N = 2,001Vaccination Site Preferences
Where would you prefer to receive a COVID-19 vaccine?
Canadians prefer community- 1st Choice 2nd Choice 3rd Choice 4th Choice
based vaccination sites, and 22% 28% 24% 27%
pharmacies are increasingly Pharmacy
24% 37% 25% 14%
desirable
Momentum towards Mass
Vaccination
35% 21% 23% 22%
pharmacies is growing: Clinic 52% 15% 21% 12%
comparing first dose to second
dose, pharmacies move up Doctor’s 28% 31% 28% 13%
in preferences, along with Office 18% 37% 33% 13%
mass vaccination sites;
hospitals and doctors offices Hospital
15% 21% 25% 39%
are less preferred 6% 11% 22% 61%
0% 50% 100%
0% 50% 100%
0% 50% First100%
0%
Dose 50% 100%
Second Dose
Question: When it comes to a [first/second] dose of the vaccine, where would you most prefer to receive the vaccine? Assume these providers have Source: University of Toronto & 19 to Zero National Vaccine Survey June 2021
access to all COVID-19 vaccines. Please rank options from 1st choice to 4th choice. N = 2,001Important Factors for Site Preference
What are the most important factors when it comes to booking your vaccine dose?
(Choose up to 3)
Proximity to home
Time until appointment
Ease in booking
Wait on day of appointment
Service in language of choice
Knowing same person gives both doses 75%
67% 66%
Existing relationship with provider 58% 55%
53%
39% 43%
7% 6%
11% 3% 2%
9%
First Dose Second Dose
Question: When it comes to booking your [first/second] vaccine dose, please choose the three most important factors for you. Assume you can Source: University of Toronto & 19 to Zero National Vaccine Survey June 2021
receive your preferred vaccine. N = 2,001Drivers of Site Preference
Real World Simulation: Choice-Based Conjoint
Location
Time until appointment • Pharmacies are not
• Appointments shorter than disadvantaged compared to
one week away are preferred any other site
Wait time on day of appt.
Distance • Wait times 15 minutes or less
• Sites further than 30 minutes are generally preferred
away are significantly (supporting data from 2nd conjoint not shown)
disadvantaged
Our Takeaway
Provider
• No provider is disadvantaged Convenience is the major
driver in vaccine site selection
-30% -20% -10% +10%
Probability of Choosing Option
Question: Suppose you had two options for being vaccinated. Assume you are able to receive your preferred vaccine. Which would you prefer: Option Source: University of Toronto & 19 to Zero National Vaccine Survey June 2021
A or Option B? N = 2,001Age and Pharmacist Trust
When it comes to giving a vaccine shot, how much
do you trust pharmacists?
Canadians in higher
age brackets trust
pharmacists more 30%
41%
than younger Trust a lot
60%
demographics Trust somewhat
Neither
This higher trust is Distrust somewhat
37%
tied to stronger Distrust a lot 38%
preference for 31%
21%
pharmacies as 14%
vaccination sites 7%
5% 7%
2%
18-34 35-54 55+
Question: When it comes to giving a vaccine shot, how much do you trust each of the following providers? Source: University of Toronto & 19 to Zero National Vaccine Survey June 2021
N = 2,001Looking Forward: the “Catch-Up Phase”
Missed Medical Activities During COVID
xx
xx
43% 46%
Extrapolate % to # of Canadians
Yes
No
57% 54%
First Dose Second Dose
Source: University of Toronto & 19 to Zero National Vaccine Survey May 2021PHARMACY AND
IMMUNIZATION
MOVING
FORWARD
Laura Greer
Senior Vice President
Hill+Knowlton Strategies
July 15, 2021
July 19, 2021How COVID-19 Experience Has Changed the
Landscape
Pharmacy proven partner in COVID-19 vaccine rollout
Enhanced role of pharmacy in the delivery of care
Challenges accessing in-person care in other settings
Increased awareness of importance of vaccination amongst the
public
July 19, 2021Government Considerations Need to continue to drive uptake of COVID-19 vaccination – variants and need for herd immunity COVID-19 evolving into routine vaccine program Health system capacity Backlog of medical procedures Public opinion – elections
Pharmacy and Immunization Data shows opportunity to expand role of pharmacy into routine immunization • Desirable location for vaccination • Key factors important to the public – i.e., convenience • Trust in pharmacists Access, distribution channels + experience with influenza and COVID-19 vaccination programs
Opportunity for Routine Immunization Catch-up or missed vaccines 65+: shingles, pneumococcal, others
Next Steps
July 19, 2021Next Steps Harness data Work with partners to identify gaps and opportunities
Next Steps Seek legislative, regulatory and policy changes needed Demonstrate support – local advocacy, communications
Tools from Neighbourhood Pharmacies Central policy development Key messages Supports for local advocacy
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