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      Implantación de una Unidad de Enlace Centralizada de Vacunación contra la COVID-19 gestionada por farmacéuticos-farmacólogos de Atención Primaria Translated title: Implementation of a Centralized COVID-19 Vaccination Liaison Unit managed by Primary Care pharmacist-pharmacologists

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          Abstract

          Resumen Introducción: La Unidad de Enlace Centralizada de Vacunación contra la COVID19 (UECeV) de la Dirección de Atención Primaria Metropolitana Nord del Institut Català de la Salut se creó para resolver las consultas de usuarios y/o profesionales sanitarios relacionadas con la vacunación contra el virus SARS-CoV-2. El objetivo principal del presente análisis fue describir la actividad de la UECeV. Método: Realizamos un estudio observacional retrospectivo a partir del registro de consultas atendidas desde la UECeV entre 31 de abril y 31 de octubre de 2021. Población de referencia: 1.139.411 habitantes adultos asignados. La UECeV se creó en tres sedes territoriales atendidas cada una por dos farmacéuticos/farmacólogos de Atención Primaria (FAP) y un administrativo. La atención telefónica fue a jornada completa adaptable según actividad. Variable principal del análisis: número y tipos de consultas atendidas. Se calculó valores absolutos y porcentajes, medianas y desviación estándar para las variables cuantitativas y para las variables cualitativas se realizó un análisis descriptivo. Resultados: 3.103 consultas gestionadas de 3.030 usuarios; 2.180 (70,25%) contestadas por el FAP. Consulta más frecuente: compatibilidad vacuna según patología/medicación de base 1.008 (32,5%). 2.830 (93,4%) usuarios se vacunaron después de la intervención (2.210 consultaron antes de la primera dosis y 618 antes de la segunda). La vacuna mayoritaria fue la Comirnaty®. Conclusiones: Las UECeV coordinadas por el FAP con atención directa a los usuarios y/o profesionales sanitarios constituyen un elemento de apoyo a los equipos de vacunación de atención primaria para la gestión experta de las consultas de vacunación contra la COVID19.

          Translated abstract

          Abstract Introduction: The North Metropolitan Primary Care Direction of the Institut Català de la Salut created the Centralized Liaison Unit for anti-COVID19 vaccination (UECeV) to solve queries from users and/or health professionals related to vaccination against the SARS-CoV-2 virus. The main objective of the present analysis was to describe the activity of UECeV. Method: We carried out a retrospective observational study based on the registry of consultations attended from the UECeV between April 31st and October 31, 2021. We have an equal or above 18 years old reference population of 1,139,411 inhabitants. The UECeV was set up in three territorial offices, each attended by two Primary Care pharmacists/pharmacologists (FAP) and one administrative staff member. The telephone service was full-time and could be adapted according to activity. The main variable of the analysis was the number and types of queries attended. Absolute values and percentages, medians and standard deviation were calculated for the quantitative variables and a descriptive analysis was performed for qualitative variables. Results: 3,103 queries were managed out of 3,030 users; 2,180 (70.25%) were answered by the FAP. Most frequent consultation was: vaccine compatibility according to pathology/basic medication 1,008 (32.5%). 2,830 (93.4%) users were vaccinated after the consultation (2,210 consulted before the first dose and 618 before the second). The majority vaccine was Comirnaty® Conclusions: The UECeV coordinated by the FAP with direct attention to users and/or health professionals constitutes a support element for primary care vaccination teams for the expert management of AntiCOVID19 vaccination consultations.

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          The Pharmacist as Part of the Primary Care Team During the COVID-19 Pandemic

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            A COVID-19 call center for healthcare providers: dealing with rapidly evolving health policy guidelines

            Background Communication between health authorities and healthcare providers is an essential element of the response to public health emergencies. Although call centers can facilitate such communication, no published reports describing their outcomes exist. In advance of the expected COVID-19 outbreak in Israel, the Israel Center for Disease Control established a call center dedicated to queries from healthcare professionals. Methods The call center operated from February 5, 2020 (week 6) to May 14, 2020 (week 20). Data on calls received, including date and time, caller characteristics, questions and responses were recorded in a database designed for this purpose. The volume, sources and content of queries were analyzed. Results In 15 weeks of operation, the call center responded to 6623 calls. The daily number of calls ranged from 1 to 371 (mean 79.8, median 40), peaking on week 12, 2 weeks prior to a peak in new COVID-19 cases. Callers were predominantly physicians (62.4%), nurses (18.7%) and administrators (4.4%). Most worked in primary care clinics (74.2%) or hospitals (8.7%). Among physicians, 42.3% were family physicians or internists, and 10.0% were pediatricians. The issues most commonly addressed were home quarantine (21.6%), criteria for suspected cases (20.6%), and SARS-CoV2 testing (14.1%). Twenty-five percent of questions involved requests for clarifications of MOH guidelines regarding travel restrictions, clinic management, triage of symptomatic patients, routine medical and dental care, recommended precautions for health care workers with preexisting medical conditions, and other matters. A total of 119 queries were not resolved on the basis of existing guidelines and were referred to MOH headquarters. Conclusions This is the first report of a call center established to serve the needs of healthcare providers seeking guidance on COVID-19 management, and to facilitate communication of providers’ concerns to the central health authority. Our work indicates that a central call center for healthcare providers can facilitate the development, implementation and amendment of guidelines and should be an integral element of the early response to public health emergencies. Real-time analysis of the call data may reveal important trends requiring prompt attention. Supplementary Information The online version contains supplementary material available at 10.1186/s13584-020-00433-x.
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              A qualitative study of the views of healthcare professionals on providing vaccines information to patients

              Background Healthcare professionals (HCPs) such as pharmacists, general practitioners and practice nurses are a trusted source of vaccines information for patients in primary care. Global regulators have highlighted the key role of HCPs in fostering confidence in COVID-19 vaccines. Objective This study aims to gain insight into the views and experiences of HCPs on providing vaccines information to patients. Setting Primary care general practice surgeries and community pharmacies in Ireland. Methods Qualitative, semi-structured interviews were conducted with 14 HCPs (five General practitioners [GPs], four practice nurses and five community pharmacists) identified through purposive and convenience sampling. The interviews were analysed by inductive thematic analysis. Main outcome measure Participants’ views and experiences of providing vaccines information to patients. Results Five key themes were identified: roles and responsibilities, perception of risk, perception of the public, building a relationship, and emotion. HCPs were motivated by duty and care for their patients. They respected patient autonomy and were driven by their concern for public health. HCPs were influenced by their perception of risk and their perceptions of the public. HCPs practiced patient-centred care by providing tailored vaccines information. They favoured an approach of providing patients with information and support to make their own decision. The topic was emotive; HCPs empathised with patients but were also frustrated by their perceived inability to change some patients’ views. Conclusion The provision of vaccines information by HCPs to patients is multifactorial with participants mindful of patient autonomy and the HCP role to support vaccinations as a public health priority. Participants suggested that education and support on vaccines communication would enable them to support the vaccines uptake in their practice. Supplementary Information The online version contains supplementary material available at 10.1007/s11096-021-01299-y.
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                Author and article information

                Journal
                pharmcare
                Pharmaceutical Care España
                Pharm Care Esp.
                Fundación Pharmaceutical Care España (Barcelona, Barcelona, Spain )
                1139-6202
                2794-1140
                February 2023
                : 25
                : 1
                : 7-18
                Affiliations
                [5] Sabadell orgnameInstitut Català de la Salut orgdiv1Dirección Atención Primaria Metropolitana Nord orgdiv2Sistemas de Información Spain
                [1] Montornès orgnameInstitut Català de la Salut orgdiv1Servicio de Farmàcia. Dirección Atención Primaria Metropolitana Nord orgdiv2Unidad de Farmacia Spain
                [6] Sabadell orgnameInstitut Català de la Salut orgdiv1Dirección Atención Primaria Metropolitana Nord Spain
                [3] Badalona orgnameInstitut Català de la Salut orgdiv1Servicio Atención Primaria Barcelonès Nord i Maresme. Dirección Atención Primaria Metropolitana Nord orgdiv2Unidad de Farmacia Spain
                [2] Sabadell orgnameInstitut Català de la Salut orgdiv1Servicio Atención Primaria Vallès Occidental. Dirección Atención Primaria Metropolitana Nord orgdiv2Unidad de Farmacia Spain
                [4] Granollers orgnameInstitut Català de la Salut orgdiv1Servicio Atención Primaria Vallès Oriental. Dirección Atención Primaria Metropolitana Nord orgdiv2Unidad de Farmacia Spain
                Article
                S2794-11402023000100002 S2794-1140(23)02500100002
                10.60103/phc.v25i1.780
                29a8f2a4-9ed0-47cc-9c00-acf654f8544a

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 01 August 2022
                : 08 January 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 17, Pages: 12
                Product

                SciELO Spain

                Categories
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                farmacéutico/farmacólogo atención primaria,consulta clínica,COVID-19 vaccine,primary care pharmacist/pharmacologist,clinical consultation,vacuna COVID-19

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