{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T23:45:23Z","timestamp":1790034323106,"version":"4.0.1"},"reference-count":34,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2019,4,13]],"date-time":"2019-04-13T00:00:00Z","timestamp":1555113600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ontario Pharmacy Evidence Network","award":["Applied Health Research Question program"],"award-info":[{"award-number":["Applied Health Research Question program"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pharmacy"],"abstract":"<jats:p>In December 2016, pharmacists in Ontario, Canada with authorization to administer injections saw an expansion in their scope from a restriction to the influenza vaccination only to now including an additional 13 vaccine-preventable diseases, largely those related to travel. It was uncertain whether this change in scope would see sufficient uptake, or translate to a corresponding expansion in other travel health service offerings from community pharmacies. In October\/November 2017 a survey was conducted of all licensed community pharmacists in Ontario, followed by semi-structured interviews with 6 survey respondents in June 2018. A web-based survey of members of the public from a single region of the province was also conducted in September 2018 to assess uptake of expanded vaccination services. Broad variability in uptake of these services was noted, ranging from the dispensing of travel-related medications and vaccinations only through to vaccine administration and prescribing under medical directive; however, uptake was generally at the lower end of this spectrum. This was evidenced by 94% of pharmacists reporting administering fewer than 10 travel vaccinations per month, fewer than 10% of patients reporting receiving a travel vaccine administered by a pharmacist, and a maximum of 30 pharmacies (of nearly 6000 in the province) designated to provide yellow fever vaccinations. Fewer than 1 in 3 pharmacists reported performing some form of pre-travel consultation in their practice, often limited to low-risk cases only. Barriers and facilitators reported were similar for these services as they were for other non-dispensing services, including insufficient time to integrate the service into their workload, perceived lack of knowledge and confidence in travel health, and low patient awareness of these new services available to them through community pharmacies.<\/jats:p>","DOI":"10.3390\/pharmacy7020035","type":"journal-article","created":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T11:15:58Z","timestamp":1555326958000},"page":"35","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Uptake of Travel Health Services by Community Pharmacies and Patients Following Pharmacist Immunization Scope Expansion in Ontario, Canada"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5084-4357","authenticated-orcid":false,"given":"Sherilyn K. D.","family":"Houle","sequence":"first","affiliation":[{"name":"School of Pharmacy, University of Waterloo, Waterloo, ON N2L 3G1, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Kozlovsky","sequence":"additional","affiliation":[{"name":"School of Pharmacy, University of Waterloo, Waterloo, ON N2L 3G1, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi V. J.","family":"Fernandes","sequence":"additional","affiliation":[{"name":"School of Pharmacy, University of Waterloo, Waterloo, ON N2L 3G1, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5187-1154","authenticated-orcid":false,"given":"Zahava","family":"Rosenberg-Yunger","sequence":"additional","affiliation":[{"name":"Ted Rogers School of Management, Ryerson University, Toronto, ON M5G 2C3, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,4,13]]},"reference":[{"key":"ref_1","unstructured":"Leslie, K. (2019, January 02). Pharmacists in Ontario Can Give Flu Shots and Renew Non-Narcotic Prescriptions. Available online: https:\/\/www.theglobeandmail.com\/news\/politics\/pharmacists-in-ontario-can-give-flu-shots-and-renew-non-narcotic-prescriptions\/article4598872\/."},{"key":"ref_2","unstructured":"Ontario College of Pharmacists (2019, January 02). New Authority for Vaccinations (Effective Dec 15). Available online: http:\/\/www.ocpinfo.com\/library\/news\/new-authority-vaccinations-effective-december-15\/."},{"key":"ref_3","unstructured":"National Association of Pharmacy Regulatory Authorities (2019, January 02). Search National Drug Schedule. Available online: http:\/\/napra.ca\/pages\/Schedules\/Search.aspx."},{"key":"ref_4","unstructured":"Ontario College of Pharmacists (2019, January 02). Medical Directives and the Delegation of Controlled Acts. Available online: http:\/\/www.ocpinfo.com\/regulations-standards\/policies-guidelines\/medical-directives\/."},{"key":"ref_5","unstructured":"Government of Ontario (2019, April 06). Ontario\u2019s Routine Immunization Schedule, Available online: http:\/\/www.health.gov.on.ca\/en\/public\/programs\/immunization\/static\/immunization_tool.html."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1177\/1715163514552557","article-title":"Community pharmacist-administered influenza immunization improves patient access to vaccination","volume":"147","author":"Papastergiou","year":"2014","journal-title":"Can. Pharm. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1370\/afm.1542","article-title":"Vaccinations administered during off-clinic hours at a national community pharmacy: Implications for increasing patient access and convenience","volume":"11","author":"Goad","year":"2013","journal-title":"Ann. Fam. Med."},{"key":"ref_8","unstructured":"Keystone, J.S., Freedman, D.O., Kozarsky, P.E., Connor, B.A., and Nothdurft, H.D. (2012). Chapter 2: Epidemiology: Morbidity and Mortality in Travelers. Travel Medicine, Saunders. [3rd ed.]."},{"key":"ref_9","first-page":"1091","article-title":"Travel medicine: What\u2019s involved? When to refer?","volume":"60","author":"Aw","year":"2014","journal-title":"Can. Fam. Phys."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1503\/cmaj.151027","article-title":"Impact of pharmacist administration of influenza vaccines on uptake in Canada","volume":"189","author":"Buchan","year":"2017","journal-title":"Can. Med. Assoc. J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1016\/j.clinthera.2017.07.004","article-title":"Impact of pharmacist immunization authority on seasonal influenza immunization rates across states","volume":"39","author":"Drozd","year":"2017","journal-title":"Clin. Ther."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.tmaid.2018.02.011","article-title":"Clinical outcomes and satisfaction with a pharmacist-managed travel clinic in Alberta, Canada","volume":"23","author":"Houle","year":"2018","journal-title":"Travel Med. Infect. Dis."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1331\/JAPhA.2015.14140","article-title":"Evaluating health outcomes following a pharmacist-provided comprehensive pretravel health clinic in a supermarket pharmacy","volume":"55","author":"Tran","year":"2015","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2160","DOI":"10.1345\/aph.1E193","article-title":"Clinical pharmacy travel medicine services: A new frontier","volume":"38","author":"Jackson","year":"2004","journal-title":"Ann. Pharmacother."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1111\/jtm.12172","article-title":"Are pharmacists ready for a greater role in travel health? An evaluation of the knowledge and confidence in providing travel health advice of pharmacists practicing in a community pharmacy chain in Alberta, Canada","volume":"22","author":"Bascom","year":"2015","journal-title":"J. Travel Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1177\/1715163517732089","article-title":"Ready or not? Pharmacist perceptions of a changing scope of practice before it happens","volume":"150","author":"Foong","year":"2017","journal-title":"Can. Pharm. J."},{"key":"ref_17","unstructured":"Government of Canada (2019, January 03). Procedures for Yellow Fever Vaccination Centres in Canada, Available online: https:\/\/www.canada.ca\/en\/public-health\/services\/travel-health\/yellow-fever\/procedures-yellow-fever-vaccination-centres-canada.html."},{"key":"ref_18","unstructured":"Centres for Disease Control and Prevention (2019, January 03). Yellow Book, Chapter 3: Yellow Fever, Available online: https:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2018\/infectious-diseases-related-to-travel\/yellow-fever."},{"key":"ref_19","unstructured":"Government of Canada (2019, January 03). Yellow Fever Vaccination Centres in Ontario, Available online: https:\/\/www.canada.ca\/en\/public-health\/services\/travel-health\/yellow-fever\/vaccination-centres-canada-ontario.html."},{"key":"ref_20","unstructured":"Ontario College of Pharmacists (2019, January 03). Find a Pharmacy. Available online: https:\/\/members.ocpinfo.com\/search\/."},{"key":"ref_21","unstructured":"International Society of Travel Medicine (2019, January 16). ISTM Certificate of Knowledge. Available online: http:\/\/www.istm.org\/certificateofknowledge."},{"key":"ref_22","unstructured":"Ontario College of Pharmacists (2019, February 17). Administering a Substance by Injection or Inhalation. Available online: http:\/\/www.ocpinfo.com\/regulations-standards\/policies-guidelines\/administering_a_substance_injection\/inhalation\/."},{"key":"ref_23","unstructured":"Ontario College of Pharmacists (2019, March 06). 2017 Annual Report: Putting Patients First. Available online: http:\/\/www.ocpinfo.com\/library\/annual-reports\/download\/ocp_annual_report_2017.pdf."},{"key":"ref_24","unstructured":"Drug Shortages Canada (2019, January 13). Drug Shortage Report for YF-VAX. Available online: https:\/\/www.drugshortagescanada.ca\/shortage\/1247."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1111\/jcpt.12165","article-title":"How have pharmacists in different practice settings integrated prescribing privileges into practice in Alberta? A qualitative exploration","volume":"39","author":"Guirguis","year":"2014","journal-title":"J. Clin. Pharm. Ther."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/1715163514562038","article-title":"Initial uptake of the Ontario Pharmacy Smoking Cessation Program: Descriptive analysis over 2 years","volume":"148","author":"Wong","year":"2015","journal-title":"Can. Pharm. J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.jcjd.2016.12.001","article-title":"Uptake of Community Pharmacist-Delivered MedsCheck Diabetes Medication Review Service in Ontario between 2010 and 2014","volume":"41","author":"MacCallum","year":"2017","journal-title":"Can. J. Diabetes"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1177\/1715163516662670","article-title":"Uptake of the MedsCheck annual medication review service in Ontario community pharmacies between 2007 and 2013","volume":"149","author":"Dolovich","year":"2016","journal-title":"Can. Pharm. J."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1177\/1715163514536678","article-title":"Paying pharmacists for patient care: A systematic review of remunerated pharmacy clinical care services","volume":"147","author":"Houle","year":"2014","journal-title":"Can. Pharm. J."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1211\/ijpp.15.3.0005","article-title":"Enhanced pharmacy services, barriers and facilitators in Australia\u2019s community pharmacies: Australia\u2019s National Pharmacy Database Project","volume":"15","author":"Berbatis","year":"2007","journal-title":"Int. J. Pharm. Pract."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1345\/aph.1K617","article-title":"Practice change in community pharmacy: Quantification of facilitators","volume":"42","author":"Roberts","year":"2008","journal-title":"Ann. Pharmacother."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.sapharm.2008.06.003","article-title":"Medication therapy management services in West Virginia: Pharmacists\u2019 perceptions of educational and training needs","volume":"5","author":"Blake","year":"2009","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1211\/ijpp.18.04.0005.x","article-title":"Pharmacists\u2019 perceptions of their role in asthma management and barriers to the provision of asthma services","volume":"18","author":"Kritikos","year":"2010","journal-title":"Int. J. Pharm. Pract."},{"key":"ref_34","first-page":"1","article-title":"The missing link; introducing travel medicine into the undergraduate medical curriculum","volume":"23","author":"Flaherty","year":"2013","journal-title":"J. Travel Med."}],"container-title":["Pharmacy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2226-4787\/7\/2\/35\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:45:10Z","timestamp":1760186710000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2226-4787\/7\/2\/35"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,13]]},"references-count":34,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,6]]}},"alternative-id":["pharmacy7020035"],"URL":"https:\/\/doi.org\/10.3390\/pharmacy7020035","relation":{},"ISSN":["2226-4787"],"issn-type":[{"value":"2226-4787","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,13]]}}}