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The struggles of getting travel vaccinations (The main actors +…
The struggles of getting travel vaccinations
The main actors + structures/process
Travelers/clients
Saskatchewan Health Authority
Family Physicians
Ministry of Health and government travel safety departments
Immigration Canada and destination countries
Traveler needs to make appointment with a nurse at travel clinic for one hour consultation appointment
pay for the required vaccines and have them administered during the appointment
Or, if vaccines can be administered by other actors then make appoint with them instead
discuss reason and length of travel and figure out which vaccines are appropriate
The multiple multi-way interdependencies among the actors + structures/process
traveler needs to find out what vaccines they need for destination by searching online/calling:
Saskatchewan Health authority website
refers to Regina Travel Clinic
Family Physician clinic
Immigration offices of destination
certain Pharmacists (not all)
If vaccines are considered "regular" the traveler needs prescription for the vaccines from:
family physician
pharmacist
Registered Nurse
Once prescription is obtained, then traveler needs to get the vaccines administered by:
Pharmacist
Family physician
Registered Nurse
Walk-in-Doctor
If the vaccines are considered "special" then the traveler must only get the vaccines administered by the allocated actors:
Saskatchewan Health Authority
Regina travel clinic
The barriers to integration of healthcare
Family physicians:
family doctor may not know which destination requires which vaccines
had to make an appointment first to just consult
family doctor told me to search online and find out which vaccine I will need for my destination
family physician's clinics can only administer "regular" vaccines like tetanus
for "special" vaccines like meningitis, family doctors are not authorized/allowed to administer
family doctor told me to go to SK Health Authority for the required special vaccine
Pharmacists:
my regular pharmacy is Save on Foods and the pharmacists told me that there is only one manager pharmacist who is certified in travel vaccinations
this manager pharmacist works at the different location (not the one I go to near my house)
I would have to call or go to the other (further) location to find out what times she works and if/ when she can give me the vaccines
Saskatchewan Health Authority/ Regina Travel Clinic:
called them to make an appointment but I had to leave a voice mail with my destination and call back number
they returned my call twice while I was busy at work so missed them
they will not leave detailed information over voicemail
they will speak only if the person picks up the call
they do not allow and specifically ask the client not to call back and leave duplicate messages
after missing 2 call backs over 2 weeks, I had to schedule time to physically go into the clinic
only to be placed on WAITLIST
1 more item...
Walk-in-Doctors:
Because it is hard to get appointment with my family doctor during daytime work hours (dr. only works morning-2pm weekdays)
maybe I can get travel vaccine from walk-in-doctor in the evening after work?
receptionist notified me that I need a prescription for the travel vaccines
Therefore, I will need to obtain prescription from different actor first, then have it administered by walk-in-doctor after work
PAY for vaccines
Different rates are applied at Travel clinic vs. Family Physician's clinic vs. Pharmacists'
e.g., Regina Travel clinic charges $40 for the vaccines.
If the consultation appointment is separate from the vaccination administration appointment, then they charge $10 for the former in addition.
They also will not tell me how much the vaccines would cost at family doctor's
they don't have that info
there is no interconnection or collaboration among all these actors
the traveler is left on their own to figure out everything
The potential enablers of integrated healthcare
Saskatchewan Health Authority/Regina Travel Clinic
communicate with WHOM:
Family Physicians
after hours reception staff (e.g., for walk-in-clinics)
Pharmacists
Registered Nurses
communicate WHAT:
which "regular" or "special" vaccines are needed for which destinations - keep this information updated
which actors can administer which "regular" vs. "special" vaccines
which actor charges how much for the vaccines
COMMUNICATE standardized updated information to every actor so traveler can get all the information from one place
Extend the authority of administering "special" vaccines to more than one actor
increase the convenience for traveler to receive vaccines:
after work hours (evening, weekends)
multiple locations of single or multiple actors for geographical convenience