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National Vaccine Advisory Committee March 25, 2019 Jeffery Talbert, PhD Patricia R. Freeman, PhD

Assessing Disparities in Pneumococcal Vaccine Service Delivery in the Rural Fee-for-Service Medicare Population. National Vaccine Advisory Committee March 25, 2019 Jeffery Talbert, PhD Patricia R. Freeman, PhD Pharmacy Practice and Science University of Kentucky College of Pharmacy.

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National Vaccine Advisory Committee March 25, 2019 Jeffery Talbert, PhD Patricia R. Freeman, PhD

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  1. Assessing Disparities in Pneumococcal Vaccine Service Delivery in the Rural Fee-for-Service Medicare Population National Vaccine Advisory Committee March 25, 2019 Jeffery Talbert, PhD Patricia R. Freeman, PhD Pharmacy Practice and Science University of Kentucky College of Pharmacy

  2. Pneumococcal Disease CDC. Epidemiology and Prevention of Vaccine-Preventable Diseases (The Pink Book), 13th ed. Washington, DC: Public Health Foundation; 2015.

  3. Pneumococcal Vaccination • 2-dose vaccination series recommended for persons age65 • 1 dose PCV13 at age 65 and 1 dose PPSV23 at least 1 year later •  Vaccination rates remain low •  50% for either vaccine individually • <20% for 2-dose series McLaughlin J et al. Disparities in Uptake of 13-valent Pneumococcal Conjugate Vaccine among Older Adults Following Routine Recommendation in the United States. Open Forum Infectious Diseases. 2017;4(Suppl 1):S468-S469. .

  4. Disparities in Pneumococcal Vaccination McLaughlin J et al. Disparities in Uptake of 13-valent Pneumococcal Conjugate Vaccine among Older Adults Following Routine Recommendation in the United States. Open Forum Infectious Diseases. 2017;4(Suppl 1):S468-S469.

  5. Pharmacies as Alternate Sites

  6. Study Objectives

  7. Methods

  8. Methods

  9. Findings

  10. Rate of Pneumococcal Vaccine Service Delivery per Eligible Population, 2015

  11. Percent of Pneumococcal Vaccination Services Delivered by Provider Type and Rural-Urban Designation, 2012 to 2015

  12. Summary of Model Results

  13. Summary of Key Findings

  14. Summary of Key Findings

  15. Conclusion and Recommendations

  16. Research Team

  17. Acknowledgement

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