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  1. Article ; Online: Equitable allocation of COVID-19 vaccines in the United States.

    Schmidt, Harald / Weintraub, Rebecca / Williams, Michelle A / Miller, Kate / Buttenheim, Alison / Sadecki, Emily / Wu, Helen / Doiphode, Aditi / Nagpal, Neha / Gostin, Lawrence O / Shen, Angela A

    Nature medicine

    2021  Volume 27, Issue 7, Page(s) 1298–1307

    Abstract: ... In the United States, allocation frameworks are determined by each of the Centers for Disease Control and Prevention's ... codes in combination with metrics such as COVID-19 incidence, and 37 jurisdictions (including 34 states ... applications were distinguished: (1) prioritizing disadvantaged groups through increased shares of vaccines or ...

    Abstract Many vaccine rationing guidelines urge planners to recognize, and ideally reduce, inequities. In the United States, allocation frameworks are determined by each of the Centers for Disease Control and Prevention's 64 jurisdictions (50 states, the District of Columbia, five cities and eight territories). In this study, we analyzed vaccine allocation plans published by 8 November 2020, tracking updates through to 30 March 2021. We evaluated whether jurisdictions adopted proposals to reduce inequity using disadvantage indices and related place-based measures. By 30 March 2021, 14 jurisdictions had prioritized specific zip codes in combination with metrics such as COVID-19 incidence, and 37 jurisdictions (including 34 states) had adopted disadvantage indices, compared to 19 jurisdictions in November 2020. Uptake of indices doubled from 7 to 14 among the jurisdictions with the largest shares of disadvantaged communities. Five applications were distinguished: (1) prioritizing disadvantaged groups through increased shares of vaccines or vaccination appointments; (2) defining priority groups or areas; (3) tailoring outreach and communication; (4) planning the location of dispensing sites; and (5) monitoring receipt. To ensure that equity features centrally in allocation plans, policymakers at the federal, state and local levels should universalize the uptake of disadvantage indices and related place-based measures.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines/therapeutic use ; Guidelines as Topic ; Health Care Rationing/methods ; Health Equity ; Health Policy ; Humans ; Incidence ; SARS-CoV-2 ; Socioeconomic Factors ; United States/epidemiology
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-05-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1220066-9
    ISSN 1546-170X ; 1078-8956
    ISSN (online) 1546-170X
    ISSN 1078-8956
    DOI 10.1038/s41591-021-01379-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4212: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MG 39: Show issues

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  2. Article: Equitable and effective vaccine access considering vaccine hesitancy and capacity constraints.

    Sengul Orgut, Irem / Freeman, Nickolas / Lewis, Dwight / Parton, Jason

    Omega

    2023  Volume 120, Page(s) 102898

    Abstract: ... of COVID-19 vaccines to the general public created policy challenges associated with how to best allocate ... vaccines among different sub-regions. In the United States, after vaccines became widely available ... The COVID-19 pandemic continues to have an unprecedented impact on people's lives and the economy ...

    Abstract The COVID-19 pandemic continues to have an unprecedented impact on people's lives and the economy worldwide. Vaccines are the strongest evidence-based defense against the spread of the disease. The release of COVID-19 vaccines to the general public created policy challenges associated with how to best allocate vaccines among different sub-regions. In the United States, after vaccines became widely available for all eligible adults, policymakers faced objectives such as (
    Language English
    Publishing date 2023-05-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1491111-5
    ISSN 1873-5274 ; 0305-0483
    ISSN (online) 1873-5274
    ISSN 0305-0483
    DOI 10.1016/j.omega.2023.102898
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Rolling Up the Sleeve: Equitable, Efficient, and Safe COVID-19 Mass Immunization for Academic Medical Center Employees.

    McDonald, Samuel / Basit, Mujeeb A / Toomay, Seth / McLarty, Christopher / Hernandez, Susan / Rubio, Chris / Brown, Bruce J / Rauschuber, Mark / Lai, Ki / Saleh, Sameh N / Willett, DuWayne L / Lehmann, Christoph U / Medford, Richard J

    Applied clinical informatics

    2021  Volume 12, Issue 5, Page(s) 1074–1081

    Abstract: ... All employees who met COVID-19 allocation vaccine criteria for phase 1a.1 to 1a.4 were included. We implemented ... Background: Novel coronavirus disease 2019 (COVID-19) vaccine administration has faced ... in the first 7 days (: Conclusion: We developed a system of early COVID-19 vaccine prioritization and ...

    Abstract Background: Novel coronavirus disease 2019 (COVID-19) vaccine administration has faced distribution barriers across the United States. We sought to delineate our vaccine delivery experience in the first week of vaccine availability, and our effort to prioritize employees based on risk with a goal of providing an efficient infrastructure to optimize speed and efficiency of vaccine delivery while minimizing risk of infection during the immunization process.
    Objective: This article aims to evaluate an employee prioritization/invitation/scheduling system, leveraging an integrated electronic health record patient portal framework for employee COVID-19 immunizations at an academic medical center.
    Methods: We conducted an observational cross-sectional study during January 2021 at a single urban academic center. All employees who met COVID-19 allocation vaccine criteria for phase 1a.1 to 1a.4 were included. We implemented a prioritization/invitation/scheduling framework and evaluated time from invitation to scheduling as a proxy for vaccine interest and arrival to vaccine administration to measure operational throughput.
    Results: We allotted vaccines for 13,753 employees but only 10,662 employees with an active patient portal account received an invitation. Of those with an active account, 6,483 (61%) scheduled an appointment and 6,251 (59%) were immunized in the first 7 days. About 66% of invited providers were vaccinated in the first 7 days. In contrast, only 41% of invited facility/food service employees received the first dose of the vaccine in the first 7 days (
    Conclusion: We developed a system of early COVID-19 vaccine prioritization and administration in our health care system. We saw strong early acceptance in those with proximal exposure to COVID-19 but noticed significant difference in the willingness of different employee groups to receive the vaccine.
    MeSH term(s) Academic Medical Centers ; COVID-19 ; COVID-19 Vaccines ; Cross-Sectional Studies ; Humans ; Mass Vaccination ; SARS-CoV-2 ; United States
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-11-17
    Publishing country Germany
    Document type Journal Article ; Observational Study
    ISSN 1869-0327
    ISSN (online) 1869-0327
    DOI 10.1055/s-0041-1739517
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Equitable COVID-19 vaccine prioritization: front-line workers or 65-74 year olds?

    Rumpler, Eva / Feldman, Justin M / Bassett, Mary T / Lipsitch, Marc

    medRxiv

    Abstract: Background: The COVID-19 epidemic in the United States has been characterized by two stark ... every state. Findings: We show that prioritizing COVID-19 vaccines for 65-74-year-olds saves both more lives ... in the United States as a whole and in nearly every state. Interpretation: When evaluating equity in vaccine allocation ...

    Abstract Background: The COVID-19 epidemic in the United States has been characterized by two stark disparities. COVID-19 burden has been unequally distributed among racial and ethnic groups and at the same time the mortality rates have been sharply higher among older age groups. These disparities have led some to suggest that higher equity could be attained by vaccinating front-line workers before vaccinating older individuals, who in the US are disproportionately Non-Hispanic White. Methods: We compare the performance of two distribution policies, one allocating vaccines to front-line workers and another to older individuals aged 65-74-year-old. We estimate both the number of lives saved and the number of years of life saved under each of the policies, overall and in every race/ethnicity groups, in the United States and every state. Findings: We show that prioritizing COVID-19 vaccines for 65-74-year-olds saves both more lives and more years of life than attributing vaccines front-line workers in each racial/ethnic group, in the United States as a whole and in nearly every state. Interpretation: When evaluating equity in vaccine allocation policies, the overall benefit to impact of each population subgroup should be considered, not only the proportion of doses that is distributed to each subgroup. Further work can identify prioritization schemes that perform better on multiple equity metrics.
    Keywords covid19
    Language English
    Publishing date 2022-02-04
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2022.02.03.22270414
    Database COVID19

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  5. Article ; Online: Ensuring Equitable Access To COVID-19 Vaccines In The US: Current System Challenges And Opportunities.

    Shen, Angela K / Hughes Iv, Richard / DeWald, Erica / Rosenbaum, Sara / Pisani, Amy / Orenstein, Walt

    Health affairs (Project Hope)

    2020  Volume 40, Issue 1, Page(s) 62–69

    Abstract: There has been a worldwide effort to accelerate the development of safe and effective vaccines ... for severe acute respiratory syndrome coronavirus-2. When vaccines become licensed and available broadly to the public, the final hurdle ... existing systems for allocation, distribution, vaccination, and monitoring for safety and effectiveness are ...

    Abstract There has been a worldwide effort to accelerate the development of safe and effective vaccines for severe acute respiratory syndrome coronavirus-2. When vaccines become licensed and available broadly to the public, the final hurdle is equitable distribution and access for all who are recommended for vaccination. Frameworks and existing systems for allocation, distribution, vaccination, and monitoring for safety and effectiveness are assets of the current immunization delivery system that should be leveraged to ensure the equitable distribution and broad uptake of licensed vaccines. The system should be strengthened to address gaps in access to immunization services and to modernize the public health infrastructure. We offer five recommendations as guideposts to ensure that policies and practices at the federal, state, local, and tribal levels support equity, transparency, accountability, availability, and access to coronavirus disease 2019 vaccines.
    MeSH term(s) COVID-19/prevention & control ; COVID-19 Vaccines/administration & dosage ; COVID-19 Vaccines/supply & distribution ; Federal Government ; Health Equity ; Health Services Accessibility ; Humans ; Immunization Programs ; Local Government ; United States ; Vaccination
    Chemical Substances COVID-19 Vaccines
    Keywords covid19
    Language English
    Publishing date 2020-11-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632712-6
    ISSN 1544-5208 ; 0278-2715
    ISSN (online) 1544-5208
    ISSN 0278-2715
    DOI 10.1377/hlthaff.2020.01554
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2118: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

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  6. Article: Rolling Up the Sleeve: Equitable, Efficient, and Safe COVID-19 Mass Immunization for Academic Medical Center Employees

    McDonald, Samuel / Basit, Mujeeb A. / Toomay, Seth / McLarty, Christopher / Hernandez, Susan / Rubio, Chris / Brown, Bruce J. / Rauschuber, Mark / Lai, Ki / Saleh, Sameh N. / Willett, DuWayne L. / Lehmann, Christoph U. / Medford, Richard J.

    Applied Clinical Informatics

    2021  Volume 12, Issue 05, Page(s) 1074–1081

    Abstract: ... All employees who met COVID-19 allocation vaccine criteria for phase 1a.1 to 1a.4 were included. We implemented ... Background: Novel coronavirus disease 2019 (COVID-19) vaccine administration has faced ... IQR]: 3.9–8.3) from arrival to vaccination.: Conclusion: We developed a system of early COVID-19 ...

    Abstract Background: Novel coronavirus disease 2019 (COVID-19) vaccine administration has faced distribution barriers across the United States. We sought to delineate our vaccine delivery experience in the first week of vaccine availability, and our effort to prioritize employees based on risk with a goal of providing an efficient infrastructure to optimize speed and efficiency of vaccine delivery while minimizing risk of infection during the immunization process.
    Objective: This article aims to evaluate an employee prioritization/invitation/scheduling system, leveraging an integrated electronic health record patient portal framework for employee COVID-19 immunizations at an academic medical center.
    Methods: We conducted an observational cross-sectional study during January 2021 at a single urban academic center. All employees who met COVID-19 allocation vaccine criteria for phase 1a.1 to 1a.4 were included. We implemented a prioritization/invitation/scheduling framework and evaluated time from invitation to scheduling as a proxy for vaccine interest and arrival to vaccine administration to measure operational throughput.
    Results: We allotted vaccines for 13,753 employees but only 10,662 employees with an active patient portal account received an invitation. Of those with an active account, 6,483 (61%) scheduled an appointment and 6,251 (59%) were immunized in the first 7 days. About 66% of invited providers were vaccinated in the first 7 days. In contrast, only 41% of invited facility/food service employees received the first dose of the vaccine in the first 7 days ( p  < 0.001). At the vaccination site, employees waited 5.6 minutes (interquartile range [IQR]: 3.9–8.3) from arrival to vaccination.
    Conclusion: We developed a system of early COVID-19 vaccine prioritization and administration in our health care system. We saw strong early acceptance in those with proximal exposure to COVID-19 but noticed significant difference in the willingness of different employee groups to receive the vaccine.
    Keywords COVID-19 ; immunization ; patient portal ; electronic health record ; employee health
    Language English
    Publishing date 2021-10-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ISSN 1869-0327
    ISSN (online) 1869-0327
    DOI 10.1055/s-0041-1739517
    Database Thieme publisher's database

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