Examining the impact of COVID-19 vaccination rates on differential access to critical care.

The measurement of potential access to health care has focused primarily on what might be called "place-based" access or the differential access among geographic locations rather than between different populations. The vaccination program to inoculate the population against the effects of the COVID-19 virus has created two different at-risk populations. This research examines the impact of COVID-19 vaccination rates on access to critical care for persons fully-vaccinated versus those not fully-vaccinated. In this situation, additional tools are necessary to understand: 1) if there is a significant difference in accessibility between different populations, 2) the magnitude of this difference and how it is distributed across accessibility levels, and 3) how the differences between groups are distributed across the state. A study of access to intensive care unit (ICU) beds by these two populations for the state of Illinois found that although there was a statistically significant difference in access, the magnitude of differences was small. A more important difference was being located in the Chicago Area of the state. The not-fully vaccinated in the Chicago Area had higher than expected spatial access due to the lower need for ICU beds by a higher percentage of fully vaccinated people.

Examining the interplay between racial segregation patterns and access to hospital care

Access to hospitals and especially intensive care units is an important issue given the current COVID-19 pandemic. This study examined the interplay between the pattern of spatial separation of racial groups and the access by those groups to hospital services as measured by the number of beds. Differences between racial groups in the Chicago Area were investigated using two models that calculated supply and cost accessibility to hospital care using Huff-style probabilities. An additional two models focused on minimizing the unevenness in congestion for ICU beds at hospitals. Results suggest that with respect to hospital beds, there was not much difference between racial groups in terms of supply accessibility, but there were greater differences in the travel cost for accessing those services. This is due to the association between the centrality dimension of residential segregation and the central location of hospitals in the Chicago Area. Results also suggest that the goal of even congestion levels results in higher travel costs with the region.