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1.
J Athl Train ; 2022 Jun 21.
Article in English | MEDLINE | ID: covidwho-2201514

ABSTRACT

CONTEXT: Athletic trainers were critical personnel in the development of policies and procedures for safe return to campus and resumption of sport during the 2021-21 academic year. Policies focused on preventing potential spread, as well as screening, testing, and management of cases, however, it is unknown what aspects of implementation were successful or more challenging. OBJECTIVE: To determine successes and challenges in the implementation of their return-to- sport policies and procedures during the 2020-2021 academic year amidst the COVID-19 pandemic. DESIGN: Qualitative. SETTING: NCAA Division I, II, and III. PATIENTS OR OTHER PARTICIPANTS: 27 athletic trainers (female N=9, 33.3%, mean age: 48.5±9.8 20 years, mean years of experience: 25.0±10.5 years), who were in positions of leadership or who 21 were actively involved in developing and then implementing COVID-19 return to sport policies 22 and procedures completed Zoom interviews. DATA COLLECTION AND ANALYSIS: Semi-structured Zoom interviews were audio and video recorded and later transcribed. Data were analyzed by a team of four experienced researchers using the consensual qualitative research approach. Field notes, intercoder reliability, and multiple analyst triangulation were used to establish data credibility. RESULTS: Emerging themes included: implementation of public health interventions, inter-professional collaboration, and advancing the profession of athletic training. Participants described establishing and strengthening collaborations with other healthcare professionals as well as key stakeholders on campus as a positive outcome of the pandemic, but variation in policies between institutions and states made policy communication and enforcement more challenging. CONCLUSIONS: ATs played a pivotal role in policy development, communication, and enforcement. Overall participants took pride in serving as healthcare leaders for their universities and opening the eyes of colleagues to the breadth of the athletic training skillsets.

2.
BJGP Open ; 2022 May 30.
Article in English | MEDLINE | ID: covidwho-2201015

ABSTRACT

BACKGROUND: Inhaler shortages were reported in the UK following declaration of the COVID-19 pandemic, prompting advice against stockpiling. AIM: To understand experiences and behaviours of patients with asthma requesting prescriptions from primary care during asthma medication shortages. DESIGN & SETTINGS: UK asthma online community, between March and December 2020. METHOD: Thematic analysis of posts identified using search terms 'shortage', 'out of stock', 'prescribe' and 'prescription'. RESULTS: 66 participants were identified (46 adults, 2 parents of children with asthma, 18 unstated). Factors leading to increased requests included: stockpiling, early ordering, realising inhalers were out-of-date, and doctors prescribing multiple medication items. Patients' anxieties that could lead to stockpiling included fear of asthma attacks leading to admission and acquiring COVID-19 in hospital, lack of dose counters on some inhalers, and believing a lower amount of drug is delivered in the last actuations. Strategies adopted in relation to shortages or changes in treatment due to out-of-stock medications included starting stockpiling, ordering prescriptions early, contacting medical professionals for advice or alternative prescriptions, getting 'emergency prescriptions', ordering online or privately, seeking medications in different pharmacies, contacting drug manufacturers and keeping track of number of doses left in canisters. We found no evidence of anxiety-triggered asthma symptoms that required medications due to fear of COVID-19. Participants seemed to disregard advice against stock-piling. CONCLUSIONS: Better preparation is a key lesson from COVID-19. Clinicians, the pharmaceutical industry, and policy makers should use insights from this work to plan how to better manage medication shortages in future emergency situations.

3.
Front Med (Lausanne) ; 9: 825502, 2022.
Article in English | MEDLINE | ID: covidwho-2198960

ABSTRACT

The Objective Structured Clinical Examination (OSCE) has been traditionally viewed as a highly valued tool for assessing clinical competence in health professions education. However, as the OSCE typically consists of a large-scale, face-to-face assessment activity, it has been variably criticized over recent years due to the extensive resourcing and relative expense required for delivery. Importantly, due to COVID-pandemic conditions and necessary health guidelines in 2020 and 2021, logistical issues inherent with OSCE delivery were exacerbated for many institutions across the globe. As a result, alternative clinical assessment strategies were employed to gather assessment datapoints to guide decision-making regarding student progression. Now, as communities learn to "live with COVID", health professions educators have the opportunity to consider what weight should be placed on the OSCE as a tool for clinical assessment in the peri-pandemic world. In order to elucidate this timely clinical assessment issue, this qualitative study utilized focus group discussions to explore the perceptions of 23 clinical assessment stakeholders (examiners, students, simulated patients and administrators) in relation to the future role of the traditional OSCE. Thematic analysis of the FG transcripts revealed four major themes in relation to participants' views on the future of the OSCE vis-a-vis other clinical assessments in this peri-pandemic climate. The identified themes are (a) enduring value of the OSCE; (b) OSCE tensions; (c) educational impact; and (d) the importance of programs of assessment. It is clear that the OSCE continues to play a role in clinical assessments due to its perceived fairness, standardization and ability to yield robust results. However, recent experiences have resulted in a diminishing and refining of its role alongside workplace-based assessments in the new, peri-pandemic programs of assessment. Future programs of assessment should consider the strategic positioning of the OSCE within the context of utilizing a range of tools when determining students' clinical competence.

4.
JMIR Infodemiology ; 2(2): e37134, 2022.
Article in English | MEDLINE | ID: covidwho-2198050

ABSTRACT

Background: Infodemic management is an integral part of pandemic management. Ghana Health Services (GHS) together with the UNICEF (United Nations International Children's Emergency Fund) Country Office have developed a systematic process that effectively identifies, analyzes, and responds to COVID-19 and vaccine-related misinformation in Ghana. Objective: This paper describes an infodemic management system workflow based on digital data collection, qualitative methodology, and human-centered systems to support the COVID-19 vaccine rollout in Ghana with examples of system implementation. Methods: The infodemic management system was developed by the Health Promotion Division of the GHS and the UNICEF Country Office. It uses Talkwalker, a social listening software platform, to collect misinformation on the web. The methodology relies on qualitative data analysis and interpretation as well as knowledge cocreation to verify the findings. Results: A multi-sectoral National Misinformation Task Force was established to implement and oversee the misinformation management system. Two members of the task force were responsible for carrying out the analysis. They used Talkwalker to find posts that include the keywords related to COVID-19 vaccine-related discussions. They then assessed the significance of the posts on the basis of the engagement rate and potential reach of the posts, negative sentiments, and contextual factors. The process continues by identifying misinformation within the posts, rating the risk of identified misinformation posts, and developing proposed responses to address them. The results of the analysis are shared weekly with the Misinformation Task Force for their review and verification to ensure that the risk assessment and responses are feasible, practical, and acceptable in the context of Ghana. Conclusions: The paper describes an infodemic management system workflow in Ghana based on qualitative data synthesis that can be used to manage real-time infodemic responses.

5.
Int J Qual Methods ; 21: 16094069221090355, 2022.
Article in English | MEDLINE | ID: covidwho-2195350

ABSTRACT

This qualitative study aimed to explore Singapore residents' knowledge, attitudes, perceptions, and behaviors around COVID-19 as shaped by different information sources. Through utilizing WhatsApp as a means of conducting digital focus group discussions (FGDs), participants were involved in five consecutive days of discussions through both synchronous and asynchronous means. We found that the use of WhatsApp as a means of conducting FGDs not only served as a means of generating essential, time-sensitive data in the community, but also advanced the quality and quantity of data generated, democratized, and enhanced the participatory nature of FGDs, and facilitated the communication of potential issues around data privacy between facilitators and participants. Although challenges around privacy and confidentiality remain, this means of collecting data is novel in terms of providing timely and relevant data during a pandemic and would be appropriate to be further utilized in the context of other health-related research beyond a public health emergency.

6.
Appl Res Qual Life ; : 1-17, 2022 Aug 16.
Article in English | MEDLINE | ID: covidwho-2174865

ABSTRACT

COVID-19 pandemic has harshly impacted university students since the outbreak was declared in March 2020. A population impacted the most was international college students due to limited social networks, restrictive employment opportunities, and travel limitations. Despite the increased vulnerability, there has been limited research on the experiences of African-born international students during the pandemic. Using an exploratory qualitative design, this study interviewed 15 African-born international students to understand their experiences during the pandemic. Thematic analysis revealed that the COVID-19 pandemic influenced participants' academic life directly via an abrupt shift to online learning and indirectly through disruptions in an academic work routine, opportunities for networking, and career advancement, resulting in lower academic performance and productivity. These experiences were worsened by other social and regulatory barriers associated with their non-immigrant status. The study findings suggest an increased need for institutional and community support for international students as vulnerable populations during a crisis to promote sustained academic success.

7.
Population and Economics ; 6(4), 2022.
Article in English | ProQuest Central | ID: covidwho-2201160

ABSTRACT

The paper discusses results of a qualitative study conducted in May-June 2021 in six regions of Russia (Astrakhan region, Republic of Bashkortostan, Republic of Kalmykia, Republic of Karachay-Cherkessia, Tomsk region and Yaroslavl region) with the purpose to identify opinions on impact of the COVID-19 pandemic on fertility. Focus groups were held in these regions among childless respondents aged below 35. This allowed to observe influence of the pandemic on intentions to become first-time parents which is critically important for fertility tendencies. Although the survey regions differed considerably by fertility rate and age-specific characteristics as well as by socio-cultural characteristics, key results of the focus groups were rather similar across regions. The respondents in all regions very strictly defined income levels necessary for having a child and also stressed out the need for parents to provide positive psychological conditions for their young off-springs. Assessing their abilities to become "high-quality” parents, the informants relied almost only on their own resources, not counting much upon assistance of elder relatives. Under these views, the pandemic was perceived as a serious obstacle for the "high-quality” parenthood. The informants did not expect the state measures of support for families with children to considerably soften this effect of the pandemic.

8.
Population and Economics ; 6(4), 2022.
Article in English | ProQuest Central | ID: covidwho-2201155

ABSTRACT

The article analyzes situation with senior citizens as a special socio-demographic group of population during the first and second waves of the COVID-19 pandemic. The purpose is to analyze the state of this group during the period under review, attitude of the elderly to restrictive policies, impact of social isolation on their physical and mental health, and overall social well-being. The theoretical and methodological basis of the study is the concept of active longevity and phenomenological approach in sociology. The empirical base of the study included 42 non-formalized interviews with elderly citizens aged 65 to 94 years, conducted in May-November 2020. To process the interviews, the authors used the phenomenological method of Colaizzi, which has significant potential for qualitative research, especially in cases when result are much dependable upon the respondent's personal experience, his or her perception of events. The data obtained through the interview were structured in line with the following five main blocks, namely: attitude to policy measures that have directly affected the elderly;changes in usual way of life;limited access to medical services;perception of age as a negative factor;and organization of services to older citizens during the pandemic. The study participants have demonstrated a fairly wide range of opinions, including assessment of structural problems, direct reflection on state policy measures to curb the pandemic, description of difficulties related to adaptation to the new routine mode of life, information and communication deficiencies. The authors have identified the "pain points” in the state of the elderly during the COVID-19 pandemic: the health and social systems turned out to be unprepared to work in the crisis conditions of the new reality. Analysis of daily life of the elderly during the COVID-19 pandemic changes perception of active longevity and puts on the agenda the need for more comprehensive consideration of the needs of older citizens at the planning and implementation stage of state policy and management in social welfare and public health.

9.
Sustainability ; 14(10), 2022.
Article in English | CAB Abstracts | ID: covidwho-2200729

ABSTRACT

The COVID-19 pandemic has exposed the vulnerability of global manufacturing companies to their supply chains and operating activities as one of the significant disruption events of the past two decades. It has demonstrated that major companies underestimate the need for sustainable and resilient operations. The pandemic has resulted in significant disruptions especially in the automotive industry. The goal of the study is to determine impact of the COVID-19 on supply chain operations in a Turkish automotive manufacturer and to develop a framework for improving operational activities to survive in the VUCA (volatility, uncertainty, complexity, and ambiguity) environment. The study identifies how the case study company has been affected by the COVID-19 outbreak and what challenges the company faced during the pandemic. A diagnostic survey and semi-structured interviews were used as data sources with qualitative and quantitative analysis. The results showed that the pandemic led to significant disruptions through various factors explained by shortage of raw materials/spare parts, availability of transportation, availability of labors, demand fluctuations, increase in sick leaves, new health and safety regulations. Findings also show the necessity to re-design resilience supply chain management by providing recovery plans (forecasting, supplier selection, simulation, monitoring) which consider different measures in different stages. In addition, the best practices were recommended for the case study by considering internal, external, and technological challenges during the COVID-19 pandemic. Some of the given targeted guidelines and improvement for the automotive company might be applicable in the industrial practices for other organizations. The article concludes with future research directions and managerial implications for successful applications.

10.
International Journal of Molecular Sciences ; 23(24):15823, 2022.
Article in English | ProQuest Central | ID: covidwho-2200320

ABSTRACT

Several studies have indicated that a neutrophil extracellular trap (NET) formation, apart from its role in host defense, can contribute to or drive pathogenesis in a wide range of inflammatory and thrombotic disorders. Therefore, NETs may serve as a therapeutic target or/and a diagnostic tool. Here, we compare the most commonly used techniques for the assessment of NET formation. Furthermore, we review recent data from the literature on the application of basic laboratory tools for detecting NET release and discuss the challenges and the advantages of these strategies in NET evaluation. Taken together, we provide some important insights into the qualitative and quantitative molecular analysis of NETs in translational medicine today.

11.
International Journal of Environmental Research and Public Health ; 20(1):480, 2023.
Article in English | ProQuest Central | ID: covidwho-2200059

ABSTRACT

The purpose of this article is to identify main research areas in health tourism in scientific research. The data used in this analysis span from 2000 to 2022, was retrieved from the Web of Science database, and comprises a total of 1493 bibliometric records of publications. The paper includes both a quantitative and a qualitative analysis. The following four main research areas were identified based on the results: (1) patient satisfaction built upon trust;(2) health impacts of the destination (including the economic aspect, which plays a decisive role in choosing a tourism destination);(3) health behavior as a major part of human activity;and (4) traveling with a view to regain one's health. Note that the limitations of this study—which mostly affect the methodological part—need to be taken into consideration. This is the consequence of the selected publication database and of the search criteria used, such as the publication year or language.

12.
Frontiers in Public Health ; 10, 2022.
Article in English | Web of Science | ID: covidwho-2199483

ABSTRACT

ObjectiveFor a safe and healthy workplace in the health sector, the International Labor Organization (ILO) and the World Health Organization (WHO) jointly developed HealthWISE, an international technical tool that helps health workers (HWs) to identify workplace hazards and apply low-cost solutions. This study sought to gather experiences and lessons from a Chinese pilot hospital for the scale-up application of HealthWISE. MethodsA qualitative study was undertaken at a Chinese public hospital with a >= 5-year application of HealthWISE through in-depth interviews with targeted HWs who participated in the Training-of-Trainer (TOT) workshops, and observations were gathered using evidence from photos and publications, then, thematic analysis was formulated. ResultsDriven by motivation, the participants learned from the HealthWISE TOT workshop alongside the favorite and worst parts of it. Positive changes and results of occupational health for HWs occurred after the workshop, the participants trained others and planned to implement HealthWISE within their responsibility. During the COVID-19 Pandemic, the Hospital acted the approaches of protecting the health, safety and well-being of HWs with significant results. Further suggestions on workshop and HealthWISE implementing as well as the national policies were collected. The study indicated the Hospital's experience of leadership and participation, supporting and facilitating, system establishment, and culture creation. The suggestion included keeping staff engaged under a positive safety and health culture, promoting recognition of HealthWISE among public health institutions nationwide, developing online courses for medical colleges, focusing on the alignment among various law systems, and adopting measures under the principle of the hierarchy of occupational hazards controls. ConclusionThis study has demonstrated the systematic improvement of occupational health for HWs by HealthWISE implementation in the Chinese hospital. The valuable experiences and lessons derived here can be shared with other hospitals in China and beyond, especially under the unprecedented challenges of the COVID-19 pandemic, to achieve the goals of safety, health, and well-being for HWs by building a resilient health system.

13.
Frontiers in public health ; 10:992481, 2022.
Article in English | EMBASE | ID: covidwho-2199471

ABSTRACT

Background: Between May 2020 and February 2022, South Africa's health system bore strain as it battled mitigating the coronavirus pandemic. The country's pandemic response was scrutinized. This period also brought into focus pre-existing shortcomings in the healthcare system and its governing bodies. Contextually, there is a paucity in literature on the experiences of healthcare providers and users. This study aimed to contribute information on COVID-19, with the intention of providing guidance on preparing for future infectious disease outbreaks. Method(s): Cross sectional exploratory qualitative methodology was employed using semi-structured interviews and focus group discussions with community members (CM) and healthcare workers (HCW) from two South African study sites: (a) rural Bushbuckridge (run by Agincourt Health and Socio-Demographic Surveillance Site) and (b), Regions D and F in Johannesburg Metropole. Result(s): After interviewing 42 CMs and 43 HCWs, it emerged that mandated process changes while minimizing COVID-19 exposure, necessitated healthcare personnel focusing on critical care treatment at the expense of less acute ones. COVID-19 isolation protocols, extensive absenteeism and HCWs with advanced skills being perceived as more adept to treat COVID-19 patients contributed to HCWs experiencing higher workloads. Fears regarding contracting and transmitting COVID-19, suffering financial losses, and not being able to provide adequate advice to patients were recurrent themes. Dissemination of relevant information among healthcare facility personnel and communities suffered due to breakdowns in communication. Conclusion(s): Concessions and novel strategies to avail medication to patients had to be created. Since providence was lacking, government needs to formulate health intervention strategies that embrace health literacy, alternate methods of chronic medication dispensation, improved communication across health care platforms and the use of telehealth, to circumvent the threats of possible further infectious disease outbreaks. Copyright © 2022 Lalla-Edward, Mosam, Hove, Erzse, Rwafa-Ponela, Price, Nyatela, Nqakala, Kahn, Tollman, Hofman and Goldstein.

14.
Front Psychol ; 13:966021, 2022.
Article in English | PubMed | ID: covidwho-2199175

ABSTRACT

OBJECTIVES: To explore the experiences of therapists who delivered remote psychological therapy during the COVID-19 pandemic. DESIGN: This was a qualitative, phenomenological study. Interpretative Phenomenological Analysis elicited themes from semi-structured interviews. METHODS: A purposive sample of eight therapists was recruited from breast cancer services in the United Kingdom. RESULTS: Analysis identified three superordinate themes. Participants spoke about how their experience of remote working changed over time from an initial crisis response to a new status quo. They adapted to the specific practical and personal challenges of remote working and struggled to connect with clients as the use of technology fundamentally changed the experience of therapy. CONCLUSION: Consideration should be given to the impact of remote working on therapists and the quality of their practise. Adjustments to ways of working can help to maximize the advantages of remote working while minimizing potential issues.

15.
Journal of the American Board of Family Medicine : JABFM ; 02, 2023.
Article in English | EMBASE | ID: covidwho-2198398

ABSTRACT

BACKGROUND: Declining COVID-19 vaccination rates have led to implementation of monetary incentives to increase vaccine uptake. The Ohio Vax-a-Million lottery and subsequent $100 incentives were created to encourage individuals to become vaccinated. The purpose of this survey was to determine the efficacy of these monetary incentives on vaccination rates. METHOD(S): A 38-item questionnaire was given to outpatients at MetroHealth and Cleveland Veteran Affairs Hospitals between August 2021 and February 2022 who either waited 2 or more months to receive the COVID-19 vaccination or have not yet been vaccinated. The survey contained questions regarding demographics and perceptions of COVID-19 monetary incentives on vaccination likelihood. RESULT(S): Of the 471 participants surveyed, 0.95% reported that the Ohio Vax-a-Million lottery increased their vaccination likelihood, while 29.7% reported that it decreased their likelihood. 6.8% of respondents reported the $100 incentive increased their vaccination likelihood while 17.4% reported it decreased their vaccination chances. 20.6% of participants stated news of the Delta (delta) variant increased their vaccination likelihood. CONCLUSION(S): Our study results suggest that monetary incentives were not associated with increased COVID-19 vaccination rates. Instead, more participants believed that these incentives decreased their vaccination likelihood. Expansion of the survey across a wider sociodemographic range can provide further evidence of the efficacy of these programs before reimplementation. © Copyright by the American Board of Family Medicine.

16.
Journal of the American Board of Family Medicine : JABFM ; 02, 2023.
Article in English | EMBASE | ID: covidwho-2198397

ABSTRACT

BACKGROUND: Primary care practice teams continue to grapple with the demands of the COVID-19 pandemic. Early in the pandemic, despite the increased demands and low levels of control, in practices where protective equipment were available and practice-level support was high, few team members reported burnout, and many described a greater sense of purpose. However, since those early days, burnout levels have increased and high rates of turnover have been reported across the health care system, and further qualitative studies are needed. OBJECTIVE(S): The present study is a follow-up to a qualitative study on the workplace stress during the pandemic. DESIGN, PARTICIPANTS, APPROACH: Fourteen primary care providers and staff completed 1-year follow-up semistructured interviews (approximately 1.5years into the pandemic) about their workplace demands, control, social support, burnout, and commitment to primary care. PRIMARY RESULTS: Primary care practice was characterized as high demand before the pandemic but the additional demands of the pandemic were leading participants to consider early retirement, quitting primary care or health care, and expressing a profound need for health care redesign. Short staffing extended medical leaves for COVID-19 and non-COVID-19 needs, increased management of patient mental health and aggressive behaviors, and frustration that practices were being held to prepandemic metrics all contributed to ever higher rates of burnout. Troublingly, while many described high-quality relationships at the practice level, the majority of participants described their organization-level support as largely unresponsive to their input and as offering little support or resources, though a few acknowledged that this could reflect that leadership is also under immense strain. Despite challenges, a number of participants expressed continued commitment to primary care. CONCLUSION(S): Fundamental redesign of primary care is required to prevent further loss of health care personnel and to provide opportunities for these staff to recover during the grueling, ongoing crisis. © Copyright by the American Board of Family Medicine.

17.
Saude e Sociedade ; 31(4) (no pagination), 2022.
Article in English, Portuguese | EMBASE | ID: covidwho-2197567

ABSTRACT

This essay presents the reflections of Sheila Baxy P. Castro Apinaje and Julio Kamer Ribeiro Apinaje on their work as researchers of the Plataforma de Antropologia e Respostas Indigenas a COVID-19 (Platform of Anthropol ogy and Indi genous Responses to Covid-19) (PARI-c), in the Apinaje Indigenous Land, in the context of the global health crisis caused by the new coronavirus. Through the description of the research procedures adopted, the authors appropriate the concept of methodology in a unique and creative way. They reflect not only on the strategies to produce academic knowledge, but also on the urge to align these strategies to Panh struggles for the protection of their autonomy over their ways of living and their territory. Copyright © 2022, Universidade de Sao Paulo. Museu de Zoologia. All rights reserved.

18.
International Journal of Tourism Policy ; 12(4):427-442, 2022.
Article in English | ProQuest Central | ID: covidwho-2197271

ABSTRACT

The COVID-19 outbreak has challenged the global tourism sector, and it has posed a significant threat to the existence of tourism business across the globe, especially in emerging economies. This study examines the effect of the COVID-19 pandemic on travel intermediary businesses in India and their strategies to overcome the present predicament. The study draws on the interviews with 15 executives of selected travel intermediary firms located around the country. The findings emphasise the economic downturn, customer retention policies, resilience strategies and current shifts in the industry. The outcomes also identify the recent tendency towards the traditional travel booking/holiday-booking trend towards traditional intermediaries. This research contributes to a better understanding and implementation of business continuity methods in tourist studies, and its results have practical implications for administrators and governments.

20.
Health Res Policy Syst ; 20(1):142, 2022.
Article in English | PubMed | ID: covidwho-2196329

ABSTRACT

BACKGROUND: Many countries have an inefficient vaccination system, which hinders global exit from the COVID-19 pandemic. It is vital to summarize COVID-19 vaccination practices in countries with high vaccination coverage and provide implications for other countries. This study aimed to investigate China's COVID-19 vaccination system and to summarize its implementation experience from a health system perspective. METHODS: We conducted key informant interviews in five representative cities of China in late 2021. Guided by the health systems framework proposed by WHO, we developed our interview guidelines which included seven building blocks-leadership and governance, health workforce, vaccination service delivery, vaccination mobilization and communication, financing, access to vaccines, and information systems. Semi-structured interviews and COVID-19 vaccination policy documents were collected and coded using a thematic analysis approach. RESULTS: A total of 61 participants (nine vaccination programme directors of the local Center for Disease Control and Prevention, four government staff and 48 vaccination service workers) were interviewed. We found that China adopted a whole-of-society approach with adequate government engagement and linked health and non-health sectors to promote COVID-19 vaccination. Key measures included the collaboration of multiple systems and departments from a governance perspective, allocating sufficient health workers and resources, large-scale vaccination mobilization and communication, expansion of vaccine financing channels, localized production and digital information systems. With the vaccination system strengthening, the two-doses vaccination coverage reached 89.5% for the total population but relatively lower coverage for older adults as of July 2022. CONCLUSIONS: Our study highlights the importance of a government-led whole-of-society approach to promote mass vaccination. The low vaccination coverage among older adults should be paid the greatest attention to. The experiences and lessons from China may serve as a reference for other countries.

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