Equitable allocation of COVID-19 vaccines in the United States.
Nat Med
; 27(7): 1298-1307, 2021 07.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1233717
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.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Factores Socioeconómicos
/
Asignación de Recursos para la Atención de Salud
/
Vacunas contra la COVID-19
/
COVID-19
/
Política de Salud
Tipo de estudio:
Estudio experimental
/
Estudio observacional
/
Ensayo controlado aleatorizado
Tópicos:
Vacunas
Límite:
Humanos
País/Región como asunto:
America del Norte
Idioma:
Inglés
Revista:
Nat Med
Asunto de la revista:
Biologia Molecular
/
Medicina
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
S41591-021-01379-6
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