Addressing Inequities in SARS-CoV-2 Vaccine Uptake: The Boston Medical Center Health System Experience.

التفاصيل البيبلوغرافية
العنوان:	Addressing Inequities in SARS-CoV-2 Vaccine Uptake: The Boston Medical Center Health System Experience.
المؤلفون:	Assoumou SA; Section of Infectious Diseases, Department of Medicine, Boston Medical Center, and Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts (S.A.A., C.M.P.)., Peterson A; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., Ginman E; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., James T; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., Pierre CM; Section of Infectious Diseases, Department of Medicine, Boston Medical Center, and Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts (S.A.A., C.M.P.)., Hamilton S; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., Chapman S; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., Goldie J; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., Koenig R; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., Mendez-Escobar E; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., Leaver H; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., Graham R; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.)., Crichlow R; Codman Square Health Center, Boston, Massachusetts (R.C., T.W., S.Cotterell)., Weaver T; Codman Square Health Center, Boston, Massachusetts (R.C., T.W., S.Cotterell)., Cotterell S; Codman Square Health Center, Boston, Massachusetts (R.C., T.W., S.Cotterell)., Valdez G; Mattapan Community Health Center, Boston, Massachusetts (G.V.)., De Las Nueces D; Boston Health Care for the Homeless Program, Boston, Massachusetts (D.D.)., Scott NA; Boston University School of Public Health, Boston, Massachusetts (N.A.S.)., Linas BP; Section of Infectious Diseases, Department of Medicine, Boston Medical Center, Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine, and Boston University School of Public Health, Boston, Massachusetts (B.P.L.)., Cherry PM; Boston Medical Center, Boston, Massachusetts (A.P., E.G., T.J., S.H., S.Chapman, J.G., R.K., E.M., H.L., R.G., P.M.C.).
المصدر:	Annals of internal medicine [Ann Intern Med] 2022 Jun; Vol. 175 (6), pp. 879-884. Date of Electronic Publication: 2022 May 17.
نوع المنشور:	Journal Article; Review; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural
اللغة:	English
بيانات الدورية:	Publisher: American College of Physicians--American Society of Internal Medicine Country of Publication: United States NLM ID: 0372351 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1539-3704 (Electronic) Linking ISSN: 00034819 NLM ISO Abbreviation: Ann Intern Med Subsets: MEDLINE
أسماء مطبوعة:	Publication: <2001->: Philadelphia, PA : American College of Physicians--American Society of Internal Medicine Original Publication: Philadelphia [etc.] American College of Physicians.
مواضيع طبية MeSH:	COVID-19/epidemiology , COVID-19/prevention & control , Vaccines*, COVID-19 Vaccines ; Community Health Centers ; Humans ; SARS-CoV-2 ; Vaccination
مستخلص:	Academic medical centers could play an important role in increasing access to and uptake of SARS-CoV-2 vaccines, especially in Black and Latino communities that have been disproportionately affected by the pandemic. This article describes the vaccination program developed by the Boston Medical Center (BMC) health system (New England's largest safety-net health system), its affiliated community health centers (CHCs), and community partners. The program was based on a conceptual framework for community interventions and aimed to increase equitable access to vaccination in the hardest-hit communities through community-based sites in churches and community centers, mobile vaccination events, and vaccination on the BMC campus. Key strategies included a communication campaign featuring trusted messengers, a focus on health equity, established partnerships with community leaders and CHCs, and strong collaboration with local health departments and the Commonwealth of Massachusetts to ensure equitable allocation of the vaccine supply. Process factors involved the use of robust analytics relying on the Centers for Disease Control and Prevention's Social Vulnerability Index (SVI). The vaccination program administered 109 938 first doses, with 94 703 (86%) given at community sites and 2466 (2%) given at mobile sites. Mobile vaccination events were key in reaching younger people living in locations with the highest SVIs. Challenges included the need for a robust operational infrastructure and mistrust of the health system given the long history of economic disinvestment in the surrounding community. The BMC model could serve as a blueprint for other medical centers interested in implementing programs aimed at increasing vaccine uptake during a pandemic and in developing an infrastructure to address other health-related disparities.
معلومات مُعتمدة:	K23 DA044085 United States DA NIDA NIH HHS
المشرفين على المادة:	0 (COVID-19 Vaccines) 0 (Vaccines)
تواريخ الأحداث:	Date Created: 20220516 Date Completed: 20220622 Latest Revision: 20220712
رمز التحديث:	20231215
DOI:	10.7326/M22-0028
PMID:	35576586
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	1539-3704
DOI:	10.7326/M22-0028