A Map of Racial and Ethnic Disparities in Influenza Vaccine Uptake in the Medicare Fee-for-Service Program
| العنوان: | A Map of Racial and Ethnic Disparities in Influenza Vaccine Uptake in the Medicare Fee-for-Service Program |
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| المؤلفون: | Liou Xu, Laura Lee Hall, Ed W Thommes, Salaheddin M. Mahmud, Gary Puckrein, Ayman Chit |
| المصدر: | Advances in Therapy |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Influenza vaccine, Health impact, Ethnic group, Disparities, Medicare, Zip code, White People, Older population, Older patients, Influenza, Human, Ethnicity, Humans, Medicine, Pharmacology (medical), Healthcare Disparities, Fee-for-service, Aged, Original Research, Aged, 80 and over, business.industry, Vaccination, Age Factors, Fee-for-Service Plans, Hispanic or Latino, General Medicine, Patient Acceptance of Health Care, United States, Geomapping, Black or African American, Influenza Vaccines, Infectious diseases, Female, business, Demography |
| الوصف: | Introduction Despite improved understanding of the risks of influenza and better vaccines for older patients, influenza vaccination rates remain subpar, including in high-risk groups such as older adults, and demonstrate significant racial and ethnic disparities. Methods This study considers demographic, clinical, and geographic correlates of influenza vaccination among Medicare Fee-for-Service (FFS) beneficiaries in 2015–2016 and maps the data on a geographic information system (GIS) at the zip code level. Results Analyses confirm that only half of the senior beneficiaries evidenced a claim for receiving an inactivated influenza vaccine (IIV), with significant disparities observed among black, Hispanic, rural, and poorer beneficiaries. More extensive disparities were observed for the high-dose (HD) vaccine, with its added protection for older populations and confirmed economic benefit. Most white beneficiaries received HD; no non-white subgroup did so. Mapping of the data confirmed subpar vaccination in vulnerable populations with wide variations at the zip code level. Conclusion Urgent and targeted efforts are needed to equitably increase IIV rates, thus protecting the most vulnerable populations from the negative health impact of influenza as well as the tax-paying public from the Medicare costs from failing to do so. Electronic supplementary material The online version of this article (10.1007/s12325-020-01324-y) contains supplementary material, which is available to authorized users. |
| تدمد: | 1865-8652 0741-238X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::be1edb89e2f894bdb3c4ab9ca506e84e https://doi.org/10.1007/s12325-020-01324-y |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....be1edb89e2f894bdb3c4ab9ca506e84e |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 18658652 0741238X |
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