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J Public Health (Oxf) . ED-based COVID-19 vaccination campaign finds higher vaccination rates for individuals from racial and ethnic minority group

tetano

Editor, Senior Moderator
J Public Health (Oxf)


. 2022 Jul 12;fdac072.
doi: 10.1093/pubmed/fdac072. Online ahead of print.
ED-based COVID-19 vaccination campaign finds higher vaccination rates for individuals from racial and ethnic minority groups compared with clinic setting


Sarah K Wendel[SUP] 1 [/SUP], Conner L Jackson[SUP] 2 [/SUP], Daniel Resnick-Ault[SUP] 1 [/SUP], Gabrielle Jacknin[SUP] 3 [/SUP], Richard D Zane[SUP] 1 [/SUP], Sean S Michael[SUP] 1 [/SUP], Kelly J Bookman[SUP] 1 [/SUP], Adit A Ginde[SUP] 1 [/SUP]



Affiliations

Abstract

Background: Emergency department visits associated with Coronavirus Disease 2019 (COVID-19) continue to indicate racial and ethnic inequities. We describe the sociodemographic characteristics of individuals receiving COVID-19 vaccination in the emergency department and compare with an outpatient clinic population and emergency department (ED) patients who were eligible but not vaccinated.
Methods: We conducted a retrospective analysis of electronic health record data at an urban academic ED from May to July 2021. The primary aim was to characterize the ED-vaccinated population, compared with ED patients who were eligible but unvaccinated and the physically adjacent outpatient vaccination clinic population.
Results: A total of 627 COVID-19 vaccinations were administered in the ED. Overall, 49% of ED patients during that time had already received at least one vaccine dose prior to ED arrival. Hispanic, non-Hispanic Black patients, and patients on non-commercial insurance had higher odds of being vaccinated in the ED as compared with outpatient clinic setting. Among eligible ED patients, men and patients who were uninsured/self-pay were more likely to accept ED vaccination.
Conclusions: This ED COVID-19 vaccination campaign demonstrated a higher likelihood to vaccinate individuals from racial/ethnic minority groups, those with high social vulnerability, and non-commercial insurance, when compared with a co-located outpatient vaccination clinic.

Keywords: COVID-19; SARS-CoV-2; emergency care; emergency medicine; vaccination.
 
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