Thirty-six unvaccinated patients were identified.These patients received a personal telephone call from their primary care physician to offer a vaccination appointment and to answer any questions regarding the COVID-19 vaccine. The personal targeted outreach successfully reached 20 of 36 eligible patients, 15 of whom (75%) were referred to COVID-19 vaccination appointment (Supplemental Figure 1). Sixteen unvaccinated patients were unreachable despite multiple phone call attempts by the primary care physician. By April 15, 2021, 14 of 15 referred unvaccinated patients (93%) had received at least 1 dose of the vaccine through the clinic. Common themes among unvaccinated patients included the following: (1) lack of awareness about vaccine eligibility and appointment availability, (2) concern for vaccine safety and desire to "wait," and (3) general distrust/disbelief in the COVID-19 pandemic and/or vaccines. Due to the success of our innovation, an institutional staff-based outreach program has been initiated to scale this to the larger clinic population.
LEARNINGOur findings support the critical role of primary care in increasing access, equity, and patient uptake of COVID-19 vaccines. Although this innovation was limited by physician-intensive intervention, it was highly effective because patients valued input from their primary care physician. Similar outreach protocols could also be implemented in other areas of vaccine disparities, such as racial and ethnic groups.Read or post commentaries in response to this article.
Convents and convent-run institutions occupied an undefined legal space during the late nineteenth century. As homes for unmarried women, they combined religious ideas of holy seclusion with contemporary ideas of the feminine private sphere. However, women religious were also major providers of charity and welfare in Britain and Ireland, with many running charitable institutions. This brought them in closer contact with the state. As factory and workshop legislation towards the end of the nineteenth century expanded to include laundries, Catholic politicians used this ambiguous societal role to argue that Magdalene asylums deserved less inspection than for-profit laundries. In so doing, they both re-enforced nuns’ right to domestic privacy and promoted their operations as a social good. This created a legal exemption for convent-run laundries, which allowed them to operate with limited scrutiny or interference. An examination of the debates surrounding factory and workshop legislation from 1895 to 1907 exposes a precedent which continued well into the twentieth century.
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