Interactive, on-line visualization tools to measure and drive equity in COVID-19 vaccine administrations

Shaheen, Amy W.; Ciesco, Eileen; Johnson, Kevin; Kuhnen, Greg; Paolini, Christopher; Gartner, Gary

doi:10.1093/jamia/ocab180

Cited by 9 publications

(4 citation statements)

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“…The most common macro-level factors were epidemiologic and demographic factors. According to a study in California, vaccination rates were higher in areas with socially disadvantaged populations [ 41 ]. Countries with the most vulnerable groups to Covid-19 had priority on access to vaccination, higher doses, and thus better vaccination coverage [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Inequality in the distribution of Covid-19 vaccine: a systematic review

Bayati

Noroozi

Ghanbari-Jahromi

et al. 2022

Int J Equity Health

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Background The equality in the distribution of vaccines between and within countries along with follow sanitation tips and observe social distance, are effective strategies to rid the world of COVID-19 pandemic. Inequality in the distribution of COVID-19 vaccine, in addition to causing inequity to the population health, has a significant impact on the process of economic recovery. Methods All published original papers on the inequality of Covid-19 vaccine distribution and the factors affecting it were searched in PubMed, Web of Science, Scopus and ProQuest databases between December 2020 to 30 May 2022. Selection of articles, extraction of their data and qualitative assessment (by STROBE) were performed by two researchers separately. Data graphing form was used to extract detailed data from each study and then, the collected data were classified. Results A total of 4623 articles were evaluated. After removing duplicates and screening the title, abstract and full text of articles, 22 articles were selected and entered into the study. Fifteen (68.17%) studies were conducted in the United States, three (13.64%) in Europe, three (13.64%) in Asia and one (6.66%) in Oceania. Factors affecting the inequality in the distribution of COVID-19 vaccine were classified into macro and micro levels determinants. Conclusion Macro determinants of inequality in the Covid-19 vaccine distribution were consisted of economic (stability and country’s economic status, Gross Domestic Product (GDP) per capita, financial support and human development index), infrastructure and health system (appropriate information system, functional cold chains in vaccine transport, transport infrastructure, medical and non-medical facilities per capita, healthcare access and quality), legal and politics (vaccination allocation rules, health policies, political ideology and racial bias), and epidemiologic and demographic factors (Covid-19 incidence and deaths rate, life expectancy, vulnerability to Covid-19, working in medical setting, comorbidities, social vulnerability, incarceration and education index). Moreover, micro/ individual level factors were included in economic (household’s income, home ownership, employment, poverty, access to healthy food and residency in the deprived areas) and demographic and social characteristics (sex, age, race, ethnic, religion, disability, location (urban/rural) and insurance coverage).

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Section: Discussionmentioning

confidence: 99%

Inequality in the distribution of Covid-19 vaccine: a systematic review

Bayati

Noroozi

Ghanbari-Jahromi

et al. 2022

Int J Equity Health

View full text Add to dashboard Cite

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“…During the COVID-19 pandemic, health systems responded by prioritizing vaccine administration for at-risk groups, such as health care workers 12 and optimizing resource management for mass vaccination efforts. 13 Other informatics support, such as visualization tools, 14 automated scheduling, 15 and innovative use of Social Vulnerability Index, 3,16 can help health systems measure the reach of vaccination to vulnerable groups. However, Diaz and colleagues 17 found the proportion of Black and Hispanic individuals receiving COVID-19 vaccine was substantially higher with direct outreach through community-based organizations (CBOs) than online self-scheduling that reserved vaccination for underserved groups in specific zip codes.…”

Section: Background and Significancementioning

confidence: 99%

Improving Vaccine Equity: How Community Engagement and Informatics Facilitate Health System Outreach to Underrepresented Groups

Xie,

Mah,

Chew

et al. 2024

Appl Clin Inform

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Background Given the inequities in access to health care resources like COVID-19 vaccination, health systems should carefully consider how to reach underrepresented groups. Reflecting on vaccine rollout efforts holds insight on the role of community engagement and informatics support in promoting health equity. Objectives This study aimed to assess the effectiveness of four outreach strategies deployed by University of Washington (UW) Medicine in improving vaccine equity over traditional vaccine scheduling online or by phone, we report on appointment scheduling and completion of appointments (i.e., vaccine administration) through (1) automated outreach to individuals from underrepresented groups, (2) temporary “pop-up” clinics in neighborhoods highly impacted by COVID-19, (3) vulnerable population clinics, and (4) mobile vaccine vans. Methods We conducted a 6-month retrospective analysis of electronic health records (EHR) to describe the sociodemographic characteristics of individuals who scheduled appointments using the outreach strategies and characteristics associated with a greater likelihood of vaccine administration based on appointment completion. To help explain trends in the EHR data, we engaged 10 health system leaders and staff who spearheaded the outreach strategies in follow-up conversations to identify qualitative insights into what worked and why. Results Compared with traditional scheduling, all outreach strategies except vulnerable population clinics had higher vaccine appointment completion rates, including automated outreach (N = 3,734 [94.7%], p < 0.001), pop-up clinics (N = 4,391 [96.0%], p < 0.001), and mobile vans (N = 4,198 [99.1%], p < 0.001); and lower cancellation rates, including automated outreach (N = 166 [1.1%], p < 0.001), pop-up clinics (N = 155 [0.6%], p < 0.001), and mobile vans (N = 0 [0%], p < 0.001). Qualitative insights emphasized ongoing community partnerships and information resources in successful outreach. Conclusion Vaccine equity outreach strategies improved the proportion of patients who scheduled and completed vaccination appointments among populations disproportionately impacted by COVID-19. Engaging community partners and equity-focused informatics tools can facilitate outreach. Lessons from these outreach strategies carry practical implications for health systems to amplify their health equity efforts.

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“…The configuration of dashboards for mobile telephone use has ensured more widespread access to COVID-19 data, reflecting contemporary preferences for public consumption of information [ 22 ]. However, some organizations make online data visualisation platforms only available only by paid subscription (such as the New York Times and The Telegraph) or limit access to authorized individuals due to the sensitive nature of the data (such as the COVER-NC vaccine equity dashboard [ 23 ]). Interestingly, the COVID-19 scraper is openly reported to have functions to bypass mechanisms for restricting data access [ 21 ], thereby allowing wider dissemination of information that some official bodies consider sufficiently sensitive to restrict.…”

Section: Access Control For Data Visualisation Platformsmentioning

confidence: 99%

Spatial and Temporal Data Visualisation for Mass Dissemination: Advances in the Era of COVID-19

Clements

2023

TropicalMed

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The COVID-19 pandemic is the first major pandemic of the digital age and has been characterised by unprecedented public consumption of spatial and temporal disease data, which can enable greater transparency and accountability of governments to the public for their public health decisions. A variety of state and non-state actors have collated and presented maps, charts, and plots of data related to the pandemic in both static and dynamic formats. In particular, there has been a proliferation of online dashboards presenting data related to the pandemic. The sources and types of information displayed have evolved rapidly during the pandemic, with a general trend towards providing more specialised information pertinent to specific aspects of epidemiology or disease control, as opposed simply to disease and death notifications. Limited evaluation of the quality of COVID-19 data visualisation tools has been conducted and significant effort now needs to be spent on standardisation and quality improvement of national and international data visualisation systems including developing common indicators, data quality assurance mechanisms and visualisation approaches, and building compatible electronic systems for data collection and sharing. The increasing availability of disease data for public consumption presents challenges and opportunities for government, media organisations, academic research institutions, and the general public. A key challenge is ensuring consistency and effectiveness of public health messaging to ensure a coordinated response and public trust in intervention strategies. Capitalising on opportunities for greater government accountability for public health decision-making, and more effective mobilisation of public health interventions, is predicated on the provision of accurate and timely information.

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Interactive, on-line visualization tools to measure and drive equity in COVID-19 vaccine administrations

Cited by 9 publications

References 0 publications

Inequality in the distribution of Covid-19 vaccine: a systematic review

Inequality in the distribution of Covid-19 vaccine: a systematic review

Improving Vaccine Equity: How Community Engagement and Informatics Facilitate Health System Outreach to Underrepresented Groups

Spatial and Temporal Data Visualisation for Mass Dissemination: Advances in the Era of COVID-19

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