Performance in Covid-19 Vaccination in The First Half Year: A Review and Analysis of Decentralized and Centralized Vaccination Organizations

Abstract

Western industrialized countries had similar vaccination policies in the COVID-19 pandemic but different vaccination organizations. Analyzing their performance in terms of publicly available vaccination rates revealed that decentralized as in the United States and centralized systems as in the United Kingdom had comparable start peak performance on international level and showed no significant differences in performance on a subnational level in Germany. In comparing peak performance, a mixture of both systems showed a 0.95% higher protection rate which would have resulted in estimated 17’995 less infections, 251 less Covid-19 related death and US$ 4.3 million less hospitalization costs in the United States. A mixture of centralized vaccination organization such as vaccination centers and decentralized vaccination through regional doctor practices deliver best results in the first phase of pandemic outbreaks given the first half year experience in the COVID-19 pandemic.