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Perception and determinants of Social Networking Sites (SNS) on spreading awareness and panic during the COVID-19 pandemic in Bangladesh 社交网站(SNS)在孟加拉国COVID-19大流行期间传播意识和恐慌的感知和决定因素
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100075
Mohammad Omar Faruk , Popy Devnath , Sanchita Kar , Eshiika Afsana Eshaa , Hakka Naziat
{"title":"Perception and determinants of Social Networking Sites (SNS) on spreading awareness and panic during the COVID-19 pandemic in Bangladesh","authors":"Mohammad Omar Faruk ,&nbsp;Popy Devnath ,&nbsp;Sanchita Kar ,&nbsp;Eshiika Afsana Eshaa ,&nbsp;Hakka Naziat","doi":"10.1016/j.hpopen.2022.100075","DOIUrl":"10.1016/j.hpopen.2022.100075","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic is an unprecedented and unique fallout worldwide and creates colossal disruption in human survival. During the pandemic, social networking sites (SNS) played a significant role in disseminating news related to the pandemic.</p></div><div><h3>Methods</h3><p>This research is based on primary data collected from 400 successful respondents via online Google Form. Bivariate Pearson's Chi-square and multivariate binary logistic regression analysis were performed to determine the impact of the explanatory variables on the study variables.</p></div><div><h3>Results</h3><p>This study reveals that most respondents (n = 360, 90 %) use SNS to get up-to-date news, and 72.5 % (n = 290) read health-related information. The highest number of participants (n = 386, 96.5 %) were Facebook users. Multivariate binary logistic regression reveals that “reading news on SNS” and “sharing information related to COVID-19 on social media” significantly influence the spread of awareness of COVID-19. “Unauthentic news sources” and “stop using social media to stay away from panic” also have a substantial impact on the spread of panic during the COVID-19 pandemic.</p></div><div><h3>Conclusion</h3><p>SNS has become an inevitable medium of information carrier nowadays. Social media users are found significantly aware of the COVID-19 pandemic. The findings of this study might assist the concerned persons in taking the necessary steps to propagate authentic news and regulate appropriate policies to prevent spreading misinformation.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100075"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/0a/main.PMC9330577.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10799119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Learning from the first wave of the COVID-19 pandemic: Comparing policy responses in Uruguay with 10 other Latin American and Caribbean countries 从第一波COVID-19大流行中吸取教训:乌拉圭与其他10个拉丁美洲和加勒比国家的政策应对措施比较
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100081
Victoria Haldane , Mariana Morales-Vazquez , Margaret Jamieson , Jeremy Veillard , Gregory P. Marchildon , Sara Allin
{"title":"Learning from the first wave of the COVID-19 pandemic: Comparing policy responses in Uruguay with 10 other Latin American and Caribbean countries","authors":"Victoria Haldane ,&nbsp;Mariana Morales-Vazquez ,&nbsp;Margaret Jamieson ,&nbsp;Jeremy Veillard ,&nbsp;Gregory P. Marchildon ,&nbsp;Sara Allin","doi":"10.1016/j.hpopen.2022.100081","DOIUrl":"10.1016/j.hpopen.2022.100081","url":null,"abstract":"<div><p>A range of public health and social measures have been employed in response to the disproportionate impact of COVID-19 in Latin America and the Caribbean (LAC). Yet, pandemic responses have varied across the region, particularly during the first 6 months of the pandemic, with Uruguay effectively limiting transmission during this crucial phase. This review describes features of pandemic responses which may have contributed to Uruguay’s early success relative to 10 other LAC countries - Argentina, Chile, Ecuador, El Salvador, Guatemala, Haiti, Honduras, Panama, Paraguay, and Trinidad and Tobago. Uruguay differentiated its early response efforts from reviewed countries by foregoing strict border closures and restrictions on movement, and rapidly implementing a suite of economic and social measures. Our findings describe the importance of supporting adherence to public health interventions by ensuring that effective social and economic safety net measures are in place to permit compliance with public health measures.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100081"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/8d/main.PMC9661545.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9188995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The value of lost output and cost of illness of noncommunicable diseases in the Pacific 太平洋地区产出损失的价值和非传染性疾病的费用
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100073
Xiaohui Hou , Ian Anderson , Ethan-John Burton-Mckenzie
{"title":"The value of lost output and cost of illness of noncommunicable diseases in the Pacific","authors":"Xiaohui Hou ,&nbsp;Ian Anderson ,&nbsp;Ethan-John Burton-Mckenzie","doi":"10.1016/j.hpopen.2022.100073","DOIUrl":"10.1016/j.hpopen.2022.100073","url":null,"abstract":"<div><h3>Background and Objectives</h3><p>The Pacific Island Countries face some of the highest rates of Noncommunicable Diseases (NCDs). This study estimates the economic costs of NCDs for each year from 2015 to 2040, focusing on eleven Pacific Island nations.</p><p>Data and Methods:</p><p>Two methods were used to estimate the mortality and morbidity costs using a ‘value of lost output’ and ‘cost of illness’ approach respectively.</p></div><div><h3>Results</h3><p>Five results stand out in terms of projected economic costs of NCD mortality and morbidity analyses in the Pacific: (i) The economic burden of NCDs in the Pacific is greater than expected for middle-income countries; (ii) Although cardiovascular disease is the biggest contributor to the mortality burden in the region, diabetes plays a far greater role in the Pacific countries compared to the global average; (iii) The economic burden of NCDs is increasing with time, especially as incomes rise; (iv)The biggest driver of lost output is the potential loss of labor due to early death from NCDs; and (v) The cost of illness due to diabetes is high across the Pacific countries, with highest among the Polynesian countries.</p></div><div><h3>Conclusions</h3><p>NCDs alone can put enormous threat to the small Pacific economies. Targeted interventions to reduce disease prevalence, as outlined in the Pacific NCDs Roadmap, are vital to reduce the long-term costs associated with NCD mortality and morbidity.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100073"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fa/8e/main.PMC10297817.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9734408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Subnational variations in electricity access and infant mortality: Evidence from Ghana 电力供应和婴儿死亡率的地方差异:来自加纳的证据
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2021.100057
Mikidadu Mohammed , Mathias Akuoko
{"title":"Subnational variations in electricity access and infant mortality: Evidence from Ghana","authors":"Mikidadu Mohammed ,&nbsp;Mathias Akuoko","doi":"10.1016/j.hpopen.2021.100057","DOIUrl":"10.1016/j.hpopen.2021.100057","url":null,"abstract":"<div><h3>Objectives</h3><p>The study investigated the relationship between electricity access and infant mortality at the subnational level in Ghana, controlling for correlates such as birth interval, children living with both parents, women’s education, and income distribution.</p></div><div><h3>Methods</h3><p>The study employed a pooled cross-section regression approach using data from the Ghana Demographic and Health Survey (GDHS) for 10 administrative regions from 1993 to 2014. The GDHS is a detailed data set that provides comprehensive information on households and their socio-economic and demographic characteristics in Ghana.</p></div><div><h3>Results</h3><p>The results show that in regions with low incidence of infant mortality, a 10% improvement in electricity access reduces infant death by 11.8 per 1,000 live births, whereas in high mortality regions, improvement in electricity access has no impact on infant death. Birth interval reduces the risk of infant death in low mortality regions but not in high mortality regions. Children living with both parents have a high probability of survivorship in high mortality regions. Women’s median years of education lowers the likelihood of infant death in high mortality regions but increases the likelihood in low mortality regions. Wealth distribution is inconsequential for infant death in low mortality regions, but in high mortality regions, both the wealthiest and the poorest experienced significant decline in infant death.</p></div><div><h3>Conclusions</h3><p>The findings underscore the fruitfulness of investigating the effects of electricity access and other correlates on infant mortality at the subnational level. The study recommends that the provision of reliable access to electricity is needed to improve infant mortality rates. However, policies that seek to improve access to reliable electricity should be implemented together with health infrastructure development policies, especially in the regions with high infant mortality rates, for electricity access to have the desired effect.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100057"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Physicians’ perceptions of generic drugs in China 中国医生对仿制药的看法
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100067
Jia-Hui He , De-Wei Shang , Zhan-Zhang Wang , Xiao-Fang Li , Yu-Guan Wen
{"title":"Physicians’ perceptions of generic drugs in China","authors":"Jia-Hui He ,&nbsp;De-Wei Shang ,&nbsp;Zhan-Zhang Wang ,&nbsp;Xiao-Fang Li ,&nbsp;Yu-Guan Wen","doi":"10.1016/j.hpopen.2022.100067","DOIUrl":"10.1016/j.hpopen.2022.100067","url":null,"abstract":"<div><h3>Background</h3><p>In recent years, there has been a significant worldwide increase in the use of generic drugs. China has committed to a consistency evaluation of generic drugs, with the aim to improve the rate of substitution. However, there is little research on physicians’ perceptions of generic drugs in China.</p></div><div><h3>Objective</h3><p>The study aimed to explore the perceptions of physicians in China toward generic drugs.</p></div><div><h3>Methods</h3><p>Perceptions of Chinese physicians towards generic drugs were evaluated by a cross-sectional study from June to July 2020. The online survey tool Sojump was adopted to distribute the questionnaires using convenience sampling. A total of 598 questionnaires were analyzed.</p></div><div><h3>Results</h3><p>Perceptions of Chinese physicians towards generic drugs are generally positive. However, not all physicians appear to have sufficient knowledge about generic drugs and some of them expressed negative perceptions of generic drugs, such as perceiving generic drugs as less effective and more likely to cause side effects compared to brand-name drugs. There were significant differences in physicians’ opinions about generic drugs according to age group, years in practice, educational background, clinical specialty and residential area.</p></div><div><h3>Conclusion</h3><p>It is imperative to provide physicians with more extensive education about the consistency evaluation of generic drugs to meet the policy goal of reducing overall national medical healthcare costs.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100067"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/98/c2/main.PMC10297729.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Exploring the strategies for upgrading the rural unqualified health practitioners in West Bengal, India: A knowledge, attitude and practices assessment-based approach 探索提升印度西孟加拉邦农村不合格卫生从业人员的战略:基于知识、态度和做法评估的方法
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100083
Dhiman Debsarma
{"title":"Exploring the strategies for upgrading the rural unqualified health practitioners in West Bengal, India: A knowledge, attitude and practices assessment-based approach","authors":"Dhiman Debsarma","doi":"10.1016/j.hpopen.2022.100083","DOIUrl":"10.1016/j.hpopen.2022.100083","url":null,"abstract":"<div><h3>Introduction</h3><p>Rural Unqualified Health Practitioners (RUHPs) are more common in the village health system in India and other developing countries. They only provides primary care to patients with diarrhea, cough, malaria, dengue, ARI/pneumonia, skin diseases, etc. As they are unqualified so their quality of health practices is substandard and inappropriate to practices.</p></div><div><h3>Objective and contribution</h3><p>The intention of this work was to assess the Knowledge, Attitude, and Practices (KAP) of diseases among RUHPs and proposing a blueprint of potential intervention strategies for improving their knowledge and practice.</p></div><div><h3>Materials and methods</h3><p>The study has used a cross-sectional primary data and adopted quantitative approach. For assessment purpose, a composite KAP Score was constructed for two diseases (malaria and dengue).</p></div><div><h3>Results</h3><p>The study observed that the KAP Score amongst the RUHPs are on average (about 50%) in most of the individual variables and composite scores for malaria and dengue in West Bengal, India. Their KAP score increased with age, level of education, working experiences, type of practitioners, using android mobile, work satisfaction, organization membership, attending RMP/Government workshop, heard WHO/IMC treatment protocol.</p></div><div><h3>Conclusion</h3><p>The study suggested multistage interventions includes targeting young practitioners, allopathic and homeopathic quack, launching ubiquitous app-based medical-learning, and government-sponsored workshop should be significant interventions to improve the level of knowledge, change positive attitudes, and adhere to standard health practice.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100083"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/ca/main.PMC10297518.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Potential licensing reforms in light of COVID-19 鉴于COVID-19可能进行的许可改革
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2021.100062
Edward Timmons , Conor Norris
{"title":"Potential licensing reforms in light of COVID-19","authors":"Edward Timmons ,&nbsp;Conor Norris","doi":"10.1016/j.hpopen.2021.100062","DOIUrl":"10.1016/j.hpopen.2021.100062","url":null,"abstract":"<div><p>In 2020, COVID-19 threatened to overwhelm healthcare capacity, forcing policymakers to enact temporary waivers of licensing restrictions. Research finds that occupational licensing reduces the supply of professionals in a regulated field, and reduces geographic mobility, contributing to the primary care professional shortage. Scope of practice laws reduce the flexibility of practitioners, exacerbating these shortages. Given the fact that policymakers and healthcare professionals recognized the shortcomings to our current licensing regime during the COVID-19 pandemic, we should consider alternatives that still ensure quality care for patients without restricting access and reducing flexibility. We rank six alternatives currently being considered to address the primary care shortage from most to least effective. While efforts to expand the supply of physicians or NPs and PAs would be the most effective reforms to expand access to primary care, others that better utilize our existing supply of healthcare professionals are worth considering.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100062"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/e6/main.PMC8654457.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10490857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Priority setting for pandemic preparedness and response: A comparative analysis of COVID-19 pandemic plans in 12 countries in the Eastern Mediterranean Region 确定大流行防范和应对的重点:对东地中海区域12个国家COVID-19大流行计划的比较分析
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100084
S.Donya Razavi , Mariam Noorulhuda , C. Marcela Velez , Lydia Kapiriri , Bernardo Aguilera Dreyse , Marion Danis , Beverly Essue , Susan D. Goold , Elysée Nouvet , Iestyn Williams
{"title":"Priority setting for pandemic preparedness and response: A comparative analysis of COVID-19 pandemic plans in 12 countries in the Eastern Mediterranean Region","authors":"S.Donya Razavi ,&nbsp;Mariam Noorulhuda ,&nbsp;C. Marcela Velez ,&nbsp;Lydia Kapiriri ,&nbsp;Bernardo Aguilera Dreyse ,&nbsp;Marion Danis ,&nbsp;Beverly Essue ,&nbsp;Susan D. Goold ,&nbsp;Elysée Nouvet ,&nbsp;Iestyn Williams","doi":"10.1016/j.hpopen.2022.100084","DOIUrl":"10.1016/j.hpopen.2022.100084","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic has significantly disrupted health systems and exacerbated pre-existing resource gaps in the Eastern Mediterranean Region (WHO-EMRO). Active humanitarian and refugee crises have led to mass population displacement and increased health system fragility, which has implication for equitable priority setting (PS). We examine whether and how PS was included in national COVID-19 pandemic plans within EMRO.</p></div><div><h3>Methods</h3><p>An analysis of COVID-19 pandemic response and preparedness planning documents from a sample of 12/22 countries in WHO-EMRO. We assessed the degree to which documented PS processes adhere to twenty established quality parameters of effective PS.</p></div><div><h3>Results</h3><p>While all reviewed plans addressed some aspect of PS, none included all quality parameters. Yemen’s plan included the highest number (9) of quality parameters, while Egypt’s addressed the lowest (3). Most plans used evidence in their planning processes. While no plans explicitly identify equity as a criterion to guide PS; many identified vulnerable populations - a key component of equitable PS. Despite high concentrations of refugees, migrants, and IDPs in EMRO, only a quarter of the plans identified them as vulnerable.</p></div><div><h3>Conclusion</h3><p>PS setting challenges are exacerbated by conflict and the resulting health system fragmentation. Systematic and quality PS is essential to tackle long-term health implications of COVID-19 for vulnerable populations in this region, and to support effective PS and equitable resource allocation.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100084"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/58/main.PMC9673227.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9570125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Willingness and ability to pay for health insurance in Afghanistan 在阿富汗支付医疗保险的意愿和能力
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100076
Ajmal Behzad , Irit Sinai , Omarizaman Sayedi , Karim Alawi , Farhad Farewar , Wu Zeng
{"title":"Willingness and ability to pay for health insurance in Afghanistan","authors":"Ajmal Behzad ,&nbsp;Irit Sinai ,&nbsp;Omarizaman Sayedi ,&nbsp;Karim Alawi ,&nbsp;Farhad Farewar ,&nbsp;Wu Zeng","doi":"10.1016/j.hpopen.2022.100076","DOIUrl":"10.1016/j.hpopen.2022.100076","url":null,"abstract":"<div><p>The study assessed willingness to join and willingness to pay for health-insurance in Afghanistan and identified associated determinants. A household survey was conducted. Two health-insurance and two medicine-insurance packages were explained to respondents, who were then asked if they would be willing to join the packages and pay for them. The double-bounded dichotomous choice contingent valuation method was used to elicit the maximum amount respondents would be willing to pay for the various benefit packages. Logistic and linear regression models were used to examine determinants of willingness to join and willingness to pay. Most respondents had never heard of health insurance. And yet, when they were told about it, the vast majority of respondents said they would be willing to join one of the four benefit packages and pay for them, ranging from 70.7% for a medicine-only package that included only essential medicines, to 92.4% for a health-insurance package that would cover only primary and secondary care. The average willingness to pay cost was 1,236 (US$21.3), 1,512 (US$26.0), 778 (US$13.4) and 430 (US$7.4) Afghani per person, per year for the primary and secondary; comprehensive primary, secondary and some tertiary; all medicine; and essential medicine packages; respectively. Key determinants of willingness to join, and to pay were similar, including the provinces where respondents were located, wealth status, health expenditures and some demographic characteristics.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100076"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/4b/main.PMC10297770.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9734405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The disparate impact of age-based COVID-19 vaccine prioritization by race/ethnicity in Denver, Colorado 科罗拉多州丹佛市基于年龄的COVID-19疫苗按种族/族裔优先排序的差异影响
Health Policy Open Pub Date : 2022-12-01 DOI: 10.1016/j.hpopen.2022.100074
Kaylynn Aiona , Emily Bacon , Laura J. Podewils , Michelle K. Haas
{"title":"The disparate impact of age-based COVID-19 vaccine prioritization by race/ethnicity in Denver, Colorado","authors":"Kaylynn Aiona ,&nbsp;Emily Bacon ,&nbsp;Laura J. Podewils ,&nbsp;Michelle K. Haas","doi":"10.1016/j.hpopen.2022.100074","DOIUrl":"10.1016/j.hpopen.2022.100074","url":null,"abstract":"<div><p>COVID-19 vaccines are an effective tool in preventing severe disease. Most states used an age-based prioritization for vaccine rollout. We examined the impact of a primarily age-based prioritization policy on reductions of severe disease in different racial and ethnic groups. We calculated age-specific rates of COVID-19 hospitalization and death by race/ethnicity in Denver, Colorado. To assess potentially averted hospitalizations and deaths by race/ethnicity, we then applied the first three phases of Colorado’s primarily age-based vaccine rollout criteria to historical 2020 COVID-19 hospitalizations and deaths in Denver, Colorado. In the first 3 phases, 40% (1403/3473) of hospitalizations and 83% (503/604) of deaths occurred among those meeting age and long-term care facility criteria and could have been averted. Impacts varied by race/ethnicity with only 28% (440/1587) of hospitalizations and 74% (131/178) of deaths averted among Hispanic or Latino residents, compared to 57% (619/1094) of hospitalizations and 92% (252/274) of deaths among non-Hispanic White residents. We demonstrate using local data and policy that early age-based prioritization decisions disproportionately promoted reductions in severe disease among non-Hispanic White residents irrespective of COVID-19 risk in Denver, Colorado. These findings suggest that more equitable future vaccine prioritization policies, which lead with a goal of reducing health disparities through prioritizing susceptibility to adverse health outcomes rather than overall population-based cutoffs, are necessary. Our results have implications for future vaccination rollouts in limited vaccine resource conditions.</p></div>","PeriodicalId":34527,"journal":{"name":"Health Policy Open","volume":"3 ","pages":"Article 100074"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1f/35/main.PMC9306219.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10433715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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