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利用综合数据和绘图工具实现 COVID-19 疫苗接种的公平性目标:俄亥俄州哥伦布市和富兰克林县学术界、公共卫生和医疗保健系统之间的合作。

Addressing Health Equity Goals for COVID-19 Vaccination Using Integrated Data and Mapping Tools: A Collaboration Between Academia, Public Health, and Health Care Systems in Columbus and Franklin County, Ohio.

机构信息

Division of Environmental Health Science, College of Public Health, The Ohio State University, Columbus, Ohio (Dr Hyder); Columbus Public Health, Columbus, Ohio (Mss Graffagnino and Bennett and Mr French); Franklin County Public Health, Columbus, Ohio (Mss Dent, Jones, and McAdams and Drs Wontumi and Baryeh); OhioHealth, Columbus, Ohio (Mss Barbeau and Glover); Center for HOPES, College of Public Health, The Ohio State University, Columbus, Ohio (Dr Nawaz); and Resolve to Save Lives, an initiative of Vital Strategies, New York, New York (Ms Wontumi and Dr Baryeh).

出版信息

J Public Health Manag Pract. 2022;28(6):739-748. doi: 10.1097/PHH.0000000000001550. Epub 2022 Aug 3.

Abstract

CONTEXT

Data sharing between local health departments and health care systems is challenging during public health crises. In early 2021, the supply of COVID-19 vaccine was limited, vaccine appointments were difficult to schedule, and state health departments were using a phased approach to determine who was eligible to get the vaccine.

PROGRAM

Multiple local health departments and health care systems with the capacity for mobile and pop-up vaccine clinics came together in Columbus and Franklin County, Ohio, with a common objective to coordinate where, when, and how to set up mobile/pop-up COVID-19 vaccine clinics. To support this objective, the Equity Mapping Tool, which is a set of integrated tools, workflows, and processes, was developed, implemented, and deployed in partnership with an academic institution.

IMPLEMENTATION

The Equity Mapping Tool was designed after a rapid community engagement phase. Our analytical approaches were informed by community engagement activities, and we translated the Equity Mapping Tool for stakeholders, who typically do not share timely and granular data, to build capacity for data-enabled decision making.

DISCUSSION

We discuss our observations related to the sustainability of the Equity Mapping Tool, lessons learned for public health scientists/practitioners, and future directions for extending the Equity Mapping Tool to other jurisdictions and public health crises.

摘要

背景

在公共卫生危机期间,地方卫生部门和医疗保健系统之间的数据共享具有挑战性。2021 年初,COVID-19 疫苗供应有限,疫苗预约难以安排,州卫生部门正在采用分阶段的方法来确定谁有资格接种疫苗。

方案

在俄亥俄州哥伦布市和富兰克林县,有多个具备移动和弹出式疫苗接种诊所能力的地方卫生部门和医疗保健系统,它们有着共同的目标,即协调在哪里、何时以及如何设立移动/弹出式 COVID-19 疫苗接种诊所。为了支持这一目标,与一家学术机构合作开发、实施和部署了一套综合工具、工作流程和流程,即公平映射工具。

实施

公平映射工具是在快速的社区参与阶段之后设计的。我们的分析方法受到社区参与活动的启发,并为利益相关者(通常不会共享及时和详细数据)翻译了公平映射工具,以建立数据驱动决策的能力。

讨论

我们讨论了与公平映射工具的可持续性相关的观察结果、公共卫生科学家/从业人员的经验教训,以及将公平映射工具扩展到其他司法管辖区和公共卫生危机的未来方向。

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