The Rapid Evaluation of COVID-19 Vaccination in Emergency Departments for Underserved Patients Study.
The Rapid Evaluation of COVID-19 Vaccination in Emergency Departments for Underserved Patients Study.
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DOI：
10.1016/j.annemergmed.2021.05.026
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发表时间：
2021-10
影响因子：
6.2
通讯作者：
REVVED UP Investigators
中科院分区：
文献类型：
--
作者：
Rodriguez RM;Torres JR;Chang AM;Haggins AN;Eucker SA;O'Laughlin KN;Anderson E;Miller DG;Wilkerson RG;Caldwell M;Lim SC;Raja AS;Baumann BM;Graterol J;Eswaran V;Chinnock B;REVVED UP Investigators
急诊部门（ED）通常为可能缺乏初级保健并遭受COVID-19大流行影响的弱势人群提供服务。比较有和没有常规医疗护理来源的患者以及其他艾德患者特征，我们评估了COVID-19疫苗犹豫、不想接种疫苗的原因、对疫苗接种地点的感知以及接种疫苗作为艾德护理一部分的意愿。这是一项从2020年12月10日至2021年3月7日在15个安全网美国ED进行的横断面调查。主要结局是COVID-19疫苗犹豫、疫苗犹豫的原因以及可能接受COVID-19疫苗的地点（包括ED）。在2，575名患者中，2，301名（89.4%）参与。在18.4%缺乏常规医疗保健来源的受访者中，65%的人将艾德作为他们通常的医疗保健来源。总体疫苗犹豫率为39%; 15个研究中心的范围为28%至58%。缺乏常规医疗来源的受访者比有常规医疗来源的受访者更常对疫苗犹豫不决（47%对38%，9%差异，95%置信区间4%至14%）。与更大的疫苗犹豫相关的其他特征是年龄较小，女性，黑人，拉丁裔，以及在过去5年内没有接受过流感疫苗。在61%愿意接受COVID-19疫苗的受访者中，21%的人表示他们缺乏接受疫苗的初级医生或诊所;绝大多数（95%）受访者将接受COVID-19疫苗作为他们在ED的护理的一部分。缺乏常规医疗护理来源的艾德患者对COVID-19疫苗接种特别犹豫。大多数COVID-19疫苗接受者会接受它作为他们在急诊室护理的一部分。急诊室可能在COVID-19疫苗信息传递和向高度脆弱人群提供疫苗方面发挥关键作用。
Emergency departments (EDs) often serve vulnerable populations who may lack primary care and have suffered disproportionate COVID-19 pandemic effects. Comparing patients having and lacking a regular source of medical care and other ED patient characteristics, we assessed COVID-19 vaccine hesitancy, reasons for not wanting the vaccine, perceived access to vaccine sites, and willingness to get the vaccine as part of ED care. This was a cross-sectional survey conducted from December 10, 2020, to March 7, 2021, at 15 safety net US EDs. Primary outcomes were COVID-19 vaccine hesitancy, reasons for vaccine hesitancy, and sites (including EDs) for potential COVID-19 vaccine receipt. Of 2,575 patients approached, 2,301 (89.4%) participated. Of the 18.4% of respondents who lacked a regular source of medical care, 65% used the ED as their usual source of health care. The overall rate of vaccine hesitancy was 39%; the range among the 15 sites was 28% to 58%. Respondents who lacked a regular source of medical care were more commonly vaccine hesitant than those who had a regular source of medical care (47% versus 38%, 9% difference, 95% confidence interval 4% to 14%). Other characteristics associated with greater vaccine hesitancy were younger age, female sex, Black race, Latinx ethnicity, and not having received an influenza vaccine in the past 5 years. Of the 61% who would accept a COVID-19 vaccine, 21% stated that they lacked a primary physician or clinic at which to receive it; the vast majority (95%) of these respondents would accept the COVID-19 vaccine as part of their care in the ED. ED patients who lack a regular source of medical care are particularly hesitant regarding COVID-19 vaccination. Most COVID-19 vaccine acceptors would accept it as part of their care in the ED. EDs may play pivotal roles in COVID-19 vaccine messaging and delivery to highly vulnerable populations.
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影响因子：
4
作者：
Bonevski B;Randell M;Paul C;Chapman K;Twyman L;Bryant J;Brozek I;Hughes C
通讯作者：
Hughes C
影响因子：
39.2
作者：
Fisher, Kimberly A.;Bloomstone, Sarah J.;Mazor, Kathleen M.
通讯作者：
Mazor, Kathleen M.
影响因子：
4.4
作者：
Maldonado, Cynthia Z.;Rodriguez, Robert M.;Lovato, Luis M.
通讯作者：
Lovato, Luis M.
影响因子：
5.9
作者：
Chen, George;Kazmi, Masooma;Phillips, Jedan
通讯作者：
Phillips, Jedan
影响因子：
9.7
作者：
Kellermann, Arthur L.;Hsia, Renee Y.;Morganti, Kristine G.
通讯作者：
Morganti, Kristine G.