COVID-19 Vaccination: Concerning Trends in Primary Care Health Professional Shortage Areas

Hao Yu; Michael Klompas; Aaron Kofner; Marcela Horvitz-Lennon; Fang Zhang; Susan McKernan

doi:10.1016/j.amepre.2021.12.024

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COVID-19 Vaccination: Concerning Trends in Primary Care Health Professional Shortage Areas

Journal article

Open access

Peer reviewed

COVID-19 Vaccination: Concerning Trends in Primary Care Health Professional Shortage Areas

Hao Yu, Michael Klompas, Aaron Kofner, Marcela Horvitz-Lennon, Fang Zhang and Susan McKernan

American journal of preventive medicine, Vol.63(1), pp.e31-e33

07/2022

DOI: 10.1016/j.amepre.2021.12.024

PMCID: PMC8825564

PMID: 35277314

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Abstract

Widespread vaccination is the most promising way to control the coronavirus disease 2019 (COVID-19) pandemic. Unfortunately, U.S. vaccination rates have stagnated. The rates are particularly low among racial/ethnic minority groups1 and rural residents.2 Although much of the discussion about low vaccination centers on person-level factors, the role of healthcare system factors is not well understood. An important system factor is the availability of primary care physicians, who play an integral role in counseling patients regarding the risks and benefits of vaccination. The U.S., however, has a considerable shortage of primary care providers with >84 million (25%) Americans living in primary care health professional shortage areas (PC-HPSAs).3 These are concentrated, but not exclusively located, in rural areas (61%)4 and have complex demographic patterns.5 Previous studies have reported higher rates of COVID-19 infection and deaths in full-county PC-HPSAs.6 This study assesses the association between COVID-19 vaccination rates and county PC-HPSA status.

COVID-19

Details

Title: Subtitle: COVID-19 Vaccination: Concerning Trends in Primary Care Health Professional Shortage Areas
Creators: Hao Yu - Harvard Pilgrim Health Care
Michael Klompas - Harvard Pilgrim Health Care
Aaron Kofner - RAND Corporation
Marcela Horvitz-Lennon - RAND Corporation
Fang Zhang - Harvard Pilgrim Health Care
Susan McKernan - University of Iowa
Resource Type: Journal article
Publication Details: American journal of preventive medicine, Vol.63(1), pp.e31-e33
DOI: 10.1016/j.amepre.2021.12.024
PMID: 35277314
PMCID: PMC8825564
NLM abbreviation: Am J Prev Med
ISSN: 0749-3797
eISSN: 1873-2607
Publisher: Elsevier Inc
Grant note: DOI: 10.13039/100006545, name: National Institute on Minority Health and Health Disparities, award: R01MD013736; DOI: 10.13039/100000002, name: National Institutes of Health
Language: English
Date published: 07/2022
Academic Unit: Preventive and Community Dentistry; Public Policy Center (Archive)
Record Identifier: 9984283708602771

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