How covid-19 has exposed the weaknesses in rural healthcare: Video 1

Rothbart, Michael Forster; Karáth, Kata; Ndhlovu, Lungelo

doi:10.1136/bmj.o232

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…These challenges include but might not be limited to, restricted access to testing, vaccine and treatment supplies, and number of healthcare workers. 39 …”

Section: Discussionmentioning

confidence: 99%

Impact of healthcare capacity disparities on the COVID-19 vaccination coverage in the United States: a cross-sectional study

Cuadros

Gutiérrez²,

Moreno

et al. 2023

The Lancet Regional Health - Americas

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“…These challenges include but might not be limited to, restricted access to testing, vaccine and treatment supplies, and number of healthcare workers. 39 …”

Section: Discussionmentioning

confidence: 99%

Impact of healthcare capacity disparities on the COVID-19 vaccination coverage in the United States: a cross-sectional study

Cuadros

Gutiérrez²,

Moreno

et al. 2023

The Lancet Regional Health - Americas

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“…Rural communities within the states identified in this study may be facing challenges that exacerbate the lower rates of COVID-19 vaccination. These challenges include but might not be limited to, restricted access to testing, vaccine and treatment supplies, and number of healthcare workers(36). Interestingly, the COVID-19 vaccine coldspots were located within different geographical areas of the country, with the coldspots with the lowest vaccination rates (<45%) located mainly inside the Rocky Mountain region, coldspots with vaccination rates between 45% and 48% located in Gulf Coast and lower Atlantic regions, and coldspots with vaccination rates between 48% and 50% located in the Midwest region.…”

Section: Discussionmentioning

confidence: 99%

Impact of healthcare capacity disparities on the COVID-19 vaccination coverage in the United States: A cross-sectional study

Cuadros

Gutiérrez²,

Moreno

et al. 2022

Preprint

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Background The impact of the COVID-19 vaccination campaign in the US has been hampered by a substantial geographical heterogeneity of the vaccination coverage. Several studies have proposed vaccination hesitancy as a key driver of the vaccination uptake disparities. However, the impact of other important structural determinants such as local disparities in healthcare capacity is virtually unknown. Methods In this cross-sectional study, we conducted causal inference and geospatial analyses to estimate the impact of healthcare capacity on the vaccination coverage disparity in the US. We evaluated the causal relationship between the healthcare system capacity of 2,417 US counties and their COVID-19 vaccination rate. We also conducted geospatial analyses using spatial scan statistics to identify areas with low vaccination rates. Findings We found a positive association between the healthcare capacity of a county and vaccination uptake. We estimated that a 1% increase in the Resource-Constrained Health System Index of a county increases by 0.37% the occurrence of that county in the set of counties classified as low-vaccinated (≤50% vaccination rate). We also found that COVID-19 vaccinations in the US exhibit a distinct spatial structure with defined vaccination coldspots. Interpretation We found that the healthcare capacity of a county is an important determinant of low vaccine uptake. Our study highlights that even in high-income nations, internal disparities in healthcare capacity play an important role in the health outcomes of the nation. Therefore, strengthening the funding and infrastructure of the healthcare system, particularly in rural underserved areas, should be intensified to help vulnerable communities.

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How covid-19 has exposed the weaknesses in rural healthcare: Video 1

Cited by 2 publications

References 8 publications

Impact of healthcare capacity disparities on the COVID-19 vaccination coverage in the United States: a cross-sectional study

Impact of healthcare capacity disparities on the COVID-19 vaccination coverage in the United States: a cross-sectional study

Impact of healthcare capacity disparities on the COVID-19 vaccination coverage in the United States: A cross-sectional study

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