Evidence map›Paper›PMID 34007071›Full record

ArticleNature medicine2021

Equitable allocation of COVID-19 vaccines in the United States.

Harald Schmidt, Rebecca Weintraub, Michelle A Williams, Kate Miller, Alison Buttenheim, Emily Sadecki, Helen Wu, Aditi Doiphode, Neha Nagpal, Lawrence O Gostin and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Factors Impacting COVID-19 Vaccine Uptake and Confidence Among Immigrant and Refugee Populations in Canada.International journal of environmental research and public health · 2025
    Article
  10. Interventions to Improve COVID-19 Vaccine Hesitancy.Rheumatic diseases clinics of North America · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Human vaccines & immunotherapeutics · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Spatial Interaction Analysis of Infectious Disease Import and Export between Regions.International journal of environmental research and public health · 2024
    Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Harald Schmidt *Department of Medical Ethics and Health Policy, Center for Health Incentives and Behavioral Economics, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia PA, USA. schmidth@mail.med.upenn.edu.ORCID http://orcid.org/0000-0003-4806-8816
Rebecca Weintraub *Ariadne Labs, Brigham and Women's Hospital & Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Michelle A WilliamsHarvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Kate MillerAriadne Labs, Brigham and Women's Hospital & Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Alison ButtenheimDepartment of Family and Community Health, School of Nursing; Center for Health Incentives and Behavioral Economics; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia PA, USA.
Emily SadeckiDepartment of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia PA, USA.ORCID http://orcid.org/0000-0003-1631-5472
Helen WuSchool of Arts and Sciences, University of Pennsylvania, Philadelphia PA, USA.
Aditi DoiphodeSchool of Arts and Sciences, University of Pennsylvania, Philadelphia PA, USA.
Neha NagpalSchool of Arts and Sciences, University of Pennsylvania, Philadelphia PA, USA.
Lawrence O GostinO'Neill Institute for National & Global Health Law, Georgetown University, Washington, DC, USA.
Angela A ShenVaccine Education Center, Children's Hospital of Philadelphia, Philadelphia PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many vaccine rationing guidelines urge planners to recognize, and ideally reduce, inequities. In the United States, allocation frameworks are determined by each of the Centers for Disease Control and Prevention's 64 jurisdictions (50 states, the District of Columbia, five cities and eight territories). In this study, we analyzed vaccine allocation plans published by 8 November 2020, tracking updates through to 30 March 2021. We evaluated whether jurisdictions adopted proposals to reduce inequity using disadvantage indices and related place-based measures. By 30 March 2021, 14 jurisdictions had prioritized specific zip codes in combination with metrics such as COVID-19 incidence, and 37 jurisdictions (including 34 states) had adopted disadvantage indices, compared to 19 jurisdictions in November 2020. Uptake of indices doubled from 7 to 14 among the jurisdictions with the largest shares of disadvantaged communities. Five applications were distinguished: (1) prioritizing disadvantaged groups through increased shares of vaccines or vaccination appointments; (2) defining priority groups or areas; (3) tailoring outreach and communication; (4) planning the location of dispensing sites; and (5) monitoring receipt. To ensure that equity features centrally in allocation plans, policymakers at the federal, state and local levels should universalize the uptake of disadvantage indices and related place-based measures.

Indexed as

Health PolicySocioeconomic FactorsCOVID-19COVID-19 VaccinesGuidelines as TopicHealth Care RationingHealth EquityHumansIncidenceSARS-CoV-2United StatesCOVID-19 Vaccines

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.