Evidence map›Paper›PMID 38354837›Full record

ArticleApplied clinical informatics2024

Improving Vaccine Equity: How Community Engagement and Informatics Facilitate Health System Outreach to Underrepresented Groups.

Serena J Xie, Nicholas R Mah, Lisa Chew, Julia Ruud, Jennifer Hernandez, Jessica Lowery, Andrea L Hartzler

Open access · bronzeAbstract read
In one paragraph

Article in Applied clinical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Article
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

7 authors at 2 institutions in 1 country.

Serena J XieDepartment of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington, United States.
Nicholas R MahDepartment of Shared Services, Enterprise Access and Innovation, UW Medicine, University of Washington, Seattle, Washington, United States.
Lisa ChewDepartment of Medicine, University of Washington School of Medicine, Harborview Medical Center, University of Washington Medicine, Seattle, Washington, United States.
Julia RuudDepartment of Performance Improvement, University of Washington, Seattle, Washington, United States.
Jennifer HernandezAmbulatory & Allied Care Services, Harborview Medical Center, University of Washington Medicine, Seattle, Washington, United States.
Jessica LoweryAmbulatory & Allied Care Services, Harborview Medical Center, University of Washington Medicine, Seattle, Washington, United States.
Andrea L HartzlerDepartment of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington, United States.
University of Washington · USUniversity of Washington Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the inequities in access to health care resources like COVID-19 vaccination, health systems should carefully consider how to reach underrepresented groups. Reflecting on vaccine rollout efforts holds insight on the role of community engagement and informatics support in promoting health equity.

objectivesThis study aimed to assess the effectiveness of four outreach strategies deployed by University of Washington (UW) Medicine in improving vaccine equity over traditional vaccine scheduling online or by phone, we report on appointment scheduling and completion of appointments (i.e., vaccine administration) through (1) automated outreach to individuals from underrepresented groups, (2) temporary "pop-up" clinics in neighborhoods highly impacted by COVID-19, (3) vulnerable population clinics, and (4) mobile vaccine vans.

methodsWe conducted a 6-month retrospective analysis of electronic health records (EHR) to describe the sociodemographic characteristics of individuals who scheduled appointments using the outreach strategies and characteristics associated with a greater likelihood of vaccine administration based on appointment completion. To help explain trends in the EHR data, we engaged 10 health system leaders and staff who spearheaded the outreach strategies in follow-up conversations to identify qualitative insights into what worked and why.

resultsCompared with traditional scheduling, all outreach strategies except vulnerable population clinics had higher vaccine appointment completion rates, including automated outreach (

conclusionVaccine equity outreach strategies improved the proportion of patients who scheduled and completed vaccination appointments among populations disproportionately impacted by COVID-19. Engaging community partners and equity-focused informatics tools can facilitate outreach. Lessons from these outreach strategies carry practical implications for health systems to amplify their health equity efforts.

Indexed as

COVID-19VaccinesCOVID-19 VaccinesHumansInformaticsRetrospective StudiesCOVID-19 VaccinesVaccines

Identifiers

PMID38354837
PMCPMC10866640
OpenAlexW4392844135

What OpenQuestion holds

Textmetadata
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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.