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Considerations for fair prioritization of COVID-19 vaccine and its mandate among healthcare personnel.
Curr Med Res Opin. 2021 06; 37(6):907-909.CM

Abstract

With current COVID-19 vaccine demand outweighing supply and the emergency authorization/rollout of three novel vaccines in the United States, discussions continue regarding fair prioritization among various groups for this scarce resource. The US federal government's recommended vaccination schedule, meant to assist states with vaccine allocation, demonstrates fair ethical considerations; however, difficulties remain comparing various groups to determine fair vaccine access and distribution. Although strides have been taken to analyze risks versus benefits of early vaccination across certain high-risk populations, prioritizing vulnerable populations versus essential workers remains challenging for multiple reasons. Similarly, as COVID-19 vaccine allocation and distribution continues in the US and in other countries, topics that require continued consideration include sub-prioritization among currently prioritized groups, prioritization among vulnerable groups disproportionately affected by the COVID-19 pandemic, like ethnic minorities, and holistic comparisons between groups who might receive various and disparate benefits from vaccination. Although all current COVID-19 vaccines are emergency authorization use only and a vaccine mandate would be considered only once these vaccines are licensed by the US Food and Drug Administration, future vaccination policies require time and deliberation. Similarly, given current vaccine hesitancy, mandatory vaccination of certain groups, like healthcare personnel, may need to be considered when these vaccines are licensed, especially if voluntary vaccination proves insufficient. Continued discussions regarding risks versus benefits of mandatory COVID-19 vaccination and the unique role of healthcare personnel in providing a safe healthcare environment could lead to better deliberation regarding potential policies. This commentary aims to address both questions of fair prioritization and sub-prioritization of various groups, as well as ethical considerations for mandatory COVID-19 vaccination among healthcare personnel.

Authors+Show Affiliations

Department of Psychiatry, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, USA.Department of Psychiatry, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, USA.Department of Psychiatry, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, USA.Center for Value-Based Care Research, Cleveland Clinic Community Care, Cleveland Clinic, Cleveland, OH, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33760673

Citation

Hughes, Katarina, et al. "Considerations for Fair Prioritization of COVID-19 Vaccine and Its Mandate Among Healthcare Personnel." Current Medical Research and Opinion, vol. 37, no. 6, 2021, pp. 907-909.
Hughes K, Gogineni V, Lewis C, et al. Considerations for fair prioritization of COVID-19 vaccine and its mandate among healthcare personnel. Curr Med Res Opin. 2021;37(6):907-909.
Hughes, K., Gogineni, V., Lewis, C., & Deshpande, A. (2021). Considerations for fair prioritization of COVID-19 vaccine and its mandate among healthcare personnel. Current Medical Research and Opinion, 37(6), 907-909. https://doi.org/10.1080/03007995.2021.1908245
Hughes K, et al. Considerations for Fair Prioritization of COVID-19 Vaccine and Its Mandate Among Healthcare Personnel. Curr Med Res Opin. 2021;37(6):907-909. PubMed PMID: 33760673.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Considerations for fair prioritization of COVID-19 vaccine and its mandate among healthcare personnel. AU - Hughes,Katarina, AU - Gogineni,Vinaya, AU - Lewis,Chandani, AU - Deshpande,Abhishek, Y1 - 2021/04/09/ PY - 2021/3/25/pubmed PY - 2021/3/25/medline PY - 2021/3/24/entrez KW - COVID-19 vaccine KW - fair prioritization KW - healthcare personnel KW - vaccine mandate SP - 907 EP - 909 JF - Current medical research and opinion JO - Curr Med Res Opin VL - 37 IS - 6 N2 - With current COVID-19 vaccine demand outweighing supply and the emergency authorization/rollout of three novel vaccines in the United States, discussions continue regarding fair prioritization among various groups for this scarce resource. The US federal government's recommended vaccination schedule, meant to assist states with vaccine allocation, demonstrates fair ethical considerations; however, difficulties remain comparing various groups to determine fair vaccine access and distribution. Although strides have been taken to analyze risks versus benefits of early vaccination across certain high-risk populations, prioritizing vulnerable populations versus essential workers remains challenging for multiple reasons. Similarly, as COVID-19 vaccine allocation and distribution continues in the US and in other countries, topics that require continued consideration include sub-prioritization among currently prioritized groups, prioritization among vulnerable groups disproportionately affected by the COVID-19 pandemic, like ethnic minorities, and holistic comparisons between groups who might receive various and disparate benefits from vaccination. Although all current COVID-19 vaccines are emergency authorization use only and a vaccine mandate would be considered only once these vaccines are licensed by the US Food and Drug Administration, future vaccination policies require time and deliberation. Similarly, given current vaccine hesitancy, mandatory vaccination of certain groups, like healthcare personnel, may need to be considered when these vaccines are licensed, especially if voluntary vaccination proves insufficient. Continued discussions regarding risks versus benefits of mandatory COVID-19 vaccination and the unique role of healthcare personnel in providing a safe healthcare environment could lead to better deliberation regarding potential policies. This commentary aims to address both questions of fair prioritization and sub-prioritization of various groups, as well as ethical considerations for mandatory COVID-19 vaccination among healthcare personnel. SN - 1473-4877 UR - https://www.unboundmedicine.com/medline/citation/33760673/Considerations_for_fair_prioritization_of_COVID_19_vaccine_and_its_mandate_among_healthcare_personnel_ L2 - https://www.tandfonline.com/doi/full/10.1080/03007995.2021.1908245 DB - PRIME DP - Unbound Medicine ER -