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Developing a Framework for Pandemic COVID-19 Vaccine Allocation: a Modified Delphi Consensus Study in Korea.
J Korean Med Sci. 2021 Jun 14; 36(23):e166.JK

Abstract

BACKGROUND

This study presents a framework for determining the allocation and distribution of the limited amount of vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

METHODS

After analyzing the pandemic strategies of the major organizations and countries and with a literature review conducted by a core panel, a modified Delphi survey was administered to 13 experts in the fields of vaccination, infectious disease, and public health in the Republic of Korea. The following topics were discussed: 1) identifying the objectives of the vaccination strategy, 2) identifying allocation criteria, and 3) establishing a step-by-step vaccination framework and prioritization strategy based on the allocation criteria. Two rounds of surveys were conducted for each topic, with a structured questionnaire provided via e-mail in the first round. After analyzing the responses, a meeting with the experts was held to obtain consensus on how to prioritize the population groups.

RESULTS

The first objective of the vaccination strategy was maintenance of the integrity of the healthcare system and critical infrastructure, followed by reduction of morbidity and mortality and reduction of community transmission. In the initial phase, older adult residents in care homes, high-risk health and social care workers, and personal support workers who work in direct contact with coronavirus disease 2019 (COVID-19) patients would be prioritized. Expansion of vaccine supply would allow immunization of older adults not included in phase 1, followed by healthcare workers not previously included and individuals with comorbidities. Further widespread vaccine supply would ensure availability to the extended adult age groups (50-64 years old), critical workers outside the health sector, residents who cannot socially distance, and, eventually, the remaining populations.

CONCLUSION

This survey provides the much needed insight into the decision-making process for vaccine allocation at the national level. However, flexibility in adapting to strategies will be essential, as new information is constantly emerging.

Authors+Show Affiliations

Department of Internal Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Seoul, Korea.Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Pediatrics, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Chungnam National University Hospital, Chungnam National University, Daejeon, Korea.Department of Social and Preventive Medicine, Hallym University College of Medicine, Chuncheon, Korea.Department of Preventive Medicine, Graduate Program in System Health Science and Engineering, Ewha Womans University College of Medicine, Seoul, Korea.Center for Preventive Medicine and Public Health, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University College of Medicine, Seoul, Korea.Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. krpeck@skku.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34128597

Citation

Choi, Min Joo, et al. "Developing a Framework for Pandemic COVID-19 Vaccine Allocation: a Modified Delphi Consensus Study in Korea." Journal of Korean Medical Science, vol. 36, no. 23, 2021, pp. e166.
Choi MJ, Choi WS, Seong H, et al. Developing a Framework for Pandemic COVID-19 Vaccine Allocation: a Modified Delphi Consensus Study in Korea. J Korean Med Sci. 2021;36(23):e166.
Choi, M. J., Choi, W. S., Seong, H., Choi, J. Y., Kim, J. H., Kim, Y. J., Cho, E. Y., Kim, D. H., Park, H., Lee, H., Kim, N. J., Song, J. Y., Cheong, H. J., Kim, S. I., & Peck, K. R. (2021). Developing a Framework for Pandemic COVID-19 Vaccine Allocation: a Modified Delphi Consensus Study in Korea. Journal of Korean Medical Science, 36(23), e166. https://doi.org/10.3346/jkms.2021.36.e166
Choi MJ, et al. Developing a Framework for Pandemic COVID-19 Vaccine Allocation: a Modified Delphi Consensus Study in Korea. J Korean Med Sci. 2021 Jun 14;36(23):e166. PubMed PMID: 34128597.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Developing a Framework for Pandemic COVID-19 Vaccine Allocation: a Modified Delphi Consensus Study in Korea. AU - Choi,Min Joo, AU - Choi,Won Suk, AU - Seong,Hye, AU - Choi,Jun Yong, AU - Kim,Jong Hyun, AU - Kim,Yae Jean, AU - Cho,Eun Young, AU - Kim,Dong Hyun, AU - Park,Hyesook, AU - Lee,Heeyoung, AU - Kim,Nam Joong, AU - Song,Joon Young, AU - Cheong,Hee Jin, AU - Kim,Sang Il, AU - Peck,Kyong Ran, Y1 - 2021/06/14/ PY - 2021/04/23/received PY - 2021/05/25/accepted PY - 2021/6/15/entrez PY - 2021/6/16/pubmed PY - 2021/7/8/medline KW - COVID-19 KW - Distribution KW - Korea KW - Policy KW - Survey KW - Vaccines SP - e166 EP - e166 JF - Journal of Korean medical science JO - J Korean Med Sci VL - 36 IS - 23 N2 - BACKGROUND: This study presents a framework for determining the allocation and distribution of the limited amount of vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). METHODS: After analyzing the pandemic strategies of the major organizations and countries and with a literature review conducted by a core panel, a modified Delphi survey was administered to 13 experts in the fields of vaccination, infectious disease, and public health in the Republic of Korea. The following topics were discussed: 1) identifying the objectives of the vaccination strategy, 2) identifying allocation criteria, and 3) establishing a step-by-step vaccination framework and prioritization strategy based on the allocation criteria. Two rounds of surveys were conducted for each topic, with a structured questionnaire provided via e-mail in the first round. After analyzing the responses, a meeting with the experts was held to obtain consensus on how to prioritize the population groups. RESULTS: The first objective of the vaccination strategy was maintenance of the integrity of the healthcare system and critical infrastructure, followed by reduction of morbidity and mortality and reduction of community transmission. In the initial phase, older adult residents in care homes, high-risk health and social care workers, and personal support workers who work in direct contact with coronavirus disease 2019 (COVID-19) patients would be prioritized. Expansion of vaccine supply would allow immunization of older adults not included in phase 1, followed by healthcare workers not previously included and individuals with comorbidities. Further widespread vaccine supply would ensure availability to the extended adult age groups (50-64 years old), critical workers outside the health sector, residents who cannot socially distance, and, eventually, the remaining populations. CONCLUSION: This survey provides the much needed insight into the decision-making process for vaccine allocation at the national level. However, flexibility in adapting to strategies will be essential, as new information is constantly emerging. SN - 1598-6357 UR - https://www.unboundmedicine.com/medline/citation/34128597/Developing_a_Framework_for_Pandemic_COVID_19_Vaccine_Allocation:_a_Modified_Delphi_Consensus_Study_in_Korea_ L2 - https://jkms.org/DOIx.php?id=10.3346/jkms.2021.36.e166 DB - PRIME DP - Unbound Medicine ER -