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COVID-19 Vaccine Uptake Among Residents and Staff Members of Assisted Living and Residential Care Communities-Pharmacy Partnership for Long-Term Care Program, December 2020-April 2021.
J Am Med Dir Assoc. 2021 10; 22(10):2016-2020.e2.JA

Abstract

OBJECTIVES

In December 2020, CDC launched the Pharmacy Partnership for Long-Term Care Program to facilitate COVID-19 vaccination of residents and staff in long-term care facilities (LTCFs), including assisted living (AL) and other residential care (RC) communities. We aimed to assess vaccine uptake in these communities and identify characteristics that might impact uptake.

DESIGN

Cross-sectional study.

SETTING AND PARTICIPANTS

AL/RC communities in the Pharmacy Partnership for Long-Term Care Program that had ≥1 on-site vaccination clinic during December 18, 2020-April 21, 2021.

METHODS

We estimated uptake using the cumulative number of doses of COVID-19 vaccine administered and normalizing by the number of AL/RC community beds. We estimated the percentage of residents vaccinated in 3 states using AL census counts. We linked community vaccine administration data with county-level social vulnerability index (SVI) measures to calculate median vaccine uptake by SVI tertile.

RESULTS

In AL communities, a median of 67 residents [interquartile range (IQR): 48-90] and 32 staff members (IQR: 15-60) per 100 beds received a first dose of COVID-19 vaccine at the first on-site clinic; in RC, a median of 8 residents (IQR: 5-10) and 5 staff members (IQR: 2-12) per 10 beds received a first dose. Among 3 states with available AL resident census data, median resident first-dose uptake at the first clinic was 93% (IQR: 85-108) in Connecticut, 85% in Georgia (IQR: 70-102), and 78% (IQR: 56-91) in Tennessee. Among both residents and staff, cumulative first-dose vaccine uptake increased with increasing social vulnerability related to housing type and transportation.

CONCLUSIONS AND IMPLICATIONS

COVID-19 vaccination of residents and staff in LTCFs is a public health priority. On-site clinics may help to increase vaccine uptake, particularly when transportation may be a barrier. Ensuring steady access to COVID-19 vaccine in LTCFs following the conclusion of the Pharmacy Partnership is critical to maintaining high vaccination coverage among residents and staff.

Authors+Show Affiliations

COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: rgharpure@cdc.gov.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA; United States Public Health Service Commissioned Corps, Rockville, MD, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.Palantir Technologies, Denver, CO, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA; United States Public Health Service Commissioned Corps, Rockville, MD, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA; United States Public Health Service Commissioned Corps, Rockville, MD, USA.COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA; United States Public Health Service Commissioned Corps, Rockville, MD, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34508695

Citation

Gharpure, Radhika, et al. "COVID-19 Vaccine Uptake Among Residents and Staff Members of Assisted Living and Residential Care Communities-Pharmacy Partnership for Long-Term Care Program, December 2020-April 2021." Journal of the American Medical Directors Association, vol. 22, no. 10, 2021, pp. 2016-2020.e2.
Gharpure R, Yi SH, Li R, et al. COVID-19 Vaccine Uptake Among Residents and Staff Members of Assisted Living and Residential Care Communities-Pharmacy Partnership for Long-Term Care Program, December 2020-April 2021. J Am Med Dir Assoc. 2021;22(10):2016-2020.e2.
Gharpure, R., Yi, S. H., Li, R., Jacobs Slifka, K. M., Tippins, A., Jaffe, A., Guo, A., Kent, A. G., Gouin, K. A., Whitworth, J. C., Vlachos, N., Patel, A., Stuckey, M. J., & Link-Gelles, R. (2021). COVID-19 Vaccine Uptake Among Residents and Staff Members of Assisted Living and Residential Care Communities-Pharmacy Partnership for Long-Term Care Program, December 2020-April 2021. Journal of the American Medical Directors Association, 22(10), 2016-e2. https://doi.org/10.1016/j.jamda.2021.08.015
Gharpure R, et al. COVID-19 Vaccine Uptake Among Residents and Staff Members of Assisted Living and Residential Care Communities-Pharmacy Partnership for Long-Term Care Program, December 2020-April 2021. J Am Med Dir Assoc. 2021;22(10):2016-2020.e2. PubMed PMID: 34508695.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - COVID-19 Vaccine Uptake Among Residents and Staff Members of Assisted Living and Residential Care Communities-Pharmacy Partnership for Long-Term Care Program, December 2020-April 2021. AU - Gharpure,Radhika, AU - Yi,Sarah H, AU - Li,Ruoran, AU - Jacobs Slifka,Kara M, AU - Tippins,Ashley, AU - Jaffe,Aaron, AU - Guo,Angela, AU - Kent,Alyssa G, AU - Gouin,Katryna A, AU - Whitworth,J Carrie, AU - Vlachos,Nicholas, AU - Patel,Anita, AU - Stuckey,Matthew J, AU - Link-Gelles,Ruth, Y1 - 2021/08/25/ PY - 2021/08/03/received PY - 2021/08/16/revised PY - 2021/08/16/accepted PY - 2021/9/12/pubmed PY - 2021/10/2/medline PY - 2021/9/11/entrez KW - COVID-19 KW - long-term care KW - vaccination KW - vaccination coverage SP - 2016 EP - 2020.e2 JF - Journal of the American Medical Directors Association JO - J Am Med Dir Assoc VL - 22 IS - 10 N2 - OBJECTIVES: In December 2020, CDC launched the Pharmacy Partnership for Long-Term Care Program to facilitate COVID-19 vaccination of residents and staff in long-term care facilities (LTCFs), including assisted living (AL) and other residential care (RC) communities. We aimed to assess vaccine uptake in these communities and identify characteristics that might impact uptake. DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: AL/RC communities in the Pharmacy Partnership for Long-Term Care Program that had ≥1 on-site vaccination clinic during December 18, 2020-April 21, 2021. METHODS: We estimated uptake using the cumulative number of doses of COVID-19 vaccine administered and normalizing by the number of AL/RC community beds. We estimated the percentage of residents vaccinated in 3 states using AL census counts. We linked community vaccine administration data with county-level social vulnerability index (SVI) measures to calculate median vaccine uptake by SVI tertile. RESULTS: In AL communities, a median of 67 residents [interquartile range (IQR): 48-90] and 32 staff members (IQR: 15-60) per 100 beds received a first dose of COVID-19 vaccine at the first on-site clinic; in RC, a median of 8 residents (IQR: 5-10) and 5 staff members (IQR: 2-12) per 10 beds received a first dose. Among 3 states with available AL resident census data, median resident first-dose uptake at the first clinic was 93% (IQR: 85-108) in Connecticut, 85% in Georgia (IQR: 70-102), and 78% (IQR: 56-91) in Tennessee. Among both residents and staff, cumulative first-dose vaccine uptake increased with increasing social vulnerability related to housing type and transportation. CONCLUSIONS AND IMPLICATIONS: COVID-19 vaccination of residents and staff in LTCFs is a public health priority. On-site clinics may help to increase vaccine uptake, particularly when transportation may be a barrier. Ensuring steady access to COVID-19 vaccine in LTCFs following the conclusion of the Pharmacy Partnership is critical to maintaining high vaccination coverage among residents and staff. SN - 1538-9375 UR - https://www.unboundmedicine.com/medline/citation/34508695/COVID_19_Vaccine_Uptake_Among_Residents_and_Staff_Members_of_Assisted_Living_and_Residential_Care_Communities_Pharmacy_Partnership_for_Long_Term_Care_Program_December_2020_April_2021_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1525-8610(21)00741-6 DB - PRIME DP - Unbound Medicine ER -