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Covid-19 vaccine distribution confuses private practitioners and patients



But he is not sure he has the opportunity to use it because health officials have not said when the private doctor’s office will be vaccinated.

Carroll said: “I’m really angry.”

Not only is it difficult for doctors to obtain vaccines for patients, but many community doctors and medical staff who are not employed by hospitals or the health system also report uneven vaccination results. Although the primary task of the Centers for Disease Control and Prevention in the United States is to provide health workers with direct care for patients, some have already taken action, but others are still waiting.

Many of these doctors say they don’t know when or whether to administer a dose to patients, which will soon become a bigger problem as states try to vaccinate more people.

Carroll said: “The important reason is that patients trust their doctors when vaccinated.”

; Carroll complained on social media that his county has not yet released a plan on how to bring primary care doctors into the loop.

He said that doctors across the county can vaccinate thousands of patients every day and may attract some people who would hesitate to go to a large hospital, open-air market or another central location.

Nationally, his worries began with the launch of the vaccine slower than expected and far behind the original goal of 20 million doses of vaccine before the new year.

However, Dr. Jan Brewer, a family practitioner in Plainville, Kansas, said that her rural area made good progress in the first phase of vaccination, thanks to the close working relationship established before the pandemic .

This fall, before any doses were available, the local hospital, the health department and the physician’s office coordinated a list of signing orders for medical personnel who needed the vaccine. So when their county with a population of 5,000 received the first 70 doses of vaccine, they were ready to go. Another 80 doses came a week later.

Brewer recently said: “We will be able to vaccinate almost everyone in the county who needs medical care.”

Gap in rollout

However, this is not the case everywhere.

Dr. Jason Goldman, a family doctor in Coral Gables, Florida, said he was able to get the vaccine at a local hospital, which received most of the vaccine in his county and supervised the distribution.

However, in the weeks that followed, he said that some of his front-line staff were still “unavailable for vaccines.”

Goldman Sachs said that in addition, because Florida relaxed its distribution guidelines to include people over 65, a “large number” of patients called his office. He has applied to officials to distribute vaccine information through his practice, but he has not heard any response.

He said: “Patients are frustrated that they don’t have clear answers, and they haven’t provided me with clear answers.” “We have no choice but to direct them to the health department and certain hospital systems.”

Another point of trouble for Goldman Sachs as a liaison between the American Academy of Family Physicians and the expert group that developed the CDC distribution guidelines is that the way these recommendations are implemented varies greatly from state to state.

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The Centers for Disease Control and Prevention recommends several stages. The first stage includes frontline health care workers, nursing home residents and staff. Then, in the second part of the stage, people over 75 years old and non-medical care front-line employees will be welcomed, which may include emergency personnel, teachers and other designated basic workers.

Countries can flexibly design their own deployment schedules and priority groups. For example, Florida is providing doses to people over 65. In some counties, people are told that elderly people buy vaccines on a first-come, first-served basis, which leads to long queues.

Goldman said: “Now, when you don’t even vaccinate all health care workers properly, people over 65 are denying this stage.” “There needs to be a national standard. We have those guidelines. We need to propose. Some supervision.”

On Thursday, the American Hospital Association responded to this concern in a letter to the Secretary of Health and Human Services Alex Azar (Alex Azar). Most vaccinations are being carried out in hospitals as well as health departments and large pharmacy chains.

The letter called for further coordination by federal officials, outlining the steps needed to reach the goal of vaccinating 75% of Americans by the end of May: 1.8 million people are vaccinated every day. The letter pointed out that there are 64 different launch plans in states, cities and other jurisdictions, and asked whether HHS “evaluated whether these plans as a whole can achieve this level of vaccination?”

Make it work

The lack of direct state support or strategy means that each county is basically a person, and success or failure depends on available resources and the experience of local officials. Due to the pandemic, most state and local health departments are underfunded and under tremendous pressure.

Nevertheless, the success of vaccination efforts depends on planning, preparation and clear communication.

Deputy Health Commissioner Mark Adams said that in Lorraine County, Ohio, with a population of 310,000, local officials began practicing in October. They set up a mass vaccination clinic against influenza to study the conditions required for Covid-19 vaccination work. How many employees are there? How is the traffic flow? Can the patient be 6 feet apart?

Adams said: “This allows us to understand what is good, what is bad, and the ideas that need to be changed.” Adams has coordinated mass vaccination work at the county level and has previous experience.

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Therefore, when the county received the first 500 doses of vaccine on December 21, Adams was ready to plan. He called the fire chief and invited all emergency medical technicians and affiliates to a temporary vaccination center set up in a large entertainment venue equipped by his health department. Upon arrival, people greeted them at the door, fired at the separated “lane”, and then reached the surveillance area, waiting 15 minutes to ensure that there was no response.

After Christmas, another 400 doses of medicine arrived-the temporary clinic opened again. This time, the dose is used by community doctors, dentists and other hands-on medical practitioners, 600 of whom have previously been registered. (Hospital staff, nursing home staff and residents are being vaccinated through their own institutions.)

He said that as they enter the next stage-recipients include residents over 80 years old, people with developmental disabilities, and school staff-the challenge will become greater. The county plans to adopt a multi-pronged approach to inform people that it is their turn, including the use of websites, local media, churches, other organizations and word of mouth.

Adams has expressed concerns about healthcare providers nationwide: He will only inform him of how many doses he will receive within two days. At the current pace of 400 or 500 doses per week, it will take a lot of time to make the county Most of the residents have the opportunity to participate, including approximately 33,000 people 65 and older.

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His clinic has 10 nurses and can inject about 1,200 people every day. However, if he gets more doses, many other health professionals have already voluntarily administered these vaccines.

Adams said: “If I work five days a week and run three clinics, then I can get 15,000 vaccinations a week.” “Together with all volunteers, I can open almost six clinics, or 30,000 clinics a week. .”

Adams said that for those in the last public group who are over the age of 18 and have no underlying disease, “it may be summer.”

KHN (Kaiser Health News) is a non-profit news service covering health issues. It is an independent editing program of KFF (Kaiser Family Foundation) and has nothing to do with Kaiser Permanente.


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