Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context

The COVID-19 pandemic called for a reorganisation of the methods for providing health services. The aim of this paper is to describe the organisational model implemented by one of Rome’s Local Health Units (LHU), ASL Roma 1, for the “at-home COVID-19 vaccination campaign” dedicated to a target popul...

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Autores principales:	Elettra Carini, Chiara Cadeddu, Carolina Castagna, Mario Cesare Nurchis, Teresa Eleonora Lanza, Adriano Grossi, Andrea Barbara, Svetlana Axelrod, on behalf of the At Home COVID-19 Vax Team, Mauro Goletti, Paolo Parente
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	at-home vaccination immunisation campaign SARS-CoV-2 organisational model Medicine R
Acceso en línea:	https://doaj.org/article/75d3b68cef5747f49ad439994a680623
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spelling	oai:doaj.org-article:75d3b68cef5747f49ad439994a6806232021-11-25T19:10:35ZOrganisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context10.3390/vaccines91112562076-393Xhttps://doaj.org/article/75d3b68cef5747f49ad439994a6806232021-10-01T00:00:00Zhttps://www.mdpi.com/2076-393X/9/11/1256https://doaj.org/toc/2076-393XThe COVID-19 pandemic called for a reorganisation of the methods for providing health services. The aim of this paper is to describe the organisational model implemented by one of Rome’s Local Health Units (LHU), ASL Roma 1, for the “at-home COVID-19 vaccination campaign” dedicated to a target population and to outline data related to vaccination coverage stratified by health districts. A cross-sectional study was designed to describe the strategies implemented by LHU to deliver at-home vaccination programmes. People eligible for the at-home vaccination programme included patients living in the area of the LHU, being assisted by the district home care centre or not transportable or individuals with social situations that make traveling difficult. Priority for vaccination was given to (I) age > 80 years, (II) ventilated patients with no age limit, (III) very seriously disabled people with no age limit. Patients’ data were acquired from regional and LHU databases. From 5 February until the 16 May, 6127 people got at least one dose of Pfizer-Biontech Comirnaty<sup>®</sup> vaccine, while 5278 (86.14%) completed the necessary two doses. The highest number of vaccines was administered during the first week of April, reaching 1296 doses overall. The number of vaccines administered were similar across the districts. The average number of people vaccinated at home was 6 per 1000 inhabitants in the LHU. This model proved to be extremely complex but effective, reaching satisfying results in terms of vaccination coverage.Elettra CariniChiara CadedduCarolina CastagnaMario Cesare NurchisTeresa Eleonora LanzaAdriano GrossiAndrea BarbaraSvetlana Axelrodon behalf of the At Home COVID-19 Vax TeamMauro GolettiPaolo ParenteMDPI AGarticleat-home vaccinationimmunisation campaignSARS-CoV-2organisational modelMedicineRENVaccines, Vol 9, Iss 1256, p 1256 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	at-home vaccination immunisation campaign SARS-CoV-2 organisational model Medicine R
spellingShingle	at-home vaccination immunisation campaign SARS-CoV-2 organisational model Medicine R Elettra Carini Chiara Cadeddu Carolina Castagna Mario Cesare Nurchis Teresa Eleonora Lanza Adriano Grossi Andrea Barbara Svetlana Axelrod on behalf of the At Home COVID-19 Vax Team Mauro Goletti Paolo Parente Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context
description	The COVID-19 pandemic called for a reorganisation of the methods for providing health services. The aim of this paper is to describe the organisational model implemented by one of Rome’s Local Health Units (LHU), ASL Roma 1, for the “at-home COVID-19 vaccination campaign” dedicated to a target population and to outline data related to vaccination coverage stratified by health districts. A cross-sectional study was designed to describe the strategies implemented by LHU to deliver at-home vaccination programmes. People eligible for the at-home vaccination programme included patients living in the area of the LHU, being assisted by the district home care centre or not transportable or individuals with social situations that make traveling difficult. Priority for vaccination was given to (I) age > 80 years, (II) ventilated patients with no age limit, (III) very seriously disabled people with no age limit. Patients’ data were acquired from regional and LHU databases. From 5 February until the 16 May, 6127 people got at least one dose of Pfizer-Biontech Comirnaty<sup>®</sup> vaccine, while 5278 (86.14%) completed the necessary two doses. The highest number of vaccines was administered during the first week of April, reaching 1296 doses overall. The number of vaccines administered were similar across the districts. The average number of people vaccinated at home was 6 per 1000 inhabitants in the LHU. This model proved to be extremely complex but effective, reaching satisfying results in terms of vaccination coverage.
format	article
author	Elettra Carini Chiara Cadeddu Carolina Castagna Mario Cesare Nurchis Teresa Eleonora Lanza Adriano Grossi Andrea Barbara Svetlana Axelrod on behalf of the At Home COVID-19 Vax Team Mauro Goletti Paolo Parente
author_facet	Elettra Carini Chiara Cadeddu Carolina Castagna Mario Cesare Nurchis Teresa Eleonora Lanza Adriano Grossi Andrea Barbara Svetlana Axelrod on behalf of the At Home COVID-19 Vax Team Mauro Goletti Paolo Parente
author_sort	Elettra Carini
title	Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context
title_short	Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context
title_full	Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context
title_fullStr	Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context
title_full_unstemmed	Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context
title_sort	organisational model and coverage of at-home covid-19 vaccination in an italian urban context
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/75d3b68cef5747f49ad439994a680623
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Organisational Model and Coverage of At-Home COVID-19 Vaccination in an Italian Urban Context

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