Incorporating Health Equity Into COVID-19 Reopening Plans: Policy Experimentation in California

被引:10
|
作者
Largent, Emily A. [1 ]
Persad, Govind [2 ]
Mello, Michelle M. [3 ,4 ]
Wenner, Danielle M. [5 ]
Kramer, Daniel B. [6 ]
Edmonds, Brownsyne Tucker [7 ,8 ]
Peek, Monica [9 ,10 ]
机构
[1] Univ Penn, Dept Med Eth & Hlth Policy, Perelman Sch Med, Philadelphia, PA 19104 USA
[2] Univ Denver, Sturm Coll Law, Denver, CO USA
[3] Stanford Univ, Stanford Law Sch, Dept Med, Stanford, CA 94305 USA
[4] Freeman Spogli Freeman Spogli Inst Int Studies, Stanford, CA USA
[5] Carnegie Mellon Univ, Ctr Eth & Policy, Pittsburgh, PA 15213 USA
[6] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Smith Ctr Outcomes Res, Boston, MA 02115 USA
[7] Indiana Univ Sch Med, Dept Obstet & Gynecol, Indianapolis, IN 46202 USA
[8] Indiana Univ Sch Med, Dept Pediat, Indianapolis, IN 46202 USA
[9] Univ Chicago, Gen Internal Med Sect, Chicago, IL 60637 USA
[10] Univ Chicago, MacLean Ctr Clin Med Eth, Chicago, IL 60637 USA
基金
美国国家卫生研究院;
关键词
D O I
10.2105/AJPH.2021.306263
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
California has focused on health equity in the state's COVID-19 reopening plan. The Blueprint for a Safer Economy assigns each of California's 58 counties into 1 of 4 tiers based on 2 metrics: test positivity rate and adjusted case rate. To advance to the next less-restrictive tier, counties must meet that tier's test positivity and adjusted case rate thresholds. In addition, counties must have a plan for targeted investments within disadvantaged communities, and counties with more than 106 000 residents must meet an equity metric. California's explicit incorporation of health equity into its reopening plan underscores the interrelated fate of its residents during the COVID-19 pandemic and creates incentives for action. This article evaluates the benefits and challenges of this novel health equity focus, and outlines recommendations for other US states to address disparities in their reopening plans.
引用
收藏
页码:1481 / 1488
页数:8
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