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
相关论文
共 50 条
  • [41] Safe reopening of college campuses during COVID-19: The University of California experience in Fall 2020
    Pollock, Brad H.
    Kilpatrick, A. Marm
    Eisenman, David P.
    Elton, Kristie L.
    Rutherford, George W.
    Boden-Albala, Bernadette M.
    Souleles, David M.
    Polito, Laura E.
    Martin, Natasha K.
    Byington, Carrie L.
    [J]. PLOS ONE, 2021, 16 (11):
  • [42] Reopening schools after the COVID-19 lockdown
    Sheikh, Aziz
    Sheikh, Asiyah
    Sheikh, Zakariya
    Dhami, Sangeeta
    [J]. JOURNAL OF GLOBAL HEALTH, 2020, 10 (01)
  • [43] Societal reopening after the COVID-19 pandemic
    Taylor-Robinson, S. D.
    Morgan, M. Y.
    Olupot-Olupot, P.
    Taylor-Robinson, A. W.
    [J]. PUBLIC HEALTH, 2022, 205 : E5 - E5
  • [44] Financial Decisions and Reopening a Practice During the COVID-19 Pandemic A Survey of California Plastic Surgeons
    Crowley, Jiwon Sarah
    Reghunathan, Meera
    Kadakia, Nikita
    Barttelbort, Scott
    Gosman, Amanda
    [J]. ANNALS OF PLASTIC SURGERY, 2021, 86 (5S) : S354 - S359
  • [45] Balancing Health and Economic Factors When Reopening Business in the Age of COVID-19
    Pronk, Nicolaas P.
    Kassler, William J.
    [J]. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2020, 62 (09) : E540 - E541
  • [46] COVID-19 Policy Differences across US States: Shutdowns, Reopening, and Mask Mandates
    Zhang, Xue
    Warner, Mildred E.
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (24) : 1 - 17
  • [47] COVID-19 and the need to prioritize health equity and social determinants of health
    Takian, Amirhossein
    Kiani, Mohammad Mehdi
    Khanjankhani, Khatere
    [J]. INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 2020, 65 (05) : 521 - 523
  • [48] Child Health Policy and the COVID-19 Pandemic
    Sharfstein, Joshua M.
    [J]. JAMA HEALTH FORUM, 2021, 2 (08):
  • [49] Mental Health Policy in the Era of COVID-19
    Goldman, Matthew L.
    Druss, Benjamin G.
    Horvitz-Lennon, Marcela
    Norquist, Grayson S.
    Ptakowski, Kristin Kroeger
    Brinkley, Amy
    Greiner, Miranda
    Hayes, Heath
    Hepburn, Brian
    Jorgensen, Shea
    Swartz, Marvin S.
    Dixon, Lisa B.
    [J]. PSYCHIATRIC SERVICES, 2020, 71 (11) : 1158 - 1162
  • [50] COVID-19: Implications for Physical Activity, Health Disparities, and Health Equity
    Hasson, Rebecca
    Sallis, James F.
    Coleman, Nailah
    Kaushal, Navin
    Nocera, Vincenzo G.
    Keith, NiCole
    [J]. AMERICAN JOURNAL OF LIFESTYLE MEDICINE, 2022, 16 (04) : 420 - 433