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. 2022 Dec:1:100017.
doi: 10.1016/j.dialog.2022.100017. Epub 2022 May 27.

Diversification of COVID-19 Testing Resources to Decrease Racial/Ethnic Disparities: Comparative Use of Adaptive Approaches to Community Testing Across an Integrated Healthcare System

Jennifer S Priem  1 , Lisa M Krinner  1 , S Tyler Constantine  2 , Lewis McCurdy  3
Affiliations

Diversification of COVID-19 Testing Resources to Decrease Racial/Ethnic Disparities: Comparative Use of Adaptive Approaches to Community Testing Across an Integrated Healthcare System

Jennifer S Priem et al. Dialogues Health. 2022 Dec.

Abstract

Background: Access to SARS-CoV-2 testing is a crucial component of early identification and disease containment. Racial and ethnic health disparities exist related to testing utilization. To optimize testing with limited resources, Atrium Health developed free-standing and roving testing centers outside of the traditional clinical settings in hopes of meeting the needs of a diverse urban community. The objective of this study is to evaluate differences in testing site utilization based on demographic factors, particularly race/ethnicity. Methods:A cohort study of patients tested for COVID-19 between March 10 and October 26, 2020, within the Atrium Health system. Results: 128,258 persons under investigation (PUIs) were tested across our health system, including 25,434 patients at our Mobile Integrated Health (previously called Community Paramedicine) drive-thru testing sites and community roving testing units. PUIs were on average 47 years old (SD = 17.7); approximately half were female and White/Caucasian. Drive-thru testing sites were utilized proportionally more by non-Hispanic Whites and African Americans, and less by Hispanic PUIs. Roving testing units were used significantly more by younger PUIs, Hispanics, and PUIs of other races/ethnicities. Conclusions: Diversification in testing site locations optimized testing resources, allowed for significant reduction in the burden of patient volumes, and avoided alteration of workflow in our urgent care facilities and Emergency Departments. Additionally, roving testing units may help to decrease racial/ethnic disparities in access to COVID-19 testing. Our results highlight the importance of offering a variety of testing modalities to reach different populations.

Keywords: COVID-testing; community COVID-testing; drive-thru testing; mobile care; racial/ethnic disparities; screening test centers.

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Figures

Figure 1
Fig. 1
Location of Drive-Through Testing Sites.
Figure 2
Fig. 2
Distribution of Mobile Testing Events within and outside High Health Priority Areas in Mecklenburg County, N.C. legend. Areas identified through hot-spot mapping of high vulnerability within the greater Charlotte Mecklenburg North Carolina area.
See this image and copyright information in PMC

References

    1. Onder G., Rezza G., Brusaferro S. Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy. JAMA. 2020;323(18):1775–1776. doi: 10.1001/jama.2020.4683. [published Online First: 2020/03/24] - DOI - PubMed
    1. Sohrabi C., Alsafi Z., O’Neill N., et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19) Int J Surg. 2020;76:71–76. doi: 10.1016/j.ijsu.2020.02.034. [published Online First: 2020/03/01] - DOI - PMC - PubMed
    1. Bilal U., Tabb L.P., Barber S., et al. Spatial Inequities in COVID-19 Testing, Positivity, Confirmed Cases, and Mortality in 3 U.S. Cities. Ann Intern Med. 2021;174(7):936–944. doi: 10.7326/M20-3936. - DOI - PMC - PubMed
    1. Peek M.E., Simons R.A., Parker W.F., et al. COVID-19 Among African Americans: An Action Plan for Mitigating Disparities. Am J Public Health. 2021;111(2):286–292. doi: 10.2105/ajph.2020.305990. [published Online First: 2020/12/23] - DOI - PMC - PubMed
    1. Escobar G.J., Adams A.S., Liu V.X., et al. Racial Disparities in COVID-19 Testing and Outcomes. Ann Intern Med. 2021;174(6):786–793. doi: 10.7326/M20-6979. - DOI - PMC - PubMed