Addressing Racial/Ethnic Equity in Access to COVID-19 Testing Through Drive-Thru And Walk-In Testing Sites in Chicago
Main Article Content
Abstract
Mile Square Health Center (MSHC), a network of Federally Qualified Health Centers (FQHCs) run by the University of Illinois Hospital (UIH) in Chicago, established Drive-Thru and Walk-Up COVID-19 testing sites. The primary aim of the UIH/MSHC testing project was to increase testing capacity in the most affected, racial/ethnic minority communities. More than 7,500 tests were performed over a six-month period. Half of those who were tested were Black and Latinx residents. The majority of those tested at the Walk-Up sites were Black, while “Other” race group tended to get tested in Drive Thru testing sites. Latinx residents had the highest positivity rate, followed by Other race group. Younger age groups were more likely to have higher positivity rates. Overall, UH/MSHC testing results reflected the overall Chicago COVID-19 testing results. Our findings substantiate the need to advocate for equitable resource allocation to counter the disproportionate burden of COVID-19 infection among minority communities. FQHCs were shown to be an effective approach to reduce structural barriers to COVID-19 testing and subsequently reduce disparities. Going forward, FQHCs can be key to ensuring COVID-19 vaccine outreach and dissemination.
Keywords:
Federally Qualified Health Centers, COVID-19, Testing; Health Equity
Article Details
How to Cite
KIM, Sage J et al.
Addressing Racial/Ethnic Equity in Access to COVID-19 Testing Through Drive-Thru And Walk-In Testing Sites in Chicago.
Medical Research Archives, [S.l.], v. 9, n. 5, may 2021.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/2430>. Date accessed: 07 nov. 2024.
doi: https://doi.org/10.18103/mra.v9i5.2430.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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10. Solis J, Franco-Paredes C, Henao-Martínez AF, Krsak M, Zimmer SM. Structural Vulnerability in the United States Revealed in Three Waves of Novel Coronavirus Disease (COVID-19). The American Journal of Tropical Medicine and Hygiene. 2020;doi:https://doi.org/10.4269/ajtmh.20-0391
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15. National Center for Immunization and Respiratory Diseases (NCIRD) Division of Viral Diseases. Racial & Ethnic Minority Groups. Centers for Disease Control and Prevention. Accessed 6/20/20, 2020. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/racial-ethnic-minorities.html
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19. Centers for Disease Control and Prevention (CDC). Interim Guidance for Businesses and Employers Responding to Coronavirus Disease 2019 (COVID-19), May 2020. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html
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21. Rosenbaum S. The New “Public Charge” Rule Affecting Immigrants Has Major Implications for Medicaid and Entire Communities. The Commonwealth Fund. October 10, 2020. https://www.commonwealthfund.org/blog/2019/new-public-charge-rule-affecting-immigrants-has-major-implications-medicaid-and-entire
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30. Mahajan U, Larkins-Pettigrew M. Racial demographics and COVID-19 confirmed cases and deaths: a correlational analysis of 2886 US counties. Journal of Public Health. 2020;42(3):445–447.
31. Centers for Disease Control and Prevention. Health Equity Considerations and Racial and Ethnic Minority Groups. Centers for Disease Control and Prevention (CDC). February 12, 2021. https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-ethnicity.html#fn9
32. Collins K, Tenney K, Hughes D. Collins KS, Tenney K, Hughes DL. Quality of health care for African Americans: Findings from the Commonwealth Fund 2001 Health Care Quality Survey. 2002. 2001 Health Care Quality Survey. https://www.commonwealthfund.org/publications/surveys/2002/mar/2001-health-care-quality-survey
33. Jaiswal J, Halkitis P. Towards a More Inclusive and Dynamic Understanding of Medical Mistrust Informed by Science. Behav Med. 2019;45(2):79-85.
34. Kaufman H, Niles J, Nash D. Disparities in SARS-CoV-2 Positivity Rates: Associations with Race and Ethnicity. Population Health Management. 2021;24(1):20-26.
35. Abel J, Deitz R. Some Workers Have Been Hit Much Harder than Others by the Pandemic. Federal Reserve Bank of New York. https://libertystreeteconomics.newyorkfed.org/2021/02/some-workers-have-been-hit-much-harder-than-others-by-the-pandemic.html
36. Heintzman J, O'Malley J, Marino M, et al. SARS-CoV-2 Testing and Changes in Primary Care Services in a Multistate Network of Community Health Centers During the COVID-19 Pandemic. JAMA. 2020;324(14):1459-1462.