التفاصيل البيبلوغرافية
| العنوان: |
Evaluation of Allocation Schemes of COVID-19 Testing Resources in a Community-Based Door-to-Door Testing Program |
| المؤلفون: |
Chugg, Ben, Lu, Lisa, Ouyang, Derek, Anderson, Benjamin, Ha, Raymond, D’Agostino, Alexis, Sujeer, Anandi, Rudman, Sarah L., Garcia, Analilia, Ho, Daniel E. |
| المصدر: |
JAMA Health Forum |
| بيانات النشر: |
American Medical Association |
| سنة النشر: |
2021 |
| مصطلحات موضوعية: |
Original Investigation, demo, psy |
| الوصف: |
IMPORTANCE: Overcoming social barriers to COVID-19 testing is an important issue, especially given the demographic disparities in case incidence rates and testing. Delivering culturally appropriate testing resources using data-driven approaches in partnership with community-based health workers is promising, but little data are available on the design and effect of such interventions. OBJECTIVES: To assess and evaluate a door-to-door COVID-19 testing initiative that allocates visits by community health workers by selecting households in areas with a high number of index cases, by using uncertainty sampling for areas where the positivity rate may be highest, and by relying on local knowledge of the health workers. DESIGN, SETTING, AND PARTICIPANTS: This cohort study was performed from December 18, 2020, to February 18, 2021. Community health workers visited households in neighborhoods in East San Jose, California, based on index cases or uncertainty sampling while retaining discretion to use local knowledge to administer tests. The health workers, also known as promotores de salud (hereinafter referred to as promotores) spent a mean of 4 days a week conducting door-to-door COVID-19 testing during the 2-month study period. All residents of East San Jose were eligible for COVID-19 testing. The promotores were selected from the META cooperative (Mujeres Empresarias Tomando Acción [Entrepreneurial Women Taking Action]). INTERVENTIONS: The promotores observed self-collection of anterior nasal swab samples for SARS-CoV-2 reverse transcriptase–polymerase chain reaction tests. MAIN OUTCOMES AND MEASURES: A determination of whether door-to-door COVID-19 testing was associated with an increase in the overall number of tests conducted, the demographic distribution of the door-to-door tests vs local testing sites, and the difference in positivity rates among the 3 door-to-door allocation strategies. RESULTS: A total of 785 residents underwent door-to-door testing, and 756 were included in the analysis. Among the 756 . |
| نوع الوثيقة: |
text |
| اللغة: |
English |
| العلاقة: |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796878Test/ |
| الإتاحة: |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796878Test/ |
| حقوق: |
undefined |
| رقم الانضمام: |
edsbas.F655CC79 |
| قاعدة البيانات: |
BASE |
