Your local doctor might not get access to the COVID-19 vaccine - here's why
- Many independently-owned doctors offices say they don't have access to
COVID-19vaccines and have heard little from the federal or state governments about if or when they might receive doses.
- Hospitals, large retail pharmacies, and federally-qualified health centers are the main distributors of the vaccine, sources told Insider.
- So far, they've vaccinated nearly 9 million individuals in the US, according to the Centers for Disease Control. That's 11 million people less than the federal government's estimate of 20 million vaccinated Americans by the end of 2020.
healthcareprofessionals criticized the federal government's vaccine distribution strategy, saying it was short-sighted and goes against the principles of public health.
- Others say smaller practices don't have the necessary infrastructure of staff to facilitate a vaccination effort, sources told Insider.
On December 2, Dr. Jeffrey Gold received an email from the Massachusetts Department of Public Health asking him to enroll his primary care practice in the state's COVID-19 vaccine program. Since then, he's heard nothing further about the possibility of vaccinating his 700 patients."The reality is, this isn't fair," said Gold, who opened his Marblehead-based office in 2015. "It's not just about fairness, it's also about good medicine and public health." Insider contacted the Massachusetts Department of Public Health for comment but didn't hear back in time for publication.
As of now, there are two primary channels for vaccine distribution to healthcare providers: The federal government supplies vaccines directly to some large retail pharmacies and allows states to decide how vaccines are distributed among other healthcare outlets, Maxson said.A majority of states directed vaccines to large healthcare systems, like hospitals, leaving independent doctors offices without options for treating their patients, she added.
"You can't just rely on people to proactively walk into a site that they don't trust, or they're not affiliated with, and demand the vaccine," Maxson said.This is not the first time during the
Limited freezer capacity, staff, and storage
Another factor is that your local
While the vaccine includes labor-intensive reporting, Maxson says that's not a deal-breaker for most doctor's offices. "They're used to figuring out how to get their patients the care that they need, so I don't see those challenges as being hurdles," she said.
Additionally, independent practices may not have enough staff members to organize and prepare a vaccination, Landon added. Some of the COVID-19 vaccines require multiple steps and preparation before they can be shot into a patient's arm, making it difficult for offices with few employees."Most of these
Doctor's offices are not immune to the crisis hitting small businesses
Dr. Ryan Neuhofel said no one in his community of Lawrence, Kansas consulted with local primary care doctors about a vaccination plan. While that may slow down a mass vaccination effort, Neuhofel isn't concerned it will hurt his business."I'm suspicious that the people who control the vaccine would not let someone, who might be viewed as competition, distribute or administer it because they want to look like the heroes," said Neuhofel, who serves about 1,000 patients at his 10-year-old practice. "I think there's a business calculation that, if you can be one of the vaccination sites, then people will view you as a better healthcare provider."
Insider contacted the Kansas Department of Health & Environment for comment but didn't hear back in time for publication.Independent providers say their first priority is the health and safety of their patients rather than their financial stability. If patients can receive vaccines at local hospitals instead of doctor's offices, physicians encourage them to seek that option. However, doctor's offices were not immune to the crisis and suffered like other small businesses throughout the world, Maxson said.
"Allowing access to vaccinations for independent primary care physicians not only makes sense from a population perspective but also empowers small businesses to collect the revenue they are due," Maxson added. "It could potentially make up for the devastating toll [of the pandemic]."
But family practices can play a crucial role in process todayWhile many physicians don't have access to vaccines, they can still play an important role.
Public health departments should partner with local clinicians and recruit them for vaccination efforts, Landon said. For example, physicians could close their offices one morning and instead staff a centralized, large-scale vaccination clinic in their area, she added.
"If you pool the resources and abilities of the private and small practices you might be able to get somewhere more quickly," Landon said.Others can try to stay informed about the vaccination process in their state and where eligible patients can get shots, said Polsky.