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全科医疗:应对大流行的专业准备

General practice: professional preparation for a pandemic.

作者信息

Collins Nick, Litt John, Moore Michael, Winzenberg Tania, Shaw Kelly

机构信息

Leumeah, Sydney, NSW, Australia.

出版信息

Med J Aust. 2006 Nov 20;185(S10):S66-9. doi: 10.5694/j.1326-5377.2006.tb00711.x.

Abstract

General practice will play a key role in both prevention and management of an influenza pandemic. Australian pandemic plans acknowledge a role for general practice, but there are few published data addressing the issues that general practitioners and their practices will face in dealing with such a crisis. The outcome will revolve around preparation in three key areas: Definition of the role of general practice within a broad primary care pandemic response, and adequate preparation within general practices so they can play that role well. Planning exercises and forums must include GPs, and rehearsals must include practical experience for general practices and their staff. Local Divisions of General Practice and GP practices can advocate for this, can define their role, and can prepare by using pandemic preparedness checklists; Definition and enactment of communication strategies to facilitate transfer of useful clinical and administrative data from practices and rapid dissemination of information into the community via general practice; Resource provision, which should be centrally funded but locally distributed, with personal protective equipment, vaccines and antivirals readily available for distribution. Resources must include support for human resource management to ensure appropriate health care professionals reach areas of workforce demand. Administrative, clinical and financial resources must be available to train GPs and practices in pandemic awareness and response.

摘要

全科医疗在流感大流行的预防和管理中都将发挥关键作用。澳大利亚的大流行计划认可全科医疗的作用,但针对全科医生及其诊所应对此类危机时将面临的问题,公开数据很少。结果将围绕三个关键领域的准备工作展开:在广泛的基层医疗大流行应对中界定全科医疗的角色,以及在全科诊所内做好充分准备,以便它们能很好地发挥这一作用。规划活动和论坛必须有全科医生参与,演练必须包括全科诊所及其工作人员的实践经验。当地全科医疗部门和全科诊所可以为此进行倡导,界定自身角色,并通过使用大流行防范清单来做好准备;制定并实施沟通策略,以促进诊所有用的临床和管理数据的传递,并通过全科医疗将信息迅速传播到社区;资源供应,应由中央提供资金但在当地分配,确保个人防护设备、疫苗和抗病毒药物随时可供分发。资源必须包括对人力资源管理的支持,以确保有合适的医护专业人员前往劳动力需求地区。必须提供行政、临床和财政资源,对全科医生及其诊所进行大流行防范意识和应对方面的培训。

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