Eizenberg Peter
North East Valley Division of General Practice, Melbourne, VIC, Australia.
Med J Aust. 2009 Aug 3;191(3):151-3. doi: 10.5694/j.1326-5377.2009.tb02725.x.
The swine influenza (H1N1 09) outbreak in Victoria has provided an excellent opportunity to review the Australian Health Management Plan for Pandemic Influenza (AHMPPI) and to assess its performance in practice. General practitioners play a major role in seasonal flu management, and it was expected that the AHMPPI would enable GPs on the front line to maintain this central role during the swine flu pandemic. The role of front-line GPs has been made extremely difficult by deficiencies in implementation of the AHMPPI, including resource supply failures, time-consuming administrative burdens, delays in receiving laboratory test results and approval for provision of oseltamivir to patients, and a lack of clear communication about policy changes as the situation progressed. We must use this experience to ensure timely and appropriate review of the AHMPPI and the way it is implemented. Better consultation with front-line clinicians, particularly GPs, is crucial and must occur as a matter of urgent priority.
维多利亚州爆发的甲型H1N1流感疫情为审查澳大利亚大流行性流感健康管理计划（AHMPPI）并评估其实际执行情况提供了绝佳机会。全科医生在季节性流感管理中发挥着主要作用，预计AHMPPI将使一线全科医生在甲型流感大流行期间继续发挥这一核心作用。AHMPPI实施过程中的缺陷使一线全科医生的工作变得极为困难，这些缺陷包括资源供应不足、耗时的行政负担、接收实验室检测结果和批准为患者提供奥司他韦的延误，以及随着疫情发展，缺乏关于政策变化的明确沟通。我们必须利用这一经验，确保及时、适当地审查AHMPPI及其实施方式。与一线临床医生，特别是全科医生进行更好的协商至关重要，且必须作为紧急优先事项加以落实。
