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新加坡应对严重急性呼吸系统综合征爆发的措施:新加坡医生的看法如何?

Singapore's response to the severe acute respiratory syndrome outbreak: what do Singapore physicians think?

机构信息

Department of Community and Preventive Medicine, School of Medicine & Dentistry, University of Rochester, 601 Elmwood Avenue, Box 644, Rochester, NY 14642, USA.

出版信息

Int J Public Health. 2010 Apr;55(2):139-43. doi: 10.1007/s00038-009-0099-6. Epub 2009 Dec 4.

DOI:10.1007/s00038-009-0099-6
PMID:19960223
Abstract

OBJECTIVE

To gauge Singapore physicians' perceptions of the national response to the severe acute respiratory syndrome (SARS) outbreak using a questionnaire survey.

METHODS

Random sampling was applied to draw the survey population. Descriptive analysis and logistic regressions were used.

RESULTS

The majority of physicians agreed that home quarantine of contacts of patients with probable SARS was warranted (95%), government's public education effort was effective (83%), and the overall Singapore's response was commendable (82%). Only 38%, however, agreed that health care workers were supplied with timely and adequate personal protective equipment.

CONCLUSIONS

Most Singapore physicians have positive comments about the national response to the SARS crisis. However, systematic weaknesses are identified and recommendations are presented.

摘要

目的

通过问卷调查了解新加坡医生对严重急性呼吸综合征(SARS)疫情国家应对措施的看法。

方法

采用随机抽样方法抽取调查对象。采用描述性分析和逻辑回归进行分析。

结果

大多数医生认为有必要对疑似 SARS 患者的接触者进行家庭隔离(95%)、政府的公众教育工作是有效的(83%)、新加坡整体应对措施是值得称赞的(82%)。然而,只有 38%的人认为医护人员得到了及时和充分的个人防护设备供应。

结论

大多数新加坡医生对国家应对 SARS 危机的措施持肯定态度。但是,也发现了系统性的弱点,并提出了建议。

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本文引用的文献

1
Family physicians' experiences, behaviour, and use of personal protection equipment during the SARS outbreak in Singapore: do they fit the Becker Health Belief Model?新加坡严重急性呼吸综合征(SARS)疫情期间家庭医生的经历、行为及个人防护装备的使用情况:他们是否符合贝克尔健康信念模式?
Asia Pac J Public Health. 2006;18(3):49-56. doi: 10.1177/10105395060180030901.
2
SARS plague: duty of care or medical heroism?非典疫情:照护职责还是医学壮举?
Ann Acad Med Singap. 2006 May;35(5):374-8.
3
SARS revisited: managing "outbreaks" with "communications".重温非典:用“沟通”应对“疫情”
Ann Acad Med Singap. 2006 May;35(5):361-7.
4
SARS in Singapore--key lessons from an epidemic.新加坡的非典疫情——疫情中的关键教训
Ann Acad Med Singap. 2006 May;35(5):345-9.
5
Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on work and personal lives of healthcare workers in Singapore: what can we learn?严重急性呼吸综合征(SARS)对新加坡医护人员工作和个人生活的风险认知及影响:我们能学到什么?
Med Care. 2005 Jul;43(7):676-82. doi: 10.1097/01.mlr.0000167181.36730.cc.
6
The Singaporean response to the SARS outbreak: knowledge sufficiency versus public trust.新加坡对非典疫情的应对:知识充足与公众信任
Health Promot Int. 2005 Dec;20(4):320-6. doi: 10.1093/heapro/dai010. Epub 2005 Jun 17.
7
Appropriate use of personal protective equipment among healthcare workers in public sector hospitals and primary healthcare polyclinics during the SARS outbreak in Singapore.新加坡严重急性呼吸综合征疫情期间,公共部门医院和基层医疗综合诊所医护人员个人防护装备的合理使用情况。
Occup Environ Med. 2005 Jul;62(7):473-7. doi: 10.1136/oem.2004.015024.
8
Use of quarantine in the control of SARS in Singapore.新加坡在严重急性呼吸综合征(SARS)防控中实施检疫措施的情况。
Am J Infect Control. 2005 Jun;33(5):252-7. doi: 10.1016/j.ajic.2004.08.007.
9
SARS in Singapore: surveillance strategies in a globalising city.新加坡的非典疫情:全球化城市中的监测策略
Health Policy. 2005 Jun;72(3):279-91. doi: 10.1016/j.healthpol.2004.11.004. Epub 2004 Dec 7.
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A tale of two cities: community psychobehavioral surveillance and related impact on outbreak control in Hong Kong and Singapore during the severe acute respiratory syndrome epidemic.双城记:严重急性呼吸综合征疫情期间香港和新加坡的社区心理行为监测及其对疫情防控的相关影响
Infect Control Hosp Epidemiol. 2004 Dec;25(12):1033-41. doi: 10.1086/502340.