Faculty of Social Work (Central and Northern Alberta Region), University of Calgary, #444 11044-82 Avenue, Edmonton, Alberta, Canada.
Health Policy. 2010 Jul;96(2):134-42. doi: 10.1016/j.healthpol.2010.01.007.
This study investigates current policies, key issues, and needs for pandemic planning in pediatrics in Canada.
Online pandemic plans from national, provincial and territorial government websites were reviewed to identify: plans for children and families, and psychosocial and ethical issues. A survey was administered to gather participants' perspectives on the needs in pediatric planning, as well as important elements of their organizations' and regions' pandemic plans. A thematic analysis was conducted on qualitative survey responses.
The majority of existing plans did not adequately address the unique needs of pediatric populations, and mainly focused on medical and policy concerns. Several gaps in plans were identified, including the need for psychosocial supports and ethical decision-making frameworks for children and families. Similarly, survey respondents identified parallel gaps, in their organization's or region's plans.
Although many plans provide guidelines for medical and policy issues in pediatrics, much more work remains in psychosocial and ethical planning. A focus on children and families is needed for pandemic planning in pediatrics to ensure best outcomes for children and families.
本研究调查了加拿大儿科领域大流行规划的现行政策、关键问题和需求。
对来自国家、省和地区政府网站的在线大流行计划进行了审查,以确定:针对儿童及其家庭的计划,以及心理社会和伦理问题。对参与者就儿科规划需求以及其所在组织和地区大流行计划的重要内容的看法进行了调查。对定性调查答复进行了主题分析。
大多数现有计划没有充分解决儿科人群的特殊需求,主要侧重于医疗和政策问题。计划中存在一些差距,包括需要为儿童及其家庭提供心理社会支持和伦理决策框架。同样,调查受访者也在其所在组织或地区的计划中发现了类似的差距。
尽管许多计划为儿科的医疗和政策问题提供了指导,但在心理社会和伦理规划方面仍有许多工作要做。儿科大流行规划需要关注儿童及其家庭,以确保儿童及其家庭的最佳结果。