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[地方卫生当局层面的流感大流行管理]

[Management of the influenza pandemic on a local health authority level].

作者信息

Bellinger O, Götsch U, Böddinghaus B, Kraus-Leonhäuser D, Gottschalk R

机构信息

Amt für Gesundheit Frankfurt am Main, Breite Gasse 28, 60313, Frankfurt am Main, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2010 Dec;53(12):1250-6. doi: 10.1007/s00103-010-1160-6.

DOI:10.1007/s00103-010-1160-6
PMID:21161475
Abstract

In most cities and districts, the influenza pandemic of 2009 could be handled without any restrictions in providing medical care or any disturbance in public life. Despite its relatively mild course, the local public health services reached their limits of capacity. Based on nationwide regulations, the local management determines the success of the measures. Evaluating the experience on the community level offers the chance of facing future pandemics more efficiently. Press conferences, press releases, and the internet are the most reliable tools to inform the public even in terms of personnel expenses. Telephone conferences and internet platforms help to reduce time-consuming meetings. An electronic database and logbook provide up-to-date information for all parties involved and allow quick, rational, coordinated, and transparent decision-making. Local evaluation of registration data, reports on cases of illness, and the availability of hospital beds on a daily basis allow intervention at an early stage to cope with the pandemic efficiently and helps save resources. Recruitment of external personnel, e.g., for the call center and the vaccination campaign, relieves the public health employees in charge with respect to their main tasks of directing and management functions.

摘要

在大多数城市和地区,2009年的流感大流行在提供医疗服务时无需任何限制,公共生活也未受到任何干扰。尽管其病程相对温和,但当地公共卫生服务仍达到了能力极限。根据全国性规定,当地管理部门决定措施的成效。评估社区层面的经验为更有效地应对未来大流行提供了机会。新闻发布会、新闻稿和互联网是向公众提供信息的最可靠工具,即便在人员费用方面也是如此。电话会议和互联网平台有助于减少耗时的会议。电子数据库和日志为所有相关方提供最新信息,并允许快速、合理、协调和透明地做出决策。对登记数据、病例报告和每日医院床位可用性进行本地评估,有助于在早期进行干预,以有效应对大流行并节省资源。招募外部人员,如呼叫中心和疫苗接种活动的工作人员,可减轻负责指导和管理职能等主要任务的公共卫生工作人员的负担。

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