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流感哨点监测网络:西班牙加泰罗尼亚评估甲型H1N1流感大流行2009的一项公共卫生-初级保健协作行动。

Influenza sentinel surveillance network: a public health-primary care collaborative action to assess influenza A(H1N1)pmd09 in Catalonia, Spain.

作者信息

Torner Nuria, Baricot Maretva, Martínez Ana, Toledo Diana, Godoy Pere, Dominguez Ángela

机构信息

Public Health Agency of Catalonia; Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP); Carlos III Institute; Madrid, Spain; Department of Public Health; University of Barcelona; Barcelona, Spain.

出版信息

Hum Vaccin Immunother. 2013 Mar;9(3):671-4. doi: 10.4161/hv.23264. Epub 2013 Feb 8.

Abstract

The aim of this study was to evaluate the outcome of a collaborative action between Public Health services and Primary Care in the context of a case-control study on effectiveness of pharmaceutical and non-pharmaceutical measures to prevent hospitalization in a pandemic situation. To carry out this research the collaborative action of the primary care physicians members of the Influenza surveillance network was needed, they had to recall clinical information from influenza A(H1N1)pmd09 confirmed outpatient cases and negative outpatient controls matching their corresponding hospitalized confirmed case.   A survey questionnaire to assess involvement of Influenza Sentinel Surveillance Primary care physicians' Network of Catalonia (PIDIRAC) regarding the outpatient case and control outreach during the pandemic influenza season was performed. A total of 71,1% of completed surveys were received. Perception of pandemic activity was considered to be similar to seasonal influenza activity in 43.8% or higher but not unbearable in 37.5% of the replies. There was no nuisance reported from patients regarding neither the questions nor the surveyor. Collaborative research between Public Health services and Primary Care physicians enhances Public Health actions and research.

摘要

本研究的目的是在一项关于药物和非药物措施预防大流行情况下住院有效性的病例对照研究背景下,评估公共卫生服务与初级保健之间合作行动的结果。为开展这项研究,需要流感监测网络中的初级保健医生进行合作行动,他们必须从甲型H1N1流感pmd09确诊门诊病例以及与其相应住院确诊病例匹配的阴性门诊对照中回顾临床信息。 开展了一项调查问卷,以评估加泰罗尼亚流感哨点监测初级保健医生网络(PIDIRAC)在大流行性流感季节期间对门诊病例和对照的外展情况。共收到71.1%的完整调查问卷。在43.8%或更高比例的回复中,对大流行活动的认知被认为与季节性流感活动相似,但在37.5%的回复中并非难以忍受。患者对问题或调查员均未报告有困扰。公共卫生服务与初级保健医生之间的合作研究增强了公共卫生行动和研究。

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