Department of Health and Social Policies, Autonomous Province of Trento, 38122 Trento, Italy.
Department of Prevention, Local Health Authority 3 of Venice, 30174 Veneto Region, Italy.
Int J Environ Res Public Health. 2020 May 22;17(10):3666. doi: 10.3390/ijerph17103666.
The coronavirus disease (COVID-19) outbreak is rapidly progressing globally, and Italy, as one of the main pandemic hotspots, may provide some hard lessons for other countries. In this paper, we summarize the current organizational capacity and provide a pragmatic and narrative account of strategies and activities implemented by the Department of Prevention (Dipartimento di Prevenzione)-the regional entity of the Local Health Authority of the Italian National Health Service in charge of public health-since the beginning of the outbreak. We conduct a preliminary analysis of general strengths, weaknesses, opportunities, and threats (SWOT) of the response strategies from a local perspective. Furthermore, we provide firsthand insights on future directions and priorities to manage this unprecedented pandemic. Our case report gives a qualitative view of the healthcare response, based on the experience of frontline professionals, with the aim to generate hypotheses about factors which may promote or hinder the prevention and management of a pandemic locally. We highlight the importance of a public health approach for responding to COVID-19 and reshaping healthcare systems.
新型冠状病毒病（COVID-19）疫情在全球迅速蔓延，意大利作为主要疫情热点地区之一，可能为其他国家提供了一些宝贵的经验教训。本文总结了目前的组织能力，并从地方角度对意大利国家卫生服务局地方卫生局（Dipartimento di Prevenzione）——负责公共卫生的地区实体——自疫情爆发以来实施的策略和活动进行了务实和叙述性的描述。我们对反应策略的一般优势、劣势、机会和威胁（SWOT）进行了初步分析。此外，我们还提供了有关未来管理这一前所未有的大流行的方向和优先事项的第一手见解。本病例报告基于一线专业人员的经验，从医疗保健应对的角度提供了定性观点，旨在对可能促进或阻碍本地大流行的预防和管理的因素提出假设。我们强调了采取公共卫生措施应对 COVID-19 和重塑医疗体系的重要性。
