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作为新冠疫情防控公共卫生资源的医学化酒店:不仅仅是隔离场所。

A medicalized hotel as a public health resource for the containment of Covid-19: more than a place for quarantining.

机构信息

Hospital Universitario La Paz, COVID@HULP group, Madrid 28046, Spain.

Hospital Universitario La Paz, Department of Psychiatry, Madrid 28046, Spain.

出版信息

J Public Health (Oxf). 2021 Apr 12;43(1):89-97. doi: 10.1093/pubmed/fdaa129.

Abstract

BACKGROUND

To describe the implementation of a medicalized hotel in the community of Madrid as a public health resource for the containment of coronavirus disease (COVID-19) and to describe the characteristics of population benefitted.

METHODS

A descriptive study of the implementation of the Via Castellana Medicalised Hotel (VCMH) was conducted. The average monthly household income, educational level and occupational social class of the subjects admitted were obtained through a survey conducted during their stay.

RESULTS

There was no guidance for launching; however the hotel was coordinated by a tertiary referral hospital and attended the preventive medicine regulations and the decrees of legal regimes and authorization of health services in Madrid. Between 19 March and the 9 May 2020, 399 patients were admitted; 59% (235) were migrant; the main reason for referral (58%) was a lack of house conditions for quarantining, including overcrowding, which when compared with the migrant status a positive correlation was found. Some other reasons for referral were homelessness and eviction. Most of the survey participants had low monthly household income, educational level and social class.

CONCLUSIONS

This medicalized hotel provided medical care and offered housing to a subgroup of vulnerable population who could not afford a safe quarantine.

摘要

背景

描述马德里社区内一家医疗化酒店作为控制冠状病毒病(COVID-19)的公共卫生资源的实施情况,并描述受益人群的特征。

方法

对马德里 Via Castellana 医疗化酒店(VCMH)的实施情况进行了描述性研究。通过在入住期间进行的调查,获得了入住者的平均月家庭收入、教育水平和职业社会阶层。

结果

没有启动指南;但是,该酒店由一家三级转诊医院协调,并遵守预防医学法规以及马德里的法律制度法令和卫生服务授权。2020 年 3 月 19 日至 5 月 9 日期间,共收治了 399 名患者;59%(235 人)为移民;转诊的主要原因(58%)是缺乏隔离的住房条件,包括过度拥挤,与移民身份相比,这两者之间存在正相关关系。转诊的其他原因包括无家可归和被驱逐。大多数调查参与者的月家庭收入、教育水平和社会阶层较低。

结论

这家医疗化酒店为无法负担安全隔离的弱势人群提供医疗服务和住房。

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