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在科泽科德姑息医学研究所开展姑息治疗服务应对新冠疫情:优势、劣势、机遇与威胁分析

Running Palliative Care Services at the Institute of Palliative Medicine, Kozhikode, Amid COVID-19 Pandemic: A Strengths, Weaknesses, Opportunities, and Threats Analysis.

作者信息

Mathews Lulu, Immanuel Terrymize, Krishnadas Nisha

机构信息

Institute of Palliative Medicine, Kozhikode, Kerala, India.

出版信息

Indian J Palliat Care. 2020 Jun;26(Suppl 1):S48-S52. doi: 10.4103/IJPC.IJPC_137_20. Epub 2020 Jun 30.

Abstract

CONTEXT

COVID-19 pandemic and nationwide lockdown has affected the health system. Many health-care facilities are prioritizing their services, and hence, those suffering from life-limiting conditions will have difficulty in accessing health services.

AIMS

The aim of the study was to perform a Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis of the palliative care (PC) services provided by the Institute of Palliative Medicine (IPM), Kozhikode, amid COVID-19 pandemic.

SETTINGS AND DESIGN

A SWOT analysis of PC services provided by IPM.

SUBJECTS AND METHODS

The data for SWOT analysis was collected by brainstorming and review of records and registers.

RESULTS

Good prioritization and documentation system and routinely adhering to infection control practices are notable strengths. Lack of funding and interrupted supply of personal protective equipment are notable weaknesses. Availability of established communication channels with active community participation are a few opportunities available to improve the services. Working with high-risk groups, return of Non-residential Indians (NRI), lack of transparency and stigma among the general public are the threats that can affect the service delivery.

CONCLUSIONS

Having good prioritization and documentation system, reinforcing infection control practices, already established emergency homecare system, presence of a well-developed network of community-based PC services, and a vast network of community volunteers and awareness and cooperation of families had helped IPM to quickly reorganize its services and transition smoothly to continue to provide PC for those suffering from life-limiting illnesses in this pandemic situation.

摘要

背景

新冠疫情和全国范围的封锁对卫生系统产生了影响。许多医疗保健机构正在对其服务进行优先排序,因此,患有危及生命疾病的患者将难以获得医疗服务。

目的

本研究的目的是对科泽科德姑息医学研究所(IPM)在新冠疫情期间提供的姑息治疗(PC)服务进行优势、劣势、机会和威胁(SWOT)分析。

设置与设计

对IPM提供的PC服务进行SWOT分析。

研究对象与方法

通过头脑风暴以及对记录和登记簿的审查收集SWOT分析数据。

结果

良好的优先排序和文档系统以及日常坚持感染控制措施是显著优势。资金短缺和个人防护设备供应中断是显著劣势。已建立的沟通渠道以及活跃的社区参与是可用于改善服务的一些机会。与高风险群体合作、非居民印度人(NRI)回国、缺乏透明度以及公众的污名化是可能影响服务提供的威胁。

结论

拥有良好的优先排序和文档系统、强化感染控制措施、已建立的紧急居家护理系统、完善的社区姑息治疗服务网络、庞大的社区志愿者网络以及家庭的意识和合作,帮助IPM迅速重组其服务并顺利过渡,以便在这种大流行情况下继续为患有危及生命疾病的患者提供姑息治疗。

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