Global Health Institute/School of Health Sciences, Wuhan University, Wuhan 430071, China.
School of Health Sciences, Wuhan University, Wuhan 430071, China.
Int J Environ Res Public Health. 2020 Oct 20;17(20):7633. doi: 10.3390/ijerph17207633.
Background-Communities played a key role in preventing the spread of coronavirus, not only during the threshold period of the epidemic but also in the normal stage of prevention. Scientifically evaluating the community's work is necessary for prevention in the normal period of the epidemic and can provide a reference for the management of different countries. Methods-Based on data envelopment analysis (DEA), this article used community worker data to evaluate the matching of service supply and demand during the epidemic period and used co-word analysis to analyze the content and the residents' demands for community service from the threshold period to the normal period of the epidemic. Results-According to the results of the DEA model, early in the epidemic, 13 of the 15 districts' DEA values were invalid, indicating that there was a shortage in community workers in Wuhan. The results of public opinion analysis showed that from the threshold to the normal period of the epidemic, the emphasis on community service gradually transformed from epidemic prevention to an integrated service, which effectively met the composite service needs of community residents for both prevention and life. Conclusions-In the face of public health emergencies, the government should ensure an adequate number of service personnel, mobilize the service resources, refine the service content, and adjust the incentive policy, which can help to improve the quality of residents' lives and the coordination degree of the prevention and control as part of the epidemic control in the emergency period and the social and economic recovery after the epidemic.
背景-社区在预防冠状病毒传播方面发挥了关键作用,不仅在疫情爆发的初期阶段,而且在疫情的正常预防阶段也是如此。科学评估社区的工作对于疫情正常时期的预防至关重要,并可为不同国家的管理提供参考。方法-基于数据包络分析(DEA),本文利用社区工作者数据评估了疫情期间服务供需的匹配情况,并采用共词分析方法分析了疫情初期到正常阶段社区服务的内容和居民需求。结果-根据 DEA 模型的结果,在疫情早期,武汉市 15 个区中的 13 个区的 DEA 值无效,表明社区工作者短缺。舆情分析结果表明,从疫情初期到正常阶段,社区服务的重点逐渐从疫情防控转向综合服务,有效满足了社区居民在预防和生活方面的综合服务需求。结论-在应对突发公共卫生事件时,政府应确保有足够数量的服务人员,调动服务资源,细化服务内容,并调整激励政策,这有助于提高居民的生活质量和防控的协调程度,是疫情紧急时期和疫情后社会经济恢复的一部分。