Reid Steve, Ras Tasleem, Von Pressentin Klaus
Primary Health Care Directorate, Faculty of Health Sciences, University of Cape Town, Cape Town.
Afr J Prim Health Care Fam Med. 2020 Oct 26;12(1):e1-e4. doi: 10.4102/phcfm.v12i1.2667.
This short report captures the week-by-week reflections of a group of family physicians who joined the clinical and operational management teams tasked with providing the in-patient service of an 862-bed COVID-19 field hospital. The 'Hospital of Hope' at the Cape Town International Convention Centre (CTICC) was established as an intermediate care facility specifically to cope with the effects of the COVID-19 pandemic in Cape Town metropole. In an extraordinary feat of engineering, the conference centre floor was transformed within a matter of weeks into wards with piped oxygen at each bed. Whilst the emergency medicine specialists took the lead in designing and commissioning the facility, the medical management and staff were drawn mostly from family physicians. This report is a short reflection on the experience of the first 4 weeks of managing patients in this repurposed space. Our insights evolved during various formal and informal learning conversations as the in-patient service became more organised over time. We hope that these insights, as well as the process of reaching them, will assist other colleagues in serving their communities during this difficult moment in history; moreover, it may reflect a renewed appreciation for team-based interdisciplinary efforts in achieving person-centred care.
本简短报告记录了一群家庭医生的逐周反思，他们加入了临床和运营管理团队，负责为一家拥有862张床位的新冠疫情野战医院提供住院服务。位于开普敦国际会议中心（CTICC）的“希望医院”被设立为一家中级护理机构，专门应对开普敦都会区新冠疫情的影响。在一项非凡的工程壮举中，会议中心楼层在数周内就被改造成了病房，每张病床都配备了管道氧气。虽然急诊医学专家带头设计并启用了该设施，但医疗管理和工作人员大多来自家庭医生。本报告是对在这个重新利用的空间中管理患者的前4周经验的简短反思。随着住院服务随着时间的推移变得更加有序，我们的见解在各种正式和非正式的学习交流中不断演变。我们希望这些见解以及得出这些见解的过程，将有助于其他同事在这个历史艰难时刻为他们的社区服务；此外，它可能反映了对基于团队的跨学科努力在实现以患者为中心的护理方面的重新认识。
