Aron Jamie A, Bulteel Alexander J B, Clayman Kelsey A, Cornett Joseph A, Filtz Kerry, Heneghan Liam, Hubbell Kenneth T, Huff Ryan, Richter Adam J, Yu Kathleen, Weil Henry, Heneghan Steven
Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA; Bassett Medical Center, Cooperstown, NY, USA.
Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA; Bassett Medical Center, Cooperstown, NY, USA.
Healthc (Amst). 2021 Jun;9(2):100508. doi: 10.1016/j.hjdsi.2020.100508. Epub 2021 Feb 2.
Research and media reports about coronavirus disease 2019 (COVID-19) have largely focused on urban areas due to their high caseloads. However, the COVID-19 pandemic presents distinct and under-recognized challenges to rural areas. This report describes the challenges faced by Bassett Healthcare Network (BHN), a health network in rural upstate New York, and the strategies BHN devised in response. The response to COVID-19 at BHN focused on 4 strategies: (1) Expansion of intensive-care capacity. (2) Redeployment and retraining of workforce. (3) Provision of COVID-19 information, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral testing, and appropriate follow-up for a geographically dispersed population. (4) Coordination of the response to the pandemic across a large, diverse organization. Rural health systems and hospitals can take steps to address the specific challenges posed by the COVID-19 pandemic in their communities. We believe that the strategies BHN employed to adapt to COVID-19 may be useful to other rural health systems. More research is needed to determine which strategies have been most effective in responding to the pandemic in other rural settings.
关于2019冠状病毒病（COVID-19）的研究和媒体报道主要集中在城市地区，因为这些地区的病例数量众多。然而，COVID-19大流行给农村地区带来了独特且未得到充分认识的挑战。本报告描述了纽约州北部农村地区的医疗网络巴塞特医疗网络（BHN）所面临的挑战，以及BHN制定的应对策略。BHN对COVID-19的应对集中在4项策略上：（1）扩大重症监护能力。（2）重新部署和再培训工作人员。（3）为地理上分散的人群提供COVID-19信息、严重急性呼吸综合征冠状病毒2（SARS-CoV-2）病毒检测及适当的后续跟进。（4）在一个庞大且多样化的组织内协调对大流行的应对。农村卫生系统和医院可以采取措施应对其社区中COVID-19大流行带来的具体挑战。我们认为，BHN为适应COVID-19所采用的策略可能对其他农村卫生系统有用。需要更多研究来确定哪些策略在应对其他农村地区的大流行方面最为有效。
