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意大利新冠肺炎疫情的惨痛教训:重新思考国家卫生保健服务的作用?

The Hard Lessons Learned by the COVID-19 Epidemic in Italy: Rethinking the Role of the National Health Care Service?

机构信息

Medical Directorate, University Hospital of Novara, Corso Mazzini 18, Novara 28100, Italy.

Department of Intensive Care (I.C.U.) & Covid-19 Care Unit, "Tzaneio" General Hospital of Piraeus, Zanni & Afentouli Avenue, Piraeus, 18536, Greece.

出版信息

J Epidemiol Glob Health. 2021 Sep;11(3):266-270. doi: 10.2991/jegh.k.210420.001. Epub 2021 Apr 25.

DOI:10.2991/jegh.k.210420.001
PMID:33969950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8435874/
Abstract

The dramatic events precipitated by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) virus pandemic have highlighted the limitations and contradictions of our country's current health care delivery model plagued by the closure of healthcare delivery structures, staff reductions, privatizations and inadequate funding which have been affecting the Italian National Health System during the past 10 years. The COVID-19 epidemic has a hefty bill: thousands of deaths - mainly elderly, hospitals overwhelmed, residential assistance structures reaching their limits, sick people left alone and uncared in homes, the disruption in life habits and an altered daily way of living never experienced before; all have contributed into making the ongoing tragedy even more painful. Herewith, we present and discuss the information and reflections from our experiences and postulate the rethinking of the established socio-health policies not only in Italy but also in other western countries which have failed to curtail the epidemic via conventional management approaches.

摘要

严重急性呼吸系统综合症冠状病毒 2 型(SARS-CoV-2)病毒大流行引发的戏剧性事件突显了我国目前医疗保健提供模式的局限性和矛盾,这些模式受到医疗保健提供结构关闭、人员减少、私有化和资金不足的困扰,这些问题在过去 10 年中一直影响着意大利国家卫生系统。COVID-19 疫情带来了沉重的代价:数千人死亡——主要是老年人、医院不堪重负、住宿援助结构达到极限、生病的人独自留在家中无人照顾、生活习惯被打乱,日常生活方式发生了前所未有的改变;所有这些都使得正在发生的悲剧更加痛苦。在此,我们提出并讨论了我们的经验所获得的信息和反思,并假设不仅在意大利,而且在其他西方国家也需要重新思考既定的社会健康政策,这些国家未能通过传统的管理方法遏制疫情。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6045/8435874/6766eb4f3384/JEGH-11-3-266-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6045/8435874/77c7677898b3/JEGH-11-3-266-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6045/8435874/6766eb4f3384/JEGH-11-3-266-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6045/8435874/77c7677898b3/JEGH-11-3-266-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6045/8435874/6766eb4f3384/JEGH-11-3-266-g002.jpg

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Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention.
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The Impact of the COVID-19 Pandemic on the Mental Health of Healthcare Workers in Italy: Analyzing the Role of Individual and Workplace-Level Factors in the Reopening Phase After Lockdown.新冠疫情对意大利医护人员心理健康的影响:分析封锁后重新开放阶段个人和工作场所层面因素的作用。
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