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本文引用的文献

1
The United Kingdom Research study into Ethnicity And COVID-19 outcomes in Healthcare workers (UK-REACH): protocol for a prospective longitudinal cohort study of healthcare and ancillary workers in UK healthcare settings.英国研究种族与医疗保健工作者 COVID-19 结局(UK-REACH):一项针对英国医疗保健环境中医疗和辅助工作者的前瞻性纵向队列研究的方案。
BMJ Open. 2021 Sep 17;11(9):e050647. doi: 10.1136/bmjopen-2021-050647.
2
United Kingdom Research study into Ethnicity And COVID-19 outcomes in Healthcare workers (UK-REACH): a retrospective cohort study using linked routinely collected data, study protocol.英国医护人员种族与新冠病毒病结局研究(UK-REACH):一项使用关联常规收集数据的回顾性队列研究,研究方案。
BMJ Open. 2021 Jun 28;11(6):e046392. doi: 10.1136/bmjopen-2020-046392.
3
Ethnic differences in SARS-CoV-2 infection and COVID-19-related hospitalisation, intensive care unit admission, and death in 17 million adults in England: an observational cohort study using the OpenSAFELY platform.在英格兰 1700 万成年人中,观察性队列研究使用 OpenSAFELY 平台发现 SARS-CoV-2 感染以及与 COVID-19 相关的住院、重症监护病房入院和死亡的种族差异。
Lancet. 2021 May 8;397(10286):1711-1724. doi: 10.1016/S0140-6736(21)00634-6. Epub 2021 Apr 30.
4
Outcomes of COVID-19: Disparities by ethnicity.COVID-19 结局:族裔差异。
Infect Genet Evol. 2021 Jan;87:104639. doi: 10.1016/j.meegid.2020.104639. Epub 2020 Nov 24.
5
Ethnicity and clinical outcomes in COVID-19: A systematic review and meta-analysis.COVID-19中的种族与临床结局:一项系统评价与荟萃分析。
EClinicalMedicine. 2020 Dec;29:100630. doi: 10.1016/j.eclinm.2020.100630. Epub 2020 Nov 12.
6
Covid-19: risks to healthcare workers and their families.新型冠状病毒肺炎:医护人员及其家人面临的风险。
BMJ. 2020 Oct 28;371:m3944. doi: 10.1136/bmj.m3944.
7
Risk of hospital admission with coronavirus disease 2019 in healthcare workers and their households: nationwide linkage cohort study.医护人员及其家庭成员因 2019 冠状病毒病住院的风险:全国关联队列研究。
BMJ. 2020 Oct 28;371:m3582. doi: 10.1136/bmj.m3582.
8
Socio-demographic heterogeneity in the prevalence of COVID-19 during lockdown is associated with ethnicity and household size: Results from an observational cohort study.封锁期间新冠病毒病患病率的社会人口学异质性与种族和家庭规模有关:一项观察性队列研究的结果
EClinicalMedicine. 2020 Aug;25:100466. doi: 10.1016/j.eclinm.2020.100466. Epub 2020 Jul 17.
9
Assessment of COVID-19 Hospitalizations by Race/Ethnicity in 12 States.12 个州的基于种族/族裔的 COVID-19 住院评估。
JAMA Intern Med. 2021 Jan 1;181(1):131-134. doi: 10.1001/jamainternmed.2020.3857.
10
Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study.一线医护人员和普通社区人群 COVID-19 发病风险:前瞻性队列研究。
Lancet Public Health. 2020 Sep;5(9):e475-e483. doi: 10.1016/S2468-2667(20)30164-X. Epub 2020 Jul 31.

英国医疗工作者中的族裔和 COVID-19 结局:英国 REACH 伦理法律研究,医疗工作者经历的定性研究和利益攸关方参与协议。

Ethnicity and COVID-19 outcomes among healthcare workers in the UK: UK-REACH ethico-legal research, qualitative research on healthcare workers' experiences and stakeholder engagement protocol.

机构信息

Respiratory Sciences, University of Leicester, Leicester, UK.

School of Law, The University of Edinburgh, Edinburgh, UK.

出版信息

BMJ Open. 2021 Jul 9;11(7):e049611. doi: 10.1136/bmjopen-2021-049611.

DOI:10.1136/bmjopen-2021-049611
PMID:34244281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8275361/
Abstract

INTRODUCTION

As the world continues to grapple with the COVID-19 pandemic, emerging evidence suggests that individuals from ethnic minority backgrounds may be disproportionately affected. The United Kingdom Research study into Ethnicity And COVID-19 outcomes in Healthcare workers (UK-REACH) project has been initiated to generate rapid evidence on whether and why ethnicity affects COVID-19 diagnosis and clinical outcomes in healthcare workers (HCWs) in the UK, through five interlinked work packages/work streams, three of which form the basis of this protocol. The ethico-legal work (Work Package 3) aims to understand and address legal, ethical and acceptability issues around big data research; the HCWs' experiences study (Work Package 4) explores their work and personal experiences, perceptions of risk, support and coping mechanisms; the stakeholder engagement work (Work Package 5) aims to provide feedback and support with the formulation and dissemination of the project recommendations.

METHODS AND ANALYSIS

Work Package 3 has two different research strands: (A) desk-based doctrinal research; and (B) empirical qualitative research with key opinion leaders. For the empirical research, in-depth interviews will be conducted digitally and recorded with participants' permission. Recordings will be transcribed, coded and analysed using thematic analysis. In Work Package 4, online in-depth interviews and focus groups will be conducted with approximately 150 HCWs, from across the UK, and these will be recorded with participants' consent. The recordings will be transcribed and coded and data will be analysed using thematic analysis. Work Package 5 will achieve its objectives through regular group meetings and in-group discussions.

ETHICS AND DISSEMINATION

Ethical approval has been received from the London-Brighton & Sussex Research Ethics Committee of the Health Research Authority (Ref No 20/HRA/4718). Results of the study will be published in open-access journals, and disseminated through conference presentations, project website, stakeholder organisations, media and scientific advisory groups.

TRIAL REGISTRATION NUMBER

ISRCTN11811602.

摘要

简介

随着世界继续应对 COVID-19 大流行,新出现的证据表明,少数民族背景的人可能受到不成比例的影响。英国研究项目“种族与医疗保健工作者 COVID-19 结果研究(UK-REACH)”旨在通过五个相互关联的工作包/工作流快速生成证据,以了解和解释为什么种族会影响英国医疗保健工作者(HCWs)的 COVID-19 诊断和临床结果,其中三个构成了本方案的基础。伦理法律工作(工作包 3)旨在了解和解决大数据研究中的法律、伦理和可接受性问题;HCWs 的经验研究(工作包 4)探讨了他们的工作和个人经验、风险感知、支持和应对机制;利益相关者参与工作(工作包 5)旨在为项目建议的制定和传播提供反馈和支持。

方法和分析

工作包 3 有两个不同的研究方向:(A)基于文献的理论研究;和(B)与主要意见领袖进行的实证定性研究。对于实证研究,将在参与者同意的情况下,通过数字方式进行深入访谈并记录。记录将经过转录、编码和主题分析进行分析。在工作包 4 中,将与来自英国各地的大约 150 名 HCWs 进行在线深入访谈和焦点小组访谈,并在参与者同意的情况下进行记录。录制内容将被转录和编码,使用主题分析对数据进行分析。工作包 5 将通过定期小组会议和小组内讨论来实现其目标。

伦理与传播

伦敦-布莱顿和苏塞克斯研究伦理委员会已从健康研究管理局获得伦理批准(参考号 20/HRA/4718)。该研究的结果将发表在开放获取期刊上,并通过会议演讲、项目网站、利益相关者组织、媒体和科学咨询小组进行传播。

注册号

ISRCTN87071724。