储备的个人防护设备和大流行计划知识可预测德国全科医生对大流行准备情况的认知。
Stockpiled personal protective equipment and knowledge of pandemic plans as predictors of perceived pandemic preparedness among German general practitioners.
机构信息
Faculty of Human Sciences, Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.
出版信息
PLoS One. 2021 Aug 12;16(8):e0255986. doi: 10.1371/journal.pone.0255986. eCollection 2021.
BACKGROUND
The COVID-19 pandemic significantly changed the work of general practitioners (GPs). At the onset of the pandemic in March 2020, German outpatient practices had to adapt quickly. Pandemic preparedness (PP) of GPs may play a vital role in their management of a pandemic.
OBJECTIVES
The study aimed to examine the association in the stock of seven personal protective equipment (PPE) items and knowledge of pandemic plans on perceived PP among GPs.
METHODS
Three multivariable linear regression models were developed based on an online cross-sectional survey for the period March-April 2020 (the onset of the pandemic in Germany). Data were collected using self-developed items on self-assessed PP and knowledge of a pandemic plan and its utility. The stock of seven PPE items was queried. For PPE items, three different PPE scores were compared. Control variables for all models were gender and age.
RESULTS
In total, 508 GPs were included in the study; 65.16% believed that they were very poorly or poorly prepared. Furthermore, 13.83% of GPs were aware of a pandemic plan; 40% rated those plans as beneficial. The stock of FFP-2/3 masks, protective suits, face shields, safety glasses, and medical face masks were mostly considered completely insufficient or insufficient, whereas disposable gloves and disinfectants were considered sufficient or completely sufficient. The stock of PPE was significantly positively associated with PP and had the largest effect on PP; the association of the knowledge of a pandemic plan was significant but small. PPE scores did not vary considerably in their explanatory power. The assessment of a pandemic plan as beneficial did not significantly affect PP.
CONCLUSION
The stock of PPE seems to be the determining factor for PP among German GPs; for COVID-19, sufficient masks are the determining factor. Knowledge of a pandemic plans play a secondary role in PP.
背景
COVID-19 大流行极大地改变了全科医生（GP）的工作方式。2020 年 3 月大流行开始时，德国的门诊实践必须迅速做出调整。GP 的大流行防范（PP）措施可能在他们对大流行的管理中起着至关重要的作用。
目的
本研究旨在考察在 COVID-19 大流行期间，七种个人防护设备（PPE）物品的存量以及对大流行计划的了解与 GP 感知的 PP 之间的关联。
方法
基于 2020 年 3 月至 4 月（德国大流行开始时）的在线横断面调查，开发了三个多变量线性回归模型。使用自我评估的 PP 以及对大流行计划及其效用的了解方面的自我开发项目来收集数据。询问了七种 PPE 物品的存量。对于 PPE 项目，比较了三个不同的 PPE 评分。所有模型的控制变量均为性别和年龄。
结果
共有 508 名 GP 参与了这项研究；65.16%的人认为他们的准备工作非常差或差。此外，有 13.83%的 GP 了解大流行计划；40%的人认为这些计划是有益的。FFP-2/3 口罩、防护服、面罩、安全眼镜和医用口罩的存量大多被认为完全不足或不足，而一次性手套和消毒剂则被认为是充足或完全充足的。PPE 的存量与 PP 呈显著正相关，对 PP 的影响最大；对大流行计划的了解具有显著但较小的相关性。PPE 评分在其解释力方面没有很大差异。评估大流行计划有益并不会显著影响 PP。
结论
在德国 GP 中，PPE 的存量似乎是 PP 的决定因素；对于 COVID-19，充足的口罩是决定因素。对大流行计划的了解在 PP 中起着次要作用。
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