Akashi Hidechika, Kodoi Haruka, Noda Shinichiro, Tamura Toyomitsu, Baba Hiroko, Chinda Eiki, Thandar Moe Moe, Naito Keisuke, Watanabe Yu, Suzuki Yuko, Narita Tomoyo, Shimazu Taichi
Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Bureau of Social Welfare and Public Health, Tokyo Metropolitan Government, Tokyo, Japan.
Glob Health Med. 2022 Apr 30;4(2):71-77. doi: 10.35772/ghm.2022.01022.
The increasing number of COVID-19 cases has placed pressure on medical facilities. Against this backdrop, the Tokyo Metropolitan Government established a facility for mild and asymptomatic COVID-19 cases by using existing hotels. These kinds of facilities were established in several countries, and represented a spectrum from hotel-like to hospital-like care. In this article, we focused on implementation and related strategies for establishing such a facility in Tokyo as implementation research, while ensuring patient and staff safety. This facility had three functions: care, isolation, and buffering. For the implementation strategy, we used several strategies from the Expert Recommendations for Implementing Change (ERIC) to implement functions similar to an ordinary hospital, but using fewer inputs. This experience can be applied to other resource-limited settings such as that in less developed countries.
新冠病毒病（COVID-19）病例数的不断增加给医疗设施带来了压力。在此背景下，东京都政府利用现有酒店设立了一处收治轻症和无症状COVID-19病例的设施。这类设施在多个国家都有设立，呈现出从类似酒店式护理到类似医院式护理的不同模式。在本文中，我们将在确保患者和工作人员安全的同时，重点关注在东京设立此类设施的实施情况及相关策略，作为实施研究。该设施具备三项功能：护理、隔离和缓冲。对于实施策略，我们采用了《实施变革专家建议》（ERIC）中的若干策略，以实现与普通医院类似的功能，但投入更少。这一经验可应用于其他资源有限的环境，如欠发达国家的环境。
