Department of Anatomy, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.
Ammochostos General Hospital, Ammochostos, Cyprus.
Front Public Health. 2022 Jul 11;10:734796. doi: 10.3389/fpubh.2022.734796. eCollection 2022.
To date in Cyprus, there is no dedicated "Quality Improvement" body or Public Health authority. The long-awaited general healthcare system (known as GeSy or GHS) has been completed, mid-stream of the COVID-19 pandemic. A recently proposed resilience plan in response to the lessons learnt from the pandemic was put forward by the Government of the Republic of Cyprus to strengthen the capacity of the GHS and support public health defense. The negotiator of GeSy and Health Minister 2015-2018 also provided his view that the health system needs a holistic transformation of service provision. Recognizing failures and thinking from a syndemogenesis perspective how the envisioned patient-centric healthcare delivery can be achieved, we propose that the public health response could also be linked to a politico-economic one in shielding GeSy. We make such case for a syndemic strategy (simultaneous management of COVID-19 and pre-existing epidemics on the island) and the development of the five-district model where each main district hospital is to complement the activities of the GHS through developing: 1. A training Center for training and sharing of best practices for COVID-19 and other public emergencies. 2. A public health body. 3. A quality improvement institute. 4. A commissioning center on planning and streamlining healthcare services. 5. A clinical trial platform. The rationale is based on the management literature and use of existing resources and capabilities for transforming the GeSy and generating value.
截至目前，塞浦路斯还没有专门的“质量改进”机构或公共卫生部门。期待已久的综合医疗保健系统（称为 GeSy 或 GHS）在 COVID-19 大流行期间已经完成。塞浦路斯共和国政府最近提出了一项应对大流行经验教训的弹性计划，旨在加强 GHS 的能力并支持公共卫生防御。GeSy 的谈判代表和 2015-2018 年的卫生部长也表示，卫生系统需要对服务提供进行全面改革。认识到失败并从综合征发病的角度思考如何实现设想中的以患者为中心的医疗服务提供，我们建议公共卫生应对措施也可以与保护 GeSy 的政治经济应对措施联系起来。我们提出了一种综合征策略（同时管理 COVID-19 和岛上现有的流行病）和五区模式的发展，每个主要地区医院都通过发展来补充 GHS 的活动：1. 一个培训中心，用于培训和分享 COVID-19 和其他公共紧急情况的最佳实践。2. 一个公共卫生机构。3. 一个质量改进研究所。4. 一个规划和简化医疗服务的委托中心。5. 一个临床试验平台。其基本原理基于管理文献以及利用现有资源和能力来改革 GeSy 并创造价值。
