Corona Behavioural Unit, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
University of Humanistic Studies, Utrecht, the Netherlands.
Euro Surveill. 2022 Oct;27(42). doi: 10.2807/1560-7917.ES.2022.27.42.2200242.
BackgroundDuring the coronavirus disease (COVID-19) pandemic, key persons who were formally or informally active in community organisations and networks, such as sports clubs or cultural, educational, day care and healthcare facilities, occupied a key position between governments and citizens. However, their experiences, the dilemmas they faced and the solutions they generated when implementing COVID-19 measures in their respective settings are understudied.AimWe aimed to understand how key persons in different community organisations and networks experienced and responded to the COVID-19 measures in the Netherlands.MethodsBetween October 2020 and December 2021, the Corona Behavioural Unit at the Dutch national public health institute, conducted qualitative research based on narratives derived from 65 in-depth interviews with 95 key persons from 32 organisations and networks in eight different sectors.ResultsFirstly, key persons enhanced adherence and supported the resilience and well-being of people involved in their settings. Secondly, adherence was negatively affected where COVID-19 measures conflicted with important organisational goals and values. Thirdly, small changes and ambiguities in COVID-19 policy had substantial consequences, depending on the context. Fourthly, problem-solving was achieved through trial-and-error, peer support, co-creation and transparent communication. Lastly, the COVID-19 pandemic and measures highlighted inequalities in access to resources.ConclusionPandemic preparedness requires organisational and community preparedness and a multidisciplinary public health approach. Structural engagement of governments with key persons in community organisations and networks is key to enhance public trust and adherence to pandemic measures and contributes to health equity and the well-being of the people involved.
背景
在冠状病毒病（COVID-19）大流行期间，正式或非正式地活跃于社区组织和网络中的关键人物，如体育俱乐部或文化、教育、日托和医疗保健设施，在政府和公民之间占据了关键位置。然而，他们在各自环境中实施 COVID-19 措施时的经验、面临的困境以及提出的解决方案尚未得到充分研究。
目的
我们旨在了解不同社区组织和网络中的关键人物如何体验和应对荷兰的 COVID-19 措施。
方法
2020 年 10 月至 2021 年 12 月，荷兰国家公共卫生研究所的 Corona Behavioural Unit 基于来自 32 个组织和网络的 95 名关键人物的 65 次深入访谈中的叙述，开展了定性研究，这些关键人物来自八个不同部门的 32 个组织和网络。
结果
首先，关键人物增强了对措施的遵守，并支持了其所在环境中人员的适应力和幸福感。其次，当 COVID-19 措施与重要的组织目标和价值观发生冲突时，遵守情况会受到负面影响。第三，COVID-19 政策中的细微变化和模糊性会产生重大影响，具体取决于背景。第四，通过试错、同行支持、共同创造和透明沟通来解决问题。最后，COVID-19 大流行和措施凸显了资源获取方面的不平等。
结论
大流行防范需要组织和社区的准备，以及多学科的公共卫生方法。政府与社区组织和网络中的关键人物进行结构性接触，是增强公众信任和遵守大流行措施的关键，有助于实现健康公平和相关人员的幸福感。
