Avdeling for økonomi og samfunnsvitenskap, Høgskolen i Molde, og, Seksjon for forsking og innovasjon, Helse Møre og Romsdal.
Seksjon for forsking og innovasjon, Helse Møre og Romsdal.
Tidsskr Nor Laegeforen. 2022 Nov 7;142(16). doi: 10.4045/tidsskr.22.0396. Print 2022 Nov 8.
We studied the district medical officers' role during the pandemic with a view to enhancing our knowledge of their role in municipal crisis management.
Fourteen semi-structured interviews were conducted with key participants in crisis management in five local authorities, in the fields of medicine, policy and administration. The data were subjected to empirical qualitative analysis inspired by stepwise deductive-bottom-up methodology.
The study showed that as premise-setters and coordinators, the district medical officers were key actors in crisis management: The district medical officers' medical knowledge was sought and valued by the local authority management in a pandemic situation fraught with uncertainty. The district medical officers actively used different networks to coordinate the work, and interacted with various actors in the municipality, in industry and nationally, with regard to both infection control and infection management efforts.
District medical officers' expertise in community medicine assumed greater significance during the pandemic and gave them access to central decision-making arenas and networks.
本研究旨在提高我们对区级医师在市级危机管理中作用的认识，探讨区级医师在大流行期间的作用。
对五个地方当局中参与危机管理的医学、政策和管理领域的 14 名关键参与者进行了 14 次半结构化访谈。采用逐步演绎-自下而上的方法对数据进行实证定性分析。
研究表明，作为前提设定者和协调者，区级医师是危机管理的关键角色：在充满不确定性的大流行情况下，地方当局管理层寻求并重视区级医师的医学知识。区级医师积极利用不同的网络来协调工作，并与市政当局、工业界和国家的各个角色就感染控制和感染管理工作进行互动。
在大流行期间，区级医师在社区医学方面的专业知识显得更为重要，使他们能够进入中央决策领域和网络。
