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新冠疫情期间流行病学调查工作面临的挑战:对中国广东省流行病学工作人员的定性研究。

Challenges of epidemiological investigation work in the COVID-19 pandemic: a qualitative study of the epidemiology workforce in Guangdong Province, China.

机构信息

Department of Public Health and Preventive Medicine, Jinan University School of Medicine, Guangzhou, Guangdong, China.

Department of Public Health and Preventive Medicine, Jinan University School of Medicine, Guangzhou, Guangdong, China

出版信息

BMJ Open. 2022 Nov 15;12(11):e056067. doi: 10.1136/bmjopen-2021-056067.

DOI:10.1136/bmjopen-2021-056067
PMID:36379656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9667747/
Abstract

OBJECTIVES

This study sought to identify the epidemiological investigation challenges of the COVID-19 pandemic and offer insights into the underlying issues.

DESIGN

An exploratory qualitative study used thematic analysis of semistructured and in-depth individual interviews.

SETTING

This study was conducted in Centers for Disease Control and Prevention in Guangdong Province.

PARTICIPANTS

Twenty-four participants consented to participate in an in-depth interview. Transcribed recordings were managed using NVivo software and analysed using inductive thematic analysis.

RESULTS

The qualitative analysis revealed five key themes: high-intensity epidemiological investigation task, emergency management requiring improvement in the early stage, respondent uncertainty, impact on work and social life and inadequate early-stage Joint Prevention and Control Mechanism.

CONCLUSION

This survey focuses on the epidemiology workforce at the forefront of the COVID-19 pandemic and qualitatively describes their experiences, vocational issues and psychological stressors. We found that the problems of epidemiological investigation posed intense challenges to the epidemiology workforce. These findings highlight the epidemiological investigation challenges associated with this pandemic. We have provided some suggestions that may help improve the efficiency and quality of the epidemiology workforce in China.

摘要

目的

本研究旨在确定 COVID-19 大流行的流行病学调查挑战,并深入了解其中的问题。

设计

采用半结构式深入访谈的探索性定性研究,对主题进行分析。

地点

本研究在广东省疾病预防控制中心进行。

参与者

24 名参与者同意参与深入访谈。使用 NVivo 软件管理转录录音,并采用归纳主题分析进行分析。

结果

定性分析显示出五个关键主题:高强度的流行病学调查任务、早期应急管理需要改进、受访者的不确定性、对工作和社会生活的影响以及早期联合防控机制不足。

结论

本调查重点关注 COVID-19 大流行前沿的流行病学工作者,并定性描述了他们的经验、职业问题和心理压力源。我们发现,流行病学调查的问题对流行病学工作者构成了巨大挑战。这些发现突显了与此次大流行相关的流行病学调查挑战。我们提出了一些建议,可能有助于提高中国流行病学工作者的效率和质量。

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