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我们是否为下一次大流行做好了准备?从一家医院内针对医护人员的 COVID-19 疫苗接种中心的管理、系统评估和经验教训中得到的启示。

Are We Prepared for the Next Pandemic? Management, Systematic Evaluation and Lessons Learned from an In-Hospital COVID-19 Vaccination Centre for Healthcare Workers.

机构信息

Institute of Emergency Medicine and Management in Medicine, University Hospital, Ludwig-Maximilians-Universität in Munich, 80336 Munich, Germany.

Department of Psychiatry and Psychotherapy, University Hospital Munich, Ludwig-Maximilians-Universität in Munich, 80336 Munich, Germany.

出版信息

Int J Environ Res Public Health. 2022 Dec 6;19(23):16326. doi: 10.3390/ijerph192316326.

Abstract

BACKGROUND

the organisation of a COVID-19 vaccination campaign for healthcare workers (HCWs) within a university hospital presents a challenge of a particularly large scale and urgency. Here, we evaluate the in-hospital vaccination process and centre for HCWs at LMU University Hospital in Munich, Germany.

METHODS

We executed a mixed-method process evaluation of the vaccination centre at LMU University Hospital during the first COVID-19 vaccination campaign. In a programme monitoring, we continuously assessed the implementation of the centre's operational management including personnel resources. In evaluating the outreach to and satisfaction of the target group with the centre and process, we executed two anonymous surveys aimed at the HCWs vaccinated at the in-hospital centre (1) as well as centre staff members (2).

RESULTS

staff numbers and process time per person were reduced several times during the first vaccination campaign. Lessons concerning appointment scheduling were learned. HCWs vaccinated at the in-hospital centre were satisfied with the process. A longer waiting time between admission and inoculation, perceived dissatisfying accessibility as well as an increased frequency of observed adverse events were linked to a reduced satisfaction. Comparatively subpar willingness to adhere to non-pharmaceutical measures was observed. Centre staff reported high satisfaction and a workload relatively equal to that of their regular jobs. Our outcomes provide references for the implementation of an in-hospital vaccination centre in similar settings.

摘要

背景

在一家大学医院内组织针对医护人员(HCWs)的 COVID-19 疫苗接种活动是一项具有特别大规模和紧迫性的挑战。在这里,我们评估了德国慕尼黑 LMU 大学医院内的 HCWs 院内疫苗接种流程和中心。

方法

我们对 LMU 大学医院的疫苗接种中心在首次 COVID-19 疫苗接种活动期间进行了混合方法的流程评估。在方案监测中,我们持续评估了中心运营管理的实施情况,包括人员资源。在评估目标群体对中心和流程的参与度和满意度时,我们针对在院内中心接种疫苗的 HCWs(1)以及中心工作人员(2)执行了两项匿名调查。

结果

在首次疫苗接种活动期间,工作人员人数和每人的流程时间多次减少。我们吸取了预约安排方面的经验教训。在院内中心接种疫苗的 HCWs 对流程表示满意。较长的等待时间(从入院到接种疫苗)、感知到的不便的可及性以及观察到的不良事件频率增加与满意度降低有关。观察到相对较差的遵守非药物措施的意愿。中心工作人员报告了较高的满意度和与他们的常规工作相当的工作量。我们的结果为在类似环境中实施院内疫苗接种中心提供了参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8814/9739402/7a4bb56676e1/ijerph-19-16326-g001.jpg

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