Neurology, Public Health, Disability Unit and Coma Research Center, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, Italy.
Department of Clinical and Molecular Medicine, Sapienza University, 00189 Rome, Italy.
Int J Environ Res Public Health. 2023 Jan 18;20(3):1785. doi: 10.3390/ijerph20031785.
(1) Objectives: to investigate the main lessons learned from the public health (PH) response to COVID-19, using the global perspective endorsed by the WHO pillars, and understand what countries have learned from their practical actions. (2) Methods: we searched for articles in PubMed and CINAHL from 1 January 2020 to 31 January 2022. 455 articles were included. Inclusion criteria were PH themes and lessons learned from the COVID-19 pandemic. One hundred and forty-four articles were finally included in a detailed scoping review. (3) Findings: 78 lessons learned were available, cited 928 times in the 144 articles. Our review highlighted 5 main lessons learned among the WHO regions: need for continuous coordination between PH institutions and organisations (1); importance of assessment and evaluation of risk factors for the diffusion of COVID-19, identifying vulnerable populations (2); establishment of evaluation systems to assess the impact of planned PH measures (3); extensive application of digital technologies, telecommunications and electronic health records (4); need for periodic scientific reviews to provide regular updates on the most effective PH management strategies (5). (4) Conclusion: lessons found in this review could be essential for the future, providing recommendations for an increasingly flexible, fast and efficient PH response to a healthcare emergency such as the COVID-19 pandemic.
(1) 目的:从世界卫生组织(WHO)支柱所支持的全球视角出发,调查公共卫生(PH)应对 COVID-19 疫情的主要经验教训,并了解各国从实际行动中汲取了哪些经验。(2) 方法:我们在 2020 年 1 月 1 日至 2022 年 1 月 31 日期间在 PubMed 和 CINAHL 中搜索文章。共纳入 455 篇文章。纳入标准为 PH 主题和从 COVID-19 大流行中吸取的经验教训。最终,144 篇文章详细进行了范围审查,共纳入 144 篇文章。(3) 结果:共有 78 条经验教训,在 144 篇文章中被引用 928 次。我们的综述强调了世卫组织各区域的 5 条主要经验教训:需要 PH 机构和组织之间持续协调(1);评估和评估 COVID-19 传播风险因素、确定弱势群体的重要性(2);建立评估计划 PH 措施影响的评估系统(3);广泛应用数字技术、电信和电子健康记录(4);需要定期进行科学审查,以定期提供最有效的 PH 管理策略的最新信息(5)。(4) 结论:本综述中发现的经验教训对于未来可能至关重要,为灵活、快速和高效应对 COVID-19 等医疗保健紧急情况的 PH 反应提供了建议。