Alhadi Bassem, Khder Manal M, Ali Shammy Rashid, Taha Khaled, Manzour Ayat F
Mater Misericordiae University Hospital, Ireland.
The Ministry of Health Directorate of Health Affairs in Cairo, Egypt.
Clin Epidemiol Glob Health. 2023 May-Jun;21:101278. doi: 10.1016/j.cegh.2023.101278. Epub 2023 Apr 2.
Pandemics are extraordinary circumstances that necessitate a multifaceted approach to getting the most out of healthcare systems. Health authorities should be aware of the beliefs and attitudes of healthcare professionals before adopting control measures and communication campaigns. We aimed to find out how hospital staff members in three economically diverse regions perceive their facility's preparedness for pandemics.
A hospital-based cross sectional study was done in three separate world regions, classified according to the World Bank's economics, using a web-based questionnaire. A convenience sample of 450 healthcare workers was collected and analyzed using SPSS version 20.
Physicians made up 94.4% of the 450 participants, with 50.3% from High-Income Foreign Countries (HIFC), 20.4% from High-Income Arab Countries (HIAC), and 29.3% from Lower Middle-Income Countries (LMIC). 81.5% of participants from HIAC had formal PPE training, compared to 22.7% and 64.4% of participants from LMIC and HIFC, respectively. Evidently, 39.4% of the HIFC's participants stated that the level of their hospital precautions during the pandemic was above average, as compared to 50% and 14.4% of participants from HIAC and LMIC, respectively. Compared to 42.4% of HIAC participants and 36.4% of LMIC participants, 44.6% of HIFC participants reported feeling at risk because of their clinical role.
In all three regions, hospital readiness was well viewed by healthcare professionals; nevertheless, more needs to be done to provide them with psychological and social support. This research may help health authorities put up a suitable preparedness plan to face emerging pandemics. Further research is needed to determine the best course of action to combat comparable pandemics at various economic levels.
大流行是特殊情况，需要采取多方面方法以充分利用医疗保健系统。卫生当局在采取控制措施和开展宣传活动之前，应了解医疗保健专业人员的信念和态度。我们旨在了解三个经济状况不同地区的医院工作人员如何看待其所在机构对大流行的准备情况。
在世界银行经济分类的三个不同世界区域开展了一项基于医院的横断面研究，使用网络问卷。收集了450名医护人员的便利样本，并使用SPSS 20版进行分析。
450名参与者中，医生占94.4%，其中50.3%来自高收入外国（HIFC），20.4%来自高收入阿拉伯国家（HIAC），29.3%来自中低收入国家（LMIC）。HIAC的参与者中有81.5%接受过正式的个人防护装备培训，而LMIC和HIFC的参与者分别为22.7%和64.4%。显然，HIFC的39.4%参与者表示其医院在大流行期间的预防措施水平高于平均水平，而HIAC和LMIC的参与者分别为50%和14.4%。与HIAC的42.4%参与者和LMIC的36.4%参与者相比，HIFC的44.6%参与者报告因临床工作而感到有风险。
在所有三个地区，医疗保健专业人员对医院的准备情况评价良好；然而，仍需做更多工作为他们提供心理和社会支持。这项研究可能有助于卫生当局制定合适的应对新出现大流行的准备计划。需要进一步研究以确定在不同经济水平应对类似大流行的最佳行动方案。
