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本文引用的文献

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Experiences of users and family members on the care received at community mental health centers in Lima and Callao during the COVID-19 pandemic.秘鲁利马和卡亚俄社区心理健康中心在 COVID-19 大流行期间所提供护理的用户和家属体验。
Rev Peru Med Exp Salud Publica. 2023 Jul-Sep;40(3):278-286. doi: 10.17843/rpmesp.2023.403.12717. Epub 2023 Sep 25.
2
COVID-19's impact on type 1 diabetes management: A mixed-methods study exploring the Peruvian experience.COVID-19 对 1 型糖尿病管理的影响：一项探索秘鲁经验的混合方法研究。
Int J Health Plann Manage. 2022 Dec;37 Suppl 1:129-143. doi: 10.1002/hpm.3536. Epub 2022 Jul 5.
3
Organisational responses to mitigate the effects of COVID-19 on healthcare workers: a qualitative case study from Bogotá, Colombia.应对 COVID-19 对医护人员影响的组织措施：来自哥伦比亚波哥大的定性案例研究。
BMC Health Serv Res. 2021 Aug 11;21(1):792. doi: 10.1186/s12913-021-06825-2.
4
Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries.应对 COVID-19 大流行的卫生系统韧性：28 个国家的经验教训。
Nat Med. 2021 Jun;27(6):964-980. doi: 10.1038/s41591-021-01381-y. Epub 2021 May 17.
5
Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal.中国武汉新冠疫情期间一线医护人员的情绪耗竭：时间压力、社交分享和认知评估的影响
BMC Public Health. 2021 Apr 30;21(1):829. doi: 10.1186/s12889-021-10891-w.
6
Access to Maternal Health Services During the COVID-19 Pandemic: Experiences of Indigent Mothers and Health Care Providers in Kilifi County, Kenya.新冠疫情期间肯尼亚基利菲县贫困母亲及医疗服务提供者获取孕产妇保健服务的经历
Front Sociol. 2021 Apr 7;6:613042. doi: 10.3389/fsoc.2021.613042. eCollection 2021.
7
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Lancet Glob Health. 2021 Jun;9(6):e759-e772. doi: 10.1016/S2214-109X(21)00079-6. Epub 2021 Mar 31.
8
A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implications for supporting psychological well-being.COVID-19 对医护人员心理健康影响的快速综述：对支持心理健康的启示。
BMC Public Health. 2021 Jan 9;21(1):104. doi: 10.1186/s12889-020-10070-3.
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Indigenous communities' responses to the COVID-19 pandemic and consequences for maternal and neonatal health in remote Peruvian Amazon: a qualitative study based on routine programme supervision.原住民社区对 COVID-19 大流行的反应以及对秘鲁亚马逊偏远地区母婴健康的影响：基于常规规划监督的定性研究。
BMJ Open. 2020 Dec 29;10(12):e044197. doi: 10.1136/bmjopen-2020-044197.
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The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression.一线医护人员在照顾 COVID-19 患者时的压力、焦虑和抑郁患病率：系统评价和荟萃回归分析。
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在大流行期间确保性与生殖健康保健服务：来自秘鲁利马卫生工作者的经验

Ensuring sexual and reproductive healthcare services amidst a pandemic: Experiences from health workers in Lima, Peru.

作者信息

Gianella Camila, Cortez Leonardo, Beran David, Pesantes Maria Amalia

机构信息

Department of Social Sciences, Pontificia Universidad Católica del Perú, Lima, Perú.

CRONICAS, Centre of Excellence in Chronic Conditions, Universidad Peruana Cayetano Heredia, Lima, Perú.

出版信息

PLOS Glob Public Health. 2024 Jun 28;4(6):e0003187. doi: 10.1371/journal.pgph.0003187. eCollection 2024.

DOI:10.1371/journal.pgph.0003187
PMID:38941306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11213333/
Abstract

Nowadays there is an emerging interest on health system resilience capacity during emergencies as the one created by the COVID-19 Pandemic. This article contributes to this emerging field of studies by analysing the impact of the state´s policy responses COVID-19 (as lockdowns) on the Peruvian health system, specifically on the delivery of non-covid services, sexual and reproductive health services, and describe the strategies deployed by health workers to adapt to the COVID-19 crisis in Peru, a country that have been dramatically impacted by the pandemic. The article, based on the analysis of depth interviews with 11 health workers and one health supervisor working at sexual and reproductive health services at public health services Lima during 2020 and 2021, describe how pre-existing conditions of the health system (as poor infrastructure and deficit of human resources) magnified the negative effects of the measures taken to control de pandemic, undermining the "resilience" of the health system.

摘要

如今，人们对卫生系统在紧急情况下的恢复力能力越来越感兴趣，比如由新冠疫情造成的紧急情况。本文通过分析国家针对新冠疫情的政策应对措施（如封锁）对秘鲁卫生系统的影响，特别是对非新冠服务、性健康和生殖健康服务的影响，为这一新兴研究领域做出了贡献，并描述了秘鲁卫生工作者为适应新冠危机所采取的策略。秘鲁是一个受到疫情严重影响的国家。本文基于对2020年至2021年期间在利马公共卫生服务机构从事性健康和生殖健康服务工作的11名卫生工作者和一名卫生监督员的深度访谈分析，描述了卫生系统的既有状况（如基础设施差和人力资源短缺）如何放大了为控制疫情而采取的措施的负面影响，削弱了卫生系统的“恢复力”。