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英国医疗服务中疫情管理的认知与数字化:一项横断面调查。

Perceptions and digitalisation of outbreak management in UK health services: A cross-sectional survey.

作者信息

Wynn Matthew

机构信息

School of Health and Society, University of Salford, Salford, UK.

出版信息

J Infect Prev. 2024 Jul;25(4):134-141. doi: 10.1177/17571774241239221. Epub 2024 Mar 19.

DOI:10.1177/17571774241239221
PMID:39055676
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11268242/
Abstract

BACKGROUND

Global challenges arise from infectious diseases which represent significant challenges to the provision of healthcare, requiring efficient management procedures to limit transmission. Evaluating current outbreak management processes within UK healthcare services is essential for identifying strengths, weaknesses, and potential improvements.

OBJECTIVES

This study aimed to assess infection prevention and control (IPC) practitioners' access to outbreak management (OM) data. Secondary objectives involved determining IPC practitioners' perceptions of outbreak management processes and the state of digitalisation of OM in the UK.

METHODS

National cross-sectional survey data were collected to evaluate current outbreak management approaches. To supplement this, information requests were sent to the 10 largest teaching and research NHS hospital trusts in England.

FINDINGS

The survey received 55 responses with 53 considered for analysis. Out of 10 NHS trusts, nine provided completed FOI responses, while one was unable to provide data.

DISCUSSION

The study offers unique insights into prevailing outbreak management practices within UK health services. Although positive perceptions surround key outbreak management stages, concerns arise, including varying confidence levels in surveillance processes' robustness, efficacy of management interventions, and communication effectiveness.

CONCLUSIONS

The study highlights challenges with OM processes in the UK, including issues like poor surveillance and delayed outbreak detection. Positive practitioner perceptions contrast with concerns over data collection, follow-up, and limited digitalisation, relying on basic tools like Excel and Word, hindering retrospective learning.

摘要

背景

传染病带来的全球性挑战对医疗保健服务构成了重大挑战,需要有效的管理程序来限制传播。评估英国医疗服务机构当前的疫情管理流程对于识别优势、劣势和潜在改进措施至关重要。

目的

本研究旨在评估感染预防与控制(IPC)从业者获取疫情管理(OM)数据的情况。次要目标包括确定IPC从业者对疫情管理流程的看法以及英国OM的数字化状态。

方法

收集全国横断面调查数据以评估当前的疫情管理方法。作为补充,向英格兰10家最大的国民保健服务(NHS)教学和研究医院信托机构发送了信息请求。

结果

该调查共收到55份回复,其中53份被纳入分析。在10家NHS信托机构中,9家提供了完整的信息自由法案(FOI)回复,1家无法提供数据。

讨论

该研究为英国医疗服务机构中普遍存在的疫情管理实践提供了独特见解。尽管对关键疫情管理阶段有积极看法,但也存在一些担忧,包括对监测流程稳健性、管理干预措施有效性以及沟通效果的信心水平各不相同。

结论

该研究突出了英国OM流程面临的挑战,包括监测不力和疫情检测延迟等问题。从业者的积极看法与对数据收集、跟进以及有限数字化的担忧形成对比,目前依赖Excel和Word等基本工具,阻碍了回顾性学习。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b19e/11268242/3e6c33cb0a17/10.1177_17571774241239221-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b19e/11268242/3e6c33cb0a17/10.1177_17571774241239221-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b19e/11268242/3e6c33cb0a17/10.1177_17571774241239221-fig1.jpg

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