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2
Contributions of Japanese Hospitalists During the COVID-19 Pandemic and the Need for Infectious Disease Crisis Management Education for Hospitalists: An Online Cross-Sectional Study.日本住院医师在 COVID-19 大流行期间的贡献以及住院医师传染病危机管理教育的必要性:一项在线横断面研究。
Risk Manag Healthc Policy. 2023 Aug 21;16:1645-1651. doi: 10.2147/RMHP.S422412. eCollection 2023.
3
Design and psychometrics of risk assessment tool for makeshift hospitals: Focusing on pandemics.临时医院风险评估工具的设计与心理测量学:以大流行病为重点。
Heliyon. 2023 Apr;9(4):e14973. doi: 10.1016/j.heliyon.2023.e14973. Epub 2023 Mar 30.
4
A Topic Modeling Analysis of the Crisis Response Stage during the COVID-19 Pandemic.新冠疫情危机应对阶段的主题模型分析。
Int J Environ Res Public Health. 2022 Jul 7;19(14):8331. doi: 10.3390/ijerph19148331.
5
Building resilient hospitals in the Eastern Mediterranean Region: lessons from the COVID-19 pandemic.在东地中海地区建设有韧性的医院:从 COVID-19 大流行中吸取的教训。
BMJ Glob Health. 2022 Jun;7(Suppl 3). doi: 10.1136/bmjgh-2022-008754.
6
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Disaster Med Public Health Prep. 2022 Mar 4;17:e140. doi: 10.1017/dmp.2022.51.
7
Control Centre for Intensive Care as a Tool for Effective Coordination, Real-Time Monitoring, and Strategic Planning During the COVID-19 Pandemic.重症监护控制中心在 COVID-19 大流行期间作为有效协调、实时监测和战略规划的工具。
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8
COVID-19 Crisis Management: Lessons From the United Arab Emirates Leaders.COVID-19 危机管理:来自阿拉伯联合酋长国领导人的经验教训。
Front Public Health. 2021 Oct 29;9:724494. doi: 10.3389/fpubh.2021.724494. eCollection 2021.
9
Estimating the surgical backlog from the COVID-19 lockdown in South Africa: A retrospective analysis of six government hospitals.估算南非 COVID-19 封锁期间的手术积压量:对六家政府医院的回顾性分析。
S Afr Med J. 2021 May 10;111(7):685-688. doi: 10.7196/SAMJ.2021.v111i7.15686.
10
Infectious Disease Hospital Preparedness: Lessons Learned From the 2019 Measles Outbreak.传染病医院的准备工作:从2019年麻疹疫情中吸取的教训
Disaster Med Public Health Prep. 2022 Jun;16(3):899-903. doi: 10.1017/dmp.2021.18. Epub 2021 Apr 14.

疫情下的医院危机管理:一项定性研究。

Hospital crisis management in the epidemic: A qualitative study.

作者信息

Mahmoudjanlou Shahrzad, Mahmoudi Ghahraman, Jahani Mohammad-Ali

机构信息

Medical & Health Services Administration, Sari Branch Islamic Azad University Sari Iran.

Hospital Administration Research Center, Sari Branch Islamic Azad University Sari Iran.

出版信息

Health Sci Rep. 2024 Oct 3;7(10):e70059. doi: 10.1002/hsr2.70059. eCollection 2024 Oct.

DOI:10.1002/hsr2.70059
PMID:39372333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11449806/
Abstract

BACKGROUND

Despite the advances in medical science, the epidemic of infectious diseases has faced serious challenges to the health system of countries, so the purpose of this study was to identify obstacles and management strategies to prepare for planning preventive measures and better care in dealing with infectious diseases in hospitals.

METHOD

The current qualitative research was of the grounded theory type, which was conducted in 2023. The semistructured interview questions were obtained from experts. The initial selection of the sample was made from experts in the field of health and treatment from all over the country. The snowball method was used to increase the sample volume until it reached sufficient Value. After analyzing the data through MAXQDA2020 software, this research reached saturation by interviewing 20 experts.

RESULTS

Four main areas, 15 subthemes, and 93 codes were identified in the management of epidemics, which included leadership and management (planning, physical structure, information management, financial resources, manpower, medicine and equipment, and internal and external coordination), Stewardship (macro policy and syndromic care system), safety and resilience (crisis management and emergency and disaster risk management), management of infectious diseases (instructions, education, infection prevention and control, treatment management).

CONCLUSION

This study presents the strategies of the health system in dealing with the epidemic of infectious diseases to overcome the obstacles and challenges of preparation and response, which can help health managers in designing future programs, and finally, it shows that hospitals should have a plan for resilience in crises.

摘要

背景

尽管医学科学取得了进步,但传染病的流行给各国卫生系统带来了严峻挑战,因此本研究的目的是确定障碍和管理策略,为制定预防措施以及在医院应对传染病时提供更好的护理做准备。

方法

当前的定性研究属于扎根理论类型,于2023年进行。半结构化访谈问题来自专家。样本的初步选择来自全国各地卫生与治疗领域的专家。采用滚雪球法增加样本量,直至达到足够的规模。通过MAXQDA2020软件对数据进行分析后,本研究通过访谈20位专家达到了饱和状态。

结果

在疫情管理中确定了四个主要领域、15个子主题和93个编码,包括领导与管理(规划、物理结构、信息管理、财政资源、人力、药品与设备以及内部和外部协调)、管理工作(宏观政策和症候群护理系统)、安全与恢复力(危机管理以及应急和灾害风险管理)、传染病管理(指导、教育、感染预防与控制、治疗管理)。

结论

本研究提出了卫生系统应对传染病流行的策略,以克服准备和应对方面的障碍与挑战,这有助于卫生管理人员设计未来的项目,最后表明医院应该有危机恢复力计划。