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2021-2022 年广州新冠肺炎疫情防控期间基层医疗卫生工作者面临的工作挑战:一项定性研究。

The work challenges faced by primary healthcare workers in Guangzhou during the COVID-19 pandemic prevention and control period of 2021-2022: a qualitative study.

机构信息

Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China.

Development and Planning Department, Dongguan People's Hospital, Dongguan, Guangdong, China.

出版信息

Front Public Health. 2024 Oct 24;12:1454759. doi: 10.3389/fpubh.2024.1454759. eCollection 2024.

Abstract

BACKGROUND

Primary healthcare workers in China were vital in controlling COVID-19, facing unprecedented challenges due to the pandemic's suddenness and transmissibility. This paper analyzed their work in Guangzhou, highlighting key difficulties in past epidemic control efforts.

METHODS

Semi-structured qualitative interviews were conducted with selected primary healthcare workers in Guangzhou City and audio-recorded until saturation of themes was reached. The data were analyzed independently for themes using NVivo V.12.

RESULTS

Thematic analysis of qualitative interview data revealed that challenges and difficulties encountered in grassroots epidemic prevention and control work during the COVID-19 pandemic were primarily categorized into seven dimensions: human resource allocation, material and vehicle support, epidemic prevention subsidies and compensation, humanistic care, upper-level management, horizontal collaboration, and resident cooperation.

CONCLUSION

Based on the findings, the research team recommends that administrative departments and institutions related to primary healthcare should appropriately schedule personnel work and rest time, adjust work content flexibly, optimize the allocation of medical and logistical resources, and increase investment in primary healthcare work as well as staff protection.

摘要

背景

中国的基层医疗工作者在控制 COVID-19 方面发挥了重要作用,由于疫情的突发性和传染性,他们面临着前所未有的挑战。本文分析了他们在广州市的工作,强调了过去疫情防控工作中的关键难点。

方法

对广州市选定的基层医疗卫生工作者进行半结构式定性访谈,并进行录音,直到主题达到饱和。使用 NVivo V.12 对数据进行独立的主题分析。

结果

对定性访谈数据的主题分析显示,在 COVID-19 大流行期间,基层疫情防控工作中遇到的挑战和困难主要分为七个方面:人力资源配置、物资和车辆支持、疫情防控补贴和补偿、人文关怀、上级管理、横向协作和居民合作。

结论

基于研究结果,研究小组建议与基层医疗相关的行政部门和机构应适当安排人员的工作和休息时间,灵活调整工作内容,优化医疗和后勤资源配置,加大对基层医疗工作和人员保护的投入。

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本文引用的文献

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Thematic analysis of qualitative data: AMEE Guide No. 131.定性数据分析的主题分析:AMEE 指南第 131 号。
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