Kundapur Rashmi, Rashmi Anusha, Aggarwal Sumit, Panda Meely, Jena Subharanjan, Epari Venkatrao, Baidya Shubratho, Ramesh N R Masthi, Sahoo Jyoti Ranjan, Sabat Smaranita
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, India.
Department of Community Medicine, K.S. Hegde Medical Academy, Mangalore, Karnataka, India.
J Family Med Prim Care. 2024 Nov;13(11):5177-5185. doi: 10.4103/jfmpc.jfmpc_867_24. Epub 2024 Nov 18.
Coronavirus was first officially reported in Wuhan city of China in December 2019. As this novel coronavirus spread rapidly throughout the world, health care workers faced many difficulties addressing the pandemic. In the present study, we explored the challenges faced by front-line health managers on human resource management, execution of the central policies, and training and in formulating innovative approaches during the coronavirus disease 2019 (COVID-19) pandemic in India.
A qualitative study was conducted using framework analysis among front-line health managers concerning COVID-19 management at the district level. We conducted 120 in-depth interviews among eight states with the use of an interview guide.
The results are described under five sections: 'challenges of front-line managers in policymaking and its execution', 'human resource management', 'gaps in local execution of central policies', 'challenges in training workforce and data management', and 'innovative approaches adopted during COVID 19'.
We observed that a centre-down approach was not appreciated much. Many participants felt that there was a need to understand the local context and appropriate amendment. The private system is a part of the Indian health system and can never be ignored; thus, all guidelines should include the private system.
2019年12月，冠状病毒在中国武汉市首次得到官方报告。随着这种新型冠状病毒在全球迅速传播，医护人员在应对这一疫情时面临诸多困难。在本研究中，我们探讨了印度2019冠状病毒病（COVID-19）大流行期间一线卫生管理人员在人力资源管理、中央政策执行、培训以及制定创新方法方面所面临的挑战。
采用框架分析法对地区层面参与COVID-19管理的一线卫生管理人员进行了定性研究。我们使用访谈指南在八个邦进行了120次深入访谈。
结果分为五个部分进行描述：“一线管理人员在政策制定及其执行方面的挑战”“人力资源管理”“中央政策在地方执行中的差距”“培训工作人员和数据管理方面的挑战”以及“COVID-19期间采取的创新方法”。
我们发现自上而下的方法不太受欢迎。许多参与者认为有必要了解当地情况并进行适当修订。私立医疗系统是印度卫生系统的一部分，绝不能被忽视；因此，所有指南都应涵盖私立医疗系统。
