新冠疫情期间公共卫生实践的推动因素与障碍：来自加拿大各地地方公共卫生领导的观点
Enablers and barriers to public health practice during COVID-19: Perspectives from local public leadership from across Canada.
作者信息
Bandara Thilina, Sandhu Navi, Mehdiyeva Khatira, Singh Sarbjeet, Plante Charles, Neudorf Cory
机构信息
School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada.
Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
出版信息
Can J Public Health. 2025 Jan 7. doi: 10.17269/s41997-024-00982-7.
OBJECTIVE
Our study investigates the efforts of local medical health officers during COVID-19 in Canada, with a focus on explicating enabling factors and barriers to effectively respond through local public health efforts.
METHODS
We conducted 26 semi-structured interviews with local-level public health leadership from across Canada and analyzed the transcripts for salient facilitators and barriers to effective local public health practice using the Consolidated Framework for Implementation Research.
RESULTS
Effective local-level public health practice was facilitated by efforts that potentiated synergistic efforts inside and outside of the public health sector, including trust, buy-in, and ample resources. Barriers to effective practice involved uncertainty associated with governance, human resources, and the complexity of the pandemic itself.
CONCLUSION
Sustained coordinated efforts across organizations together with clear governance mandates are required for robust local emergency management.
目的
我们的研究调查了加拿大新冠疫情期间地方医疗卫生官员所做的工作，重点是阐明通过地方公共卫生工作有效应对疫情的促成因素和障碍。
方法
我们对加拿大各地的地方公共卫生负责人进行了26次半结构化访谈，并使用实施研究综合框架分析了访谈记录，以找出有效开展地方公共卫生工作的显著促进因素和障碍。
结果
地方公共卫生部门内部和外部协同努力，包括信任、认同和充足资源，促进了有效的地方层面公共卫生工作。有效开展工作的障碍包括治理、人力资源方面的不确定性以及疫情本身的复杂性。
结论
各组织持续的协调努力以及明确的治理授权对于强有力的地方应急管理至关重要。
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