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一项关于新冠疫情之前及期间农村基层医疗保健专业人员灾害健康管理能力的定性描述性研究

A Qualitative Descriptive Study of Rural Primary Healthcare Professionals' Capacity for Disaster Health Management Before and During the COVID-19 Pandemic.

作者信息

Al Qaf'an Ehmaidy, Alford Stewart, Mack Holly A, Sekhon Ravneet, Gray Samuel, Song Kiara, Willson Katie, Kelly Glynn, Lim David

机构信息

Centre for Improving Palliative, Aged and Chronic Care Through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney, Sydney 2007, Australia.

Kaplan Business School, Kaplan Australia, Brisbane 4000, Australia.

出版信息

Int J Environ Res Public Health. 2025 Jan 20;22(1):126. doi: 10.3390/ijerph22010126.

Abstract

INTRODUCTION

Rural areas face additional challenges in preventing, preparing for, responding to, and recovering from disasters. This study aimed to understand how rural primary healthcare professionals (PHCPs) perceive their roles, involvement, and capacity in disaster health management.

METHODS

For this qualitative descriptive research, semi-structured interviews were carried out with convenience and purposive samples of rural PHCPs before and during the COVID-19 pandemic. Open, axial, and selective coding were employed to analyse the data inductively.

RESULTS

Five interviews were conducted before the pandemic, and ten interviews were conducted during the second and third waves of the COVID-19 pandemic in Australia. The themes identified were similar between the two periods. Rural PHCPs were underutilised due to a lack of awareness of their capacity and a lack of infrastructure and support for greater involvement.

CONCLUSIONS

Rural PHCPs can be better integrated and supported in readiness for a whole-system response to future disasters. This study recommends empowering PHCPs in disaster management to promote the health and continuity of care in rural communities.

摘要

引言

农村地区在预防、应对、从灾难中恢复等方面面临额外挑战。本研究旨在了解农村基层医疗保健专业人员(PHCPs)如何看待他们在灾难健康管理中的角色、参与情况和能力。

方法

对于这项定性描述性研究,在新冠疫情之前和期间,对农村PHCPs进行了便利抽样和目的抽样的半结构化访谈。采用开放式、轴心式和选择性编码对数据进行归纳分析。

结果

在疫情之前进行了5次访谈,在澳大利亚新冠疫情第二波和第三波期间进行了10次访谈。两个时期确定的主题相似。由于对农村PHCPs能力缺乏认识,以及缺乏基础设施和支持以使其更多参与,他们未得到充分利用。

结论

可以更好地整合和支持农村PHCPs,为未来灾难的全系统应对做好准备。本研究建议赋予PHCPs在灾难管理中的权力,以促进农村社区的健康和护理连续性。

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