COVID-19 パンデミックの間,カナダにおける慢性疾患予防のリソースと活動の変化
Katerina Maximova1,2, Maryam Marashi3, Elizabeth Holmes4
1MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
まとめ
COVID-19 パンデミックは,カナダにおける慢性疾患予防 (CDP) の取り組みを大幅に妨害し,公衆衛生機関における資金,人材,および活動の削減につながった. 継続的なモニタリングは,緊急事態の準備と健康危機の際にCDPの優先順位付けに不可欠です.
科学分野:
- 公衆衛生
- 流行病学
- 医療サービス研究
背景:
- COVID-19 パンデミックは,世界的に公衆衛生イニシアチブに前例のない挑戦をもたらしました.
- カナダにおける慢性疾患予防 (CDP) の取り組みは,このパンデミックにより大きな混乱を経験した.
研究 の 目的:
- カナダの公衆衛生機関におけるCDPのリソースと活動に対するCOVID-19のパンデミックの影響を記述する.
- CDP に関する組織が経験する特定の課題と変化を特定する.
主な方法:
- 資源と利用者組織を含む,主要なCDP委託を持つカナダの組織を対象に調査が行われました.
- 主要な情報提供者は,CDPの資源と活動におけるパンデミック関連の変化について報告した.
- ユーザー組織は,CDPの特定の活動の変化と封じ込め措置の影響を詳細に述べました.
主要な成果:
- 36%の組織がCDP資金の減少を報告し,30%から41%の組織がスタッフの削減を経験した.
- 32%がCDPの活動が減少したと報告し,最も影響を受けたのは公式にユーザーに委任された組織 (FMO) であった.
- 障害にもかかわらず,一部の組織は活動を増やし,特にメンタルヘルスと疎外された集団を対象とした活動を増やしました. 53%はCOVID-19の規制が障壁であると判断しました.
結論:
- パンデミックはCDPの提供に適応する必要があり,公衆衛生のインフラにおける脆弱性を強調しました.
- CDPの資源と活動の継続的なモニタリングは,効果的な緊急事態の備えに不可欠です.
- 公共衛生の危機に際して CDP を優先的に維持することは,長期的な住民の健康上の成果にとって極めて重要です.
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