在大型安全网卫生系统中评估COVID-19疫苗的实施情况
Jennifer C Chen1,2, Griselda Gutierrez3,4, Rachel Kamran5
1Ambulatory Care Network, Los Angeles County Department of Health Services, Los Angeles, CA, United States.
Frontiers in health services
|June 21, 2023
概括
洛杉矶县安全网诊所快速推出COVID-19疫苗,优先考虑沟通和患者参与. 这些策略有助于克服资源局限性和在疫情期间面临的员工挑战.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 疫苗实施科学 疫苗实施科学
背景情况:
- 由于COVID-19大流行,需要在大型安全网卫生系统中快速实施疫苗诊所.
- 洛杉矶县卫生服务部 (LACDHS) 是一家主要的安全网提供商,由于其规模和患者多样性,面临着独特的挑战.
研究的目的:
- 评估2021年1月至4月在LACDHS内实施快速COVID-19疫苗诊所的情况.
- 在一个大而多样化的安全网环境中,识别疫苗诊所实施的促进者和障碍.
主要方法:
- 在12个LACDHS疫苗诊所中,与25名卫生专业人员进行了半结构面试.
- 实施研究综合框架 (CFIR) 指导了评估,使用快速定性分析分析了主题.
主要成果:
- 关键的促进者包括强有力的沟通,多学科团队,扩大常务命令,团队合作和以患者为中心的策略.
- 障碍包括疫苗短缺,低估的外展需求和过程挑战.
结论:
- 在这项研究中发现的促进者可以减轻挑战,如缺乏事先规划和在公共卫生紧急情况下的人员短缺.
- 十个叙事主题为未来在安全网卫生系统中实施疫苗提供了有价值的见解.
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