在部落医疗保健组织中评估COVID-19应对措施
Krista R Schaefer1, Brianna Triplett1, Olivia Lorenzo1
1Southcentral Foundation, Anchorage, AK, USA.
The Permanente journal
|September 21, 2023
概括
部落卫生组织使用综合评估框架适应COVID-19. 这种方法捕获了重要的反应,特别是在运营管理方面,强调了为土著社区量身定制的战略的必要性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 土著健康土著健康
背景情况:
- 由于COVID-19,医疗机构需要快速适应.
- 缺乏标准化的框架来评估组织对流行病的反应.
- 部落卫生组织因历史背景和农村环境而面临独特的挑战.
研究的目的:
- 报告一个部落医疗保健组织的COVID-19反应.
- 使用综合评估框架,整合组织价值观.
- 为了能够及时实施流行病应对措施.
主要方法:
- 将COVID-19应对措施分为六个领域:领导力,患者参与,运营管理,团队合作/沟通,公共卫生和外部伙伴关系.
- 分析了根据领域和随时间的推移而得到的响应.
- 采用了综合评估框架.
主要成果:
- 响应包括医疗警报,护理交付修改,测试/疫苗接种地点,员工福利和新的沟通流程.
- 运营管理是最常见的领域 (80%),这是由于流行病的快速性质.
- 大多数响应涵盖了多个领域,特别是涉及患者,员工和社区的响应.
结论:
- 评估方法捕捉了与部落卫生组织相关的关键领域.
- 调查结果可能适用于其他土著组织和农村社区.
- 强调部落视角在应对大流行病中的重要性,考虑到历史背景和医疗保健的局限性.
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