在实施医院事件指挥系统时,以健康公平为中心:一种定性案例比较研究
Rachel Moyal-Smith1,2, Jill A Marsteller2, Daniel J Barnett3
1Ariadne Labs, Brigham and Women's Hospital, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Disaster medicine and public health preparedness
|February 14, 2024
概括
两个卫生系统在COVID-19期间使用医院事件指挥系统 (HICS) 将健康公平纳入其灾害响应. 确定了关键的促进者和障碍,以改善未来的公平防灾准备.
科学领域:
- 公共卫生 公共卫生
- 卫生系统管理管理卫生系统管理
- 应急准备 应急准备 应急准备
背景情况:
- 灾难不成比例地影响弱势群体,加剧现有的健康不平等.
- 医院事故指挥系统 (HICS) 是协调卫生系统灾难响应的关键框架.
- 公平地实施HICS对于减轻危机期间的健康差异至关重要.
研究的目的:
- 检查两个卫生系统在COVID-19大流行期间在HICS实施中如何优先考虑健康公平.
- 确定影响公平实施HICS的促进者和障碍者.
- 为修订HICS提供见解,以便更公平地应对灾害.
主要方法:
- 美国两个学术卫生系统的定性案例比较研究.
- 与29名参与HICS实施的个人进行了半结构化访谈.
- 以实施研究综合框架 (CFIR) 为指导的分析和健康的社会决定因素.
主要成果:
- 卫生系统采用了针对健康社会决定因素所有五个领域的策略.
- 促进者包括强有力的领导力,伙伴关系,社区参与和以公平为重点的数据.
- 这些障碍包括角色模两可,符号主义,竞争优先级和资源不足.
结论:
- 在灾难应对期间,卫生系统可以在HICS中成功地集中公平.
- 调查结果为修订HICS提供了基础,以促进更公平的灾害管理.
- 解决已识别的障碍对于有效和公平的卫生系统准备至关重要.
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