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幕后:为应对COVID-19流行病而制定国家稀缺资源分配计划的促进者和障碍者
Kirsten A Riggan1, Nicholas V Nguyen1, Jackson S Ennis1
1Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN.
Chest
|May 6, 2024
概括
在COVID-19期间,各州努力制定或采用稀缺资源分配计划. 成功的计划涉及社区参与和州卫生部门的支持,而紧迫性和缺乏政治意愿是主要障碍.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 应急准备情况 应急准备情况
背景情况:
- COVID-19促使各州创建或更新稀缺的重症监护资源分配计划.
- 评估这些计划的制定和采用对于未来的公共卫生紧急情况至关重要.
研究的目的:
- 了解各州在COVID-19大流行期间如何制定或修订稀缺资源分配计划.
- 确定在国家一级制定和采用这些重症监护计划的障碍和促进因素.
主要方法:
- 对来自34个州的36名参与者进行半结构面试的定性分析.
- 应用了基础理论原则来分析计划开发和采用的主题.
主要成果:
- 在24个有现有计划的州中,有17个被修订并采用;6个制定了新的计划. 由于偏见投诉或不断变化的需求,13个州继续修订计划.
- 促进者包括州卫生部门的协调和与社区团体 (老龄化,残疾,少数民族) 的合作伙伴关系.
- 障碍包括公共卫生紧急情况的紧迫性和缺乏采用政治意愿.
结论:
- 各国在制定或修订资源分配计划时,应优先考虑社区参与.
- 建议维持一个拥有多元专业知识的常设委员会,以进行持续的审查和流行病准备建议.
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