在COVID-19大流行期间,战略医疗指挥和控制团队的决策:一个案例研究
Jenny Pettersson1, Erik Prytz1,2, Marc Friberg1,2
1Center for Disaster Medicine and Traumatology, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Disaster medicine and public health preparedness
|September 18, 2024
概括
在COVID-19大流行期间,医疗指挥和控制的决策受组织因素,适应和共同的操作画面的影响. 了解这些因素可以提高抗灾能力,并为重大事件提供培训.
科学领域:
- 公共卫生 公共卫生
- 灾难医学 灾难医学
- 医疗保健管理的管理
背景情况:
- 有效应对事件需要协调流程和资源来管理变化.
- 在重大事件中的弹性取决于及时,充分和以弹性为导向的决策.
- 早期的COVID-19大流行给医疗指挥和控制带来了前所未有的挑战.
研究的目的:
- 识别和描述影响医疗指挥和控制团队在COVID-19大流行初期决策的因素.
- 为提高公共卫生紧急情况期间医疗保健系统的弹性提供见解.
主要方法:
- 定性研究涉及13次采访来自区域公共医疗保健系统的个人.
- 进行了半结构面试,以收集深入的信息.
- 用定性内容分析来分析采访数据.
主要成果:
- 决策受到五个关键主题的影响:组织,适应,决策流程,分析和共同的操作图景.
- 组织结构和适应能力在应对流行病的复杂性方面发挥了关键作用.
- 对于有效的协调来说,对操作情况 (共同的操作图像) 的明确和共享的理解至关重要.
结论:
- 医疗指挥和控制决策在流行病响应期间遇到重大挑战.
- 这些发现为改善医疗保健中的抗灾能力提供了宝贵的知识.
- 结果可以为医疗指挥和控制团队制定教育和培训计划.
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