在疫情爆发,战争和流行病危机期间,医疗保健工作者与普通人群的风险差异
1Departments of Medicine, of Epidemiology and Population Health, of Biomedical Data Science, and of Statistics and Meta-Research Innovation Center at Stanford (METRICS), Stanford University, 1265 Welch Rd, Medical School Office Building, Room X306, Stanford, CA, 94305, USA. jioannid@stanford.edu.
European journal of epidemiology
|November 20, 2024
概括
在危机期间,医疗保健工作者面临着不同的风险. 卫生保健工作者与人口危险 (HPH) 度量度量化了这种风险,为公共卫生规划和干预提供了洞察力.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 风险评估 风险评估
背景情况:
- 与危机期间的普通人口相比,医疗保健工作者 (HCW) 可能会经历不同的严重结果风险.
- 评估这些差异性风险对于有效的公共卫生战略和危机应对至关重要.
研究的目的:
- 引入和定义医疗保健工作者与人口危险 (HPH) 概念及其指标 (相对风险HPH(r) 和绝对风险差异HPH(a)).
- 用传染病爆发,战争和COVID-19大流行数据来说明HPH的应用.
主要方法:
- 该研究将HPH定义为与他们服务的普通人口相比,活跃的HCW中结果的风险.
- HPH是使用相对风险 (HPH(r)) 和绝对风险差异 (HPH(a)) 度量计算的.
- 分析了包括埃博拉,武装冲突和COVID-19在内的各种危机的数据.
主要成果:
- 在致命的疫情 (例如埃博拉) 期间,HPH可以非常高,并在武装冲突期间绝对高.
- 相反,HCW有时显示流行病死亡风险较低 (例如,某些国家的COVID-19).
- 数据的不准确性和退休HCW的纳入可能会影响HPH计算和推断.
结论:
- 对于HCW,公众和政策制定者来说,HPH为风险评估提供了宝贵的见解.
- 监测HPH对于危机规划和有针对性的干预至关重要.
- 准确的数据和明确的定义对于可靠的HPH评估至关重要.
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