什么阻碍了卫生政策的实施? 爱尔兰国家COVID-19疫苗接种计划中社区药房推迟部署的多方法定性案例研究
Aaron Koay1,2,3, Camilla Devitt1
1Department of Sociology, Trinity College Dublin, Dublin, Ireland.
Qualitative health research
|December 13, 2024
概括
爱尔兰国家COVID-19疫苗接种计划在社区药房部署的延迟源于运营障碍和药房的限制. 缺乏凝聚力的领导力和药房在卫生政策中的影响力也为此做出了重大贡献.
科学领域:
- 卫生政策 卫生政策
- 药房实践 在药房实践.
- 公共卫生 公共卫生
背景情况:
- 爱尔兰国家COVID-19疫苗接种计划在社区药房部署方面经历了重大延迟.
- 政策公布 (2020年12月15日) 和药房开始 (2021年6月14日) 之间的时间突出了服务提供中的关键差距.
研究的目的:
- 调查导致社区药房参与国家COVID-19疫苗接种计划延迟的因素.
- 分析影响及时疫苗接种的运营,专业和系统问题的相互作用.
主要方法:
- 采用了一种多方法的定性案例研究.
- 数据收集包括利益相关者的参与 (n=11),文档审查 (n=246) 和与政策精英的半结构面试 (n=11).
- 使用反射性主题分析来确定关键主题.
主要成果:
- 运营障碍,包括后勤和安全问题,部分解释了延误.
- 一些利益相关者认为延迟是不合理的,理由是社区药房内部的缺陷.
- 药剂专业对卫生政策的影响有限,由于领导力缺陷和医疗专业的主导地位,这是一个重要的因素.
结论:
- 延迟是由于技术,社会政治,制度和监管因素的复杂相互作用造成的.
- 爱尔兰卫生系统中药房的长期缺乏战略方向是这些问题的基础.
- 解决系统性弱点对于未来的公共卫生计划效率至关重要.
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