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确定流行病准备和应对的基本资源参数:在欧盟PANDEM-2项目中进行的国际德尔菲研究
Berend H H Beishuizen1,2, Mart L Stein3, Joeri S Buis3
1Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands berend.beishuizen@rivm.nl.
BMJ open
|December 15, 2024
概括
通过专家的共识,确定了疫情准备的基本资源. 这项研究强调了整合公共卫生和临床观点对于有效的流行病规划和应对的重要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生资源管理 卫生资源管理
背景情况:
- COVID-19大流行暴露了医疗保健和公共卫生资源管理中的关键差距.
- 资源稀缺严重阻碍了对大流行病的应对,导致传播增加和不利的健康结果.
研究的目的:
- 确定疫情防控和应对的基本资源参数.
- 在病毒性呼吸道疾病的背景下建立流行病资源建模的核心组件.
主要方法:
- 系统的文献审查,随后进行德尔菲研究.
- 两个专家小组 (公共卫生专家和临床医生) 参加了结构化问卷和共识轮.
- 资源被分为物质,人力和制药.
主要成果:
- 在40个资源参数 (17个物质,14个人体,9个制药) 上达成共识.
- 关于13个参数的分歧凸显了公共卫生专家和临床医生之间的不同优先级.
- 关键的额外资源包括个人防护设备,初级保健资源和机械通风.
结论:
- 高度的共识表明,在疫情资源规划中,有共同的目标.
- 咨询各种专家背景 (公共卫生和临床) 对于全面的流行病准备至关重要.
- 纳入已识别的资源可以增强疫情模型,以改善规划和培训.
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