日本职业医生无法改变的COVID-19工作场所对策:一项定性研究
Yu Igarashi1, Seiichiro Tateishi2, Juri Matsuoka3,4
1Disaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, 807-8555, Japan.
职业医生确定了需要改变但尚未实施的COVID-19工作场所对策. 未来的流行病防控需要根据不断变化的科学证据和情况灵活调整工作场所安全措施.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病的准备 流行病的准备
- 公共卫生政策 公共卫生政策
背景情况:
- 由于不断发展的科学知识,变种和政策,COVID-19大流行需要快速适应工作场所的对策.
- 根据证据调整工作场所措施的灵活性至关重要,但没有得到系统评估.
- 这项研究通过检查COVID-19职场对策来解决这一差距,职业医生认为这些对策是必要的,但仍然保持不变.
研究的目的:
- 在COVID-19大流行期间评估工作场所对策的变化.
- 确定职业医生想要改变但无法实施的特定的COVID-19工作场所对策.
- 通过了解适应工作场所安全措施的局限性,为未来的流行病提供准备策略的信息.
主要方法:
- 在日本,对685名经过认证的职业医生进行了在线问卷调查.
- 该调查于2022年2月至4月进行,重点关注参与者希望改变的对策.
- 用KJ方法分析了答案,以分类和量化所需的变化.
主要成果:
- 168名受访者中有125人 (24.5%) 报告了254次希望采取对策的变化.
- 关键的希望加强措施 (CBS) 包括增加远程工作和通风;希望的缓解措施 (CBM) 包括放宽个人防护设备规则和缩短隔离时间.
- 强化措施在流行病早期更频繁地被引用,而缓解措施在以后变得更加突出.
结论:
- 职业医生确定了需要调整但在实践中没有修改的特定工作场所对策.
- 许多希望的变化包括加强基本系统,职业健康服务和特定的工作场所干预措施.
- 建立灵活修改工作场所反制措施的框架对于有效应对未来传染病爆发是必不可少的.
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