西悉尼住宅养老院的COVID-19疫情管理:一种混合方法的Donabedian评估
Vincent V Vicencio1, Catherine Viengkham2,3, Nicholas Grange4
1Population and Community Health, South Eastern Sydney Local Health District, Taren Point, New South Wales, Australia.
PloS one
|March 20, 2025
概括
住宅养老院经历了重要的COVID-19爆发. 疫情管理团队通过更好的结构和流程改善了结果,为未来的流行病响应提供了教训.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- COVID-19疫情不成比例地影响了居住老年护理设施中的老年人.
- 2021年6月至2022年12月期间,Delta和Omicron变种在西悉尼养老院引起了广泛的爆发.
- 部署了疫情管理团队,以减轻这些疫情的影响.
研究的目的:
- 评估住宅养老院疫情管理团队的结构,流程和结果.
- 通过Donabedian框架确定有效应对疫情的促进者和障碍.
- 为改善未来的疫情管理策略提供可操作的见解.
主要方法:
- 采用了两相混合方法设计.
- 第一个阶段:2021年6月至2022年12月期间,西悉尼养老院281起疫情爆发数据的描述性分析.
- 第二阶段:与35名参与者 (团队成员和老年护理人员) 进行半结构面试.
主要成果:
- 关键的结构性促进因素包括较小的房屋规模,足够的员工,合适的基础设施和与公共卫生系统的整合.
- 流程促进者涉及多学科团队,开放的沟通,简化程序,现场感染控制支持和能力建设.
- 在研究期间,该地区的养老院中有4113例居民病例,346例住院病例和127例死亡病例.
结论:
- 在老年护理中有效的疫情管理依赖于强大的结构和高效的流程.
- 多学科团队,明确的沟通和综合的公共卫生支持至关重要.
- 学习的经验可以提高当前和未来疫情应对策略的可持续性和有效性.
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