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在主要新出现的传染病中开发医院对医疗运行的弹性元素系统:德尔菲研究
Kangyao Cheng1, Rui Xie2, Ziwei Xu1
1School of Nursing, Naval Medical University, No.800 Xiangyin Road, Shanghai, 200433, China.
BMC infectious diseases
|April 27, 2025
概括
这项研究开发了一种医院弹性系统,用于管理主要传染病爆发. 该系统基于创造力,冗余性,稳定性和恢复,在医疗运行期间增强医疗保健能力.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 传染病的准备工作 传染病的准备工作
背景情况:
- 主要的新兴传染病导致"医疗运行"事件,使卫生系统承受压力.
- 发展医院的弹性对于管理健康危机至关重要.
- 这项研究旨在为主要传染病爆发创建医院适应能力系统.
研究的目的:
- 为医院恢复能力构建一个全面的要素系统.
- 为了应对疫情期间"医疗运行"场景所带来的挑战.
- 为加强医院准备和应对能力提供一个框架.
主要方法:
- 用4R概念模型和文献分析进行初始框架开发.
- 与18名中国专家进行了两轮的Delphi调查.
- 采用分析层次过程来确定元素重量,遵守CREDES指导方针.
主要成果:
- 在两轮Delphi中都实现了100%的有效恢复率,具有高专家权威 (0.9159).
- 在两轮中都表现出显著的专家共识 (肯德尔的W > 0.136,P < 0.05).
- 建立了一个最终的系统,包含四个主要元素 (发明性,冗余性,稳固性,恢复性),21个次要元素和65个三级元素,并赋予权重.
结论:
- 成功构建了一个元素系统,用于医院抗击主要传染病的医疗运行.
- 这些发现阐明了提高医院恢复能力的关键组成部分.
- 提供了一个检查清单和评估计划,以改善医院的培训和管理策略,以防范疫情.
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