新冠肺炎带给社区卫生服务机构的挑战:一项定性研究

Challenges faced by community health services during the COVID-19 pandemic:A qualitative research

新冠病毒疾病暴发给原本薄弱的基层医疗带来了巨大挑战。研究采用半结构化访谈从社区一线医护人员的角度了解抗疫面临的挑战。最终得出三个主题,分别是社区卫生服务机构面临的挑战,包括防护物资短缺、流程不完善、相关部门沟通合作不畅和发热哨点诊室筹建困难;医护面临的挑战,包括日常工作剧变、心理压力大、社会认可度低;和患者面临的挑战,包括对防疫措施理解不到位、心理问题普遍。为更好应对急性呼吸道传染性疾病,本次研究提出了相应建议,包括在社区卫生服务机构建设发热哨点诊室和发展远程医疗,建立健全医患心理监管和防护物资调配应急机制。

During the COVID-19 pandemic outbreaks,intensive anti-pandemic work hugely challenged the poorly resourced community health services(CHSs).The perspectives of CHS clinical staff on the challenges faced by CHSs was explored through in-depth semi-structured interviews.Three themes were elicited:first,challenges faced by CHSs,including shortage of personal protective equipment(PPE),inadequate processes,poor communication and cooperation between relevant departments within and external to the CHSs,and the difficulties encountered when setting up of fever sentinel clinics.Second,challenges faced by clinical staff,including drastic adjustments to daily work,high psychological stresses,and low recognition by society.Third,challenges faced by patients,including poor understanding of pandemic prevention and control measures and widespread mental health issues related to stress.Therefore,rapid and effective establishment of fever sentinel clinic and telemedicine,support for primary care clinicians and patients’mental health,and effective deployment of PPE are needed in future efforts to better respond to acute respiratory infectious particularly.