Isolation Hotels: A Community-Based Intervention to Mitigate the Spread of the COVID-19Pandemic
Isolation Hotels: A Community-Based Intervention to Mitigate the Spread of the COVID-19Pandemic
复制标题
DOI：
10.1089/hs.2020.0123
复制
发表时间：
2020-09-25
期刊：
影响因子：
3.3
通讯作者：
Cosmi, Michael
中科院分区：
文献类型：
--
作者：
Jordan-Martin, Nicole C.;Madad, Syra;Cosmi, Michael
纽约市健康+医院（nyc h+ h）是美国最大的公共卫生系统，为纽约市的社区提供关键的医疗保健和支持服务，纽约市是2019年新型冠状病毒（COVID-19）大流行的中心。纽约市H+ H社区护理部门的任务是建立隔离酒店作为备用护理地点，目标是减少系统11家医院的住院部和急诊室的负荷。因此，该部门的隔离酒店计划成为一项以社区为基础的公共卫生干预措施，以缓解当前和预防未来COVID-19在纽约市的社区传播。酒店计划的运作前提是，所有疑似或确诊COVID-19阳性的个人、出现COVID-19样疾病症状的个人或易受COVID-19影响的个人都需要身体、情感、社交和家庭支持，以帮助他们康复。隔离酒店计划的目的是为无家可归、居住在拥挤或聚集房屋中的个人，或因担心潜在接触COVID-19而不希望他们回家的家庭及╱或房东提供安全和支持性的环境。作为卫生系统准备和应对基础设施的一部分，社区护理部门建立了事故指挥中心，作为决策、协调和调动资源的结构，对3家酒店的700多间客房进行改造，以满足纽约市居民和游客前所未有的隔离需求。隔离酒店提供每周7天/每天24小时的临床监测和支持、病例管理、护理协调、环绕和家庭护理服务。截至目前，隔离酒店项目已服务926名客人，其中529人已完全完成隔离入住。该酒店计划已成为纽约市测试和跟踪军团旗舰照顾酒店计划。
New york city health+ hospitals (nyc h+ h), the largest public health system in the United States, delivered critical healthcare and support services to communities across New York City, the country’s epicenter of the novel coronavirus 2019 (COVID-19) pandemic. The NYC H+ H Community Care division was tasked with setting up isolation hotels as alternate care sites, with the goal of reducing the load of inpatient units and emergency departments in the system’s 11 hospitals. Thus, the division’s isolation hotel program emerged as a communitybased public health intervention to mitigate current and prevent future community spread of COVID-19 in New York City. The hotel program operates on the premise that all suspected or confirmed COVID-19-positive individuals, individuals experiencing symptoms of COVID-19-like illness, or individuals vulnerable to COVID-19 require physical, emotional, social, and family support to aid their recovery. The aim of the isolation hotel program was to provide a safe and supportive environment for individuals who are homeless, living in crowded or congregate housing, or whose family and/or landlords did not want them to return home out of fear of potential exposure to COVID-19. As part of the health system’s preparedness and response infrastructure, the Community Care division established the Incident Command Center, which served as a structure for making decisions and coordinating and mobilizing resources to transform more than 700 hotel rooms across 3 hotels to meet the unprecedented isolation needs of New York City residents and visitors. The isolation hotels provided 24 hours a day/7 days a week clinical monitoring and support, case management, care coordination, wrap around, and home care services. To date, the isolation hotel program has served 926 guests, 529 of whom have fully completed their isolation stays. The hotel program has since become the New York City Test & Trace Corps flagship Take Care Hotel Program.