Systems thinking for health emergencies: use of process mapping during outbreak response.
Systems thinking for health emergencies: use of process mapping during outbreak response.
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DOI：
10.1136/bmjgh-2020-003901
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发表时间：
2020-10
影响因子：
8.1
通讯作者：
Osterholm M
中科院分区：
文献类型：
--
作者：
Durski KN;Naidoo D;Singaravelu S;Shah AA;Djingarey MH;Formenty P;Ihekweazu C;Banjura J;Kebela B;Yinka-Ogunleye A;Fall IS;Eteng W;Vandi M;Keimbe C;Abubakar A;Mohammed A;Williams DE;Lamunu M;Briand S;Changa Changa JC;Minkoulou E;Jernigan D;Lubambo D;Khalakdina A;Mamadu I;Talisuna A;Mbule Kadiobo A;Jambai A;Aylward B;Osterholm M
过程映射是一种系统思维方法，用于理解、分析和优化复杂系统中的过程。我们的目标是展示如何在疾病暴发期间应用这种方法，以加强应对和卫生系统。在具有不同传播方式、规模和卫生系统基础设施的三种独特的新发疾病暴发背景下进行了过程绘图工作。每个国家的系统运作都有很大改善。在塞拉利昂，实验室检测从6天缩短到24小时内。在刚果民主共和国，通报疑似病例的时间从7天缩短至3天。在尼日利亚，关键数据在48小时内达到国家水平，而不是5天。我们的研究表明，尽管与新出现的病原体暴发相关的混乱和复杂性，但实施过程绘图工作可以解决即时应对重点，同时加强卫生系统的组成部分。
Process mapping is a systems thinking approach used to understand, analyse and optimise processes within complex systems. We aim to demonstrate how this methodology can be applied during disease outbreaks to strengthen response and health systems. Process mapping exercises were conducted during three unique emerging disease outbreak contexts with different: mode of transmission, size, and health system infrastructure. System functioning improved considerably in each country. In Sierra Leone, laboratory testing was accelerated from 6 days to within 24 hours. In the Democratic Republic of Congo, time to suspected case notification reduced from 7 to 3 days. In Nigeria, key data reached the national level in 48 hours instead of 5 days. Our research shows that despite the chaos and complexities associated with emerging pathogen outbreaks, the implementation of a process mapping exercise can address immediate response priorities while simultaneously strengthening components of a health system.
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