Transparency and Trust During the Coronavirus Disease 2019 (COVID-19) Pandemic
Transparency and Trust During the Coronavirus Disease 2019 (COVID-19) Pandemic
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DOI：
10.1016/j.jacr.2020.04.026
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发表时间：
2020-07-01
影响因子：
4.5
通讯作者：
Omary, Reed A.
中科院分区：
文献类型：
--
作者：
Spalluto, Lucy B.;Planz, Virginia B.;Omary, Reed A.
医疗危机期间的透明度在危机时期，例如2019冠状病毒病（COVID-19）大流行，机构和部门领导层对透明度的需求被放大。卫生保健工作者面临着越来越大的压力，工作和家庭的未来不确定性，新信息和政策变化的持续冲击，相互冲突的数据来源，以及对超出卫生保健系统能力的恐惧。在2002年至2004年的严重急性呼吸系统综合症（SARS）传染病爆发期间，透明度和信任被认为是管理恐惧和不确定性的关键因素。领导层的透明度要求组织在如何分享当前状态和未来决策的算法方面具有开放性、沟通性和问责制。透明度既是信息性的，意味着领导提供的信息是真实的，也是参与性的，意味着利益相关者参与确定他们需要的信息。医疗保健危机迫使领导人不仅要保持，而且要增加透明度。沟通方法我们的部门迅速转向定期、双向的部门沟通新方法，以（1）从中央来源分发越来越多的信息，（2）遵守必要的物理距离限制，以减少病毒传播。沟通包括交互式视频会议，书面电子通信，并在整个部门的人，安全距离椅子“轮”的组合。(See图1.）互动变焦（圣何塞，加州）视频会议包括每周教师会议，每周两次的部门负责人会议，每两周一次的居民会议，并在每个部门的自由裁量权举行的部门会议。重要的是，Zoom平台具有高度互动性，允许信息从领导层到部门成员以及从部门成员到领导层的双向流动。每次会议提供足够的时间进行后续问答环节，以确保所有教师的关注得到解决。
TRANSPARENCY DURING A HEALTH CARE CRISIS In a time of crisis, such as the coronavirus disease 2019 (COVID-19) pandemic, the need for transparency from institutional and departmental leadership is amplified. Health care workers face increased stress, uncertainty about the future both at work and at home, a continuous onslaught of new information and policy changes, conflicting data sources, and the fear of exceeding the health care system’s capacity. Transparency and trust were found to be key elements in managing fear and uncertainty during a similar crisis, the severe acute respiratory syndrome (SARS) infectious outbreak in 2002 to 2004 [1]. Transparency from leadership requires openness, communication, and accountability in how the organization shares the current status and the algorithm for future decision making. Transparency is both informational, meaning the information supplied by leadership is truthful, and participatory, meaning stakeholders participate in identifying the information they need [2]. A health care crisis forces leaders to not just maintain but to increase transparency efforts. Designing and implementing communication methods that increase transparency during a pandemic can unify a department and build trust.COMMUNICATION METHODS Our department quickly pivoted to new methods of regular, bidirectional department communication to (1) distribute the increased volume of information from a central source and (2) comply with physical distancing restrictions necessary to reduce viral spread. Communication includes a combination of interactive video conferences, written electronic communication, and in person, safely distanced chair “rounds” throughout the department.(See Fig. 1.) Interactive Zoom (San Jose, California) video conferences include weekly faculty conferences, twiceweekly section chief meetings, biweekly resident meetings, and section meetings held at each section’s discretion. Of importance, the Zoom platform is highly interactive and allows for bidirectional flow of information both from leadership to department members and from department members to leadership. Each meeting provides adequate time for follow-up question-and-answer sessions to ensure all faculty concerns are addressed.