Evaluating COVID-19 Response Within a Tribal Health Care Organization.
Evaluating COVID-19 Response Within a Tribal Health Care Organization.
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DOI：
10.7812/tpp/23.039
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发表时间：
2023-12-15
影响因子：
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通讯作者：
Collier AF
中科院分区：
文献类型：
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作者：
Schaefer KR;Triplett B;Lorenzo O;Aregood M;Galbreath D;Dillard DA;Collier AF
各类医疗机构都适应了新冠肺炎的要求。各组织对这一流行病的反应各不相同，几乎没有标准化的框架来评估组织的反应。本文报告了一个部落卫生保健组织对新冠肺炎的反应，使用了一个综合的评估框架，该框架整合了组织的价值观，并允许在这次新冠肺炎突发公共卫生事件中及时实施应对措施。作者将每个新冠肺炎回应分为六个领域，包括领导实践、患者参与、操作管理、团队合作和沟通、公共卫生和外部伙伴关系。回复按领域和跨时间进行了分析。新冠肺炎的回应包括医疗警报，修改护理提供，建立检测和疫苗接种地点，为员工提供额外福利，以及员工和高级领导层之间沟通的新流程。新冠肺炎回复最常被归入运营管理领域(80%)。许多回复，特别是那些考虑患者、员工和社区的回复，也适用于其他领域。业务管理是最常见的领域，因为大流行出现得很快，需要部落保健组织作出迅速、敏捷和注重行动的反应。大多数新冠肺炎回复涉及多个域名，而不是单个域名。我们的评价方法涵盖了部落卫生组织的重要领域，可能也适用于其他土著组织和农村社区。在回应新冠肺炎时，考虑部落视角尤其重要，因为以前有西医和传染病的病史，而且由于乡村生活而受到医疗保健的限制。
Health care organizations of all types have adapted in response to COVID-19. Responding to the pandemic has varied across organizations and there are few standardized frameworks from which to evaluate an organizational response. This article reports COVID-19 responses by a tribal health care organization using a synthesized evaluation framework that integrated the organizational values and allowed for timely implementation of responses during this COVID-19 public health emergency. The authors categorized each COVID-19 response into six domains, including leadership practices, patient engagement, operations management, teamwork and communication, public health, and external partnerships. Responses were analyzed by domain and across time. COVID-19 responses included medical alerts, modifying delivery of care, establishing testing and vaccination sites, additional benefits for employees, as well as new processes for communication between employees and senior leadership. COVID-19 responses were most frequently categorized into the operation management domain (80%). Many responses, especially those that considered patients, employees, and the community, also fit other domains. Operation management was the most frequent domain because the pandemic emerged rapidly and required swift, agile, action-oriented responses from the tribal health care organization. The majority of COVID-19 responses involved multiple, not single, domains. Our evaluation approach captured areas of importance to the tribal health organization and may be pertinent for other indigenous organizations and rural communities. It is especially important to consider tribal perspectives in response to COVID-19 because of the prior history with Western medicine and infectious diseases, and health care limitations experienced due to rurality.