COVID-19: Implications for Nursing and Health Care in the United States.
COVID-19: Implications for Nursing and Health Care in the United States.
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DOI：
10.1111/jnu.12853
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发表时间：
2023-01
影响因子：
3.4
通讯作者：
Wenzel, Jennifer
中科院分区：
文献类型：
--
作者：
Reynolds, Nancy R.;Baker, Deborah;D'Aoust, Rita;Docal, Maria;Goldstein, Nancy;Grubb, Lisa;Hladek, Melissa D.;Koirala, Binu;Kverno, Karan;Ling, Catherine;Lukkahatai, Nada;McIltrot, Kimberly;Pandian, Vinciya;Regier, Natalie G.;Sloand, Elizabeth;Tomori, Cecilia;Wenzel, Jennifer
2019冠状病毒病和近期其他传染病的爆发凸显了建立强健、有韧性的卫生系统的紧迫性。我们现在可能有机会改革有缺陷的医疗保健系统，该系统使COVID-19在美国的破坏性更大。比必要的。在世界卫生组织（WHO）卫生系统构建模块框架（WHO，2007）和社会生态模型（例如，McLeroy等人，1988年），我们确定了美国的挑战和优势。使用上述框架，我们通过对COVID-19文献的回顾和分析以及研究和临床专家小组的集体专业知识，确定了在COVID-19大流行期间影响美国医疗保健服务的关键，相互交织的领域。使用修改后的德尔菲技术的迭代过程，以达成共识。四个至关重要的，相互关联的领域需要改善个人，人际关系，在社区内，并为关键的公共政策改革确定：健康的社会决定因素，心理健康，沟通，和护理劳动力。本分析中确定的四个领域展示了COVID-19大流行所产生或加剧的挑战，它们之间的动态相互联系，以及卫生公平对有弹性的卫生系统、有效的大流行应对和改善所有人的健康的至关重要性。新型冠状病毒不太可能是美国和全球的最后一次大流行。为了控制COVID-19并防止未来大流行造成不必要的痛苦以及社会和经济损失，美国将需要提高其保护公众健康的能力。复杂的问题需要跨关键领域的多层次解决方案。2019冠状病毒病疫情凸显了四个相互关联的领域，揭示并加剧了美国社会经济结构和医疗保健系统中的深层问题。然而，这场疫情照亮了改革的道路，不仅可以提高我们科普未来可能发生的疫情的能力，还可以更好地满足全体人口的医疗保健需求。本文强调迫切需要进行多层次的个人、人际、社区和公共政策改革，以改善当前COVID-19大流行和未来大流行的临床护理和公共卫生结果，并提出实现这些目标的建议。
COVID‐19 and other recent infectious disease outbreaks have highlighted the urgency of robust, resilient health systems. We may now have the opportunity to reform the flawed health care system that made COVID‐19 far more damaging in the United States (U.S.) than necessary. Guided by the World Health Organization (WHO) Health System Building Blocks framework (WHO, 2007) and the socio‐ecological model (e.g., McLeroy et al., 1988), we identified challenges in and strengths of the U.S.’ handling of the pandemic, lessons learned, and policy implications for more resilient future health care delivery in the U.S. Using the aforementioned frameworks, we identified crucial, intertwined domains that have influenced and been influenced by health care delivery in the U.S. during the COVID‐19 pandemic through a review and analysis of the COVID‐19 literature and the collective expertise of a panel of research and clinical experts. An iterative process using a modified Delphi technique was used to reach consensus. Four critically important, inter‐related domains needing improvement individually, interpersonally, within communities, and for critical public policy reform were identified: Social determinants of health, mental health, communication, and the nursing workforce. The four domains identified in this analysis demonstrate the challenges generated or intensified by the COVID‐19 pandemic, their dynamic interconnectedness, and the critical importance of health equity to resilient health systems, an effective pandemic response, and better health for all. The novel coronavirus is unlikely to be the last pandemic in the U.S. and globally. To control COVID‐19 and prevent unnecessary suffering and social and economic damage from future pandemics, the U.S. will need to improve its capacity to protect the public's health. Complex problems require multi‐level solutions across critical domains. The COVID‐19 pandemic has underscored four interrelated domains that reveal and compound deep underlying problems in the socioeconomic structure and health care system of the U.S. In so doing, however, the pandemic illuminates the way toward reforms that could improve our ability not only to cope with likely future epidemics but also to better serve the health care needs of the entire population. This article highlights the pressing need for multi‐level individual, interpersonal, community, and public policy reforms to improve clinical care and public health outcomes in the current COVID‐19 pandemic and future pandemics, and offers recommendations to achieve these aims.
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影响因子：
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作者：
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DOI：
10.1136/bmj.e1717
发表时间：
2012-03-20
期刊：
BMJ (Clinical research ed.)
影响因子：
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通讯作者：
Kutney-Lee A
DOI：
10.1016/j.prdoa.2021.100093
发表时间：
2021
期刊：
Clinical parkinsonism & related disorders
影响因子：
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作者：
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通讯作者：
Gonzalez-Alegre P