Macro level influences on strategic responses to the COVID-19 pandemic - an international survey and tool for national assessments.

Macro level influences on strategic responses to the COVID-19 pandemic - an international survey and tool for national assessments.
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DOI:
10.7189/jogh.11.05011
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发表时间:
2021-07-01
影响因子:
7.2
通讯作者:
COMPASS (COntrol and Management of PAndemicS through Strategic analysis) study group
COMPASS (COntrol and Management of PAndemicS through Strategic analysis) study group
中科院分区:
医学2区
文献类型:
--
作者:
Ahmad R;Atun RA;Birgand G;Castro-Sánchez E;Charani E;Ferlie EB;Hussain I;Kambugu A;Labarca J;Hara GL;McKee M;Mendelson M;Singh S;Varma J;Zhu NJ;Zingg W;Holmes AH;COMPASS (COntrol and Management of PAndemicS through Strategic analysis) study group

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经济和政治考虑、技术能力以及对公共行为的假设影响了国家一级遏制 SARS-CoV-2 (COVID-19) 大流行的方法的变化。为了解决从以往的大流行中学到的知识应用有限的问题,本研究旨在分析大流行期间感知的促进因素和抑制因素,并为大流行应对计划的评估工具的开发提供信息。以六种语言对健康和非医疗保健专业人员进行的横断面电子调查(2020 年 5 月 5 日至 6 月 5 日),通过电子邮件、社交媒体和网站发布招募受访者。参与者被要求从以下领域对影响国家对 COVID-19 反应的抑制因素(-10 至 0)或促进因素(0 至 +10)进行评分——政治、经济、社会学、技术、生态、立法和更广泛的行业(PESTELI 框架)。然后,参与者被要求使用自由文本解释他们的回答。经过描述性和主题分析后,通过文献三角测量和专家验证来开发评估工具,然后与四个现有的大流行规划框架进行比较。来自 66 个国家的 928 名受访者(57% 是医疗保健专业人员)参与了调查。政治和经济影响始终被视为强大的负面力量,而技术则被视为高收入和低收入国家的促进者。与现有工具相比,为指导大流行病规划的快速形势评估而开发的包含 103 项的工具非常全面,并强调了 7 个领域的相互关联性。该工具开发和提出解决了与学科孤岛决策相关的问题,并提供了一种改进流行病模型未来使用的方法。
Variation in the approaches taken to contain the SARS-CoV-2 (COVID-19) pandemic at country level has been shaped by economic and political considerations, technical capacity, and assumptions about public behaviours. To address the limited application of learning from previous pandemics, this study aimed to analyse perceived facilitators and inhibitors during the pandemic and to inform the development of an assessment tool for pandemic response planning. A cross-sectional electronic survey of health and non-health care professionals (5 May - 5 June 2020) in six languages, with respondents recruited via email, social media and website posting. Participants were asked to score inhibitors (-10 to 0) or facilitators (0 to +10) impacting country response to COVID-19 from the following domains – Political, Economic, Sociological, Technological, Ecological, Legislative, and wider Industry (the PESTELI framework). Participants were then asked to explain their responses using free text. Descriptive and thematic analysis was followed by triangulation with the literature and expert validation to develop the assessment tool, which was then compared with four existing pandemic planning frameworks. 928 respondents from 66 countries (57% health care professionals) participated. Political and economic influences were consistently perceived as powerful negative forces and technology as a facilitator across high- and low-income countries. The 103-item tool developed for guiding rapid situational assessment for pandemic planning is comprehensive when compared to existing tools and highlights the interconnectedness of the 7 domains. The tool developed and proposed addresses the problems associated with decision making in disciplinary silos and offers a means to refine future use of epidemic modelling.
DOI: 10.1089/tmj.2006.0064
发表时间: 2007-08-01
期刊: TELEMEDICINE JOURNAL AND E-HEALTH
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通讯作者: Gilani, Salman
DOI: 10.34172/ijhpm.2020.124
发表时间: 2021-08-01
影响因子: 3.5
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DOI: 10.7189/jogh.11.05012
发表时间: 2021-07-01
影响因子: 7.2
作者:
Zhu NJ;Ferlie EB;Castro-Sánchez E;Birgand G;Holmes AH;Atun RA;Kieltyka H;Ahmad R;COMPASS (COntrol and Management of PAndemicS through Strategic analysis) study group
通讯作者: COMPASS (COntrol and Management of PAndemicS through Strategic analysis) study group