Managing COVID-19 in a Novel, Rapidly Deployable Community Isolation Quarantine Facility
Managing COVID-19 in a Novel, Rapidly Deployable Community Isolation Quarantine Facility
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DOI：
10.7326/m20-4746
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发表时间：
2021-02-01
影响因子：
39.2
通讯作者：
Tan, Yan Ru
中科院分区：
文献类型：
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作者：
Chia, Ming Li;Chau, Dickson Hong Him;Tan, Yan Ru
新加坡是世界上人口最稠密的小岛国之一。在2019年冠状病毒病(新冠肺炎)大流行期间，新加坡于2020年4月至8月期间，通过收容低风险的新冠肺炎患者，实施了名为社区关怀设施(CCF)的大规模机构隔离单位，以抗击社区疫情。通过对现有公共空间进行改造，迅速建立了社区卫生服务中心，并使用了一套程序化系统，再加上远程医疗，以使医护人员与患者的比例较低(3200张床位有98名医护人员)来运营这些独特的设施。第一个月，共有3758名患者入住4个大厅，发生4929次内部会诊，136名患者被转移到医院，1名患者在出院2周后死亡，没有医护人员感染。这篇文章分享了作者运营这些大规模隔离设施的经验，同时将所有人的安全放在首位，并在公共健康危机和医疗保健资源匮乏的情况下确保全面的患者护理。
Singapore is one of the most densely populated small island-states in the world. During the coronavirus disease 2019 (COVID-19) pandemic, Singapore implemented large-scale institutional isolation units called Community Care Facilities (CCFs) to combat the outbreak in the community by housing low-risk COVID-19 patients from April to August 2020. The CCFs were created rapidly by converting existing public spaces and used a protocolized system, augmented by telemedicine to enable a low health care worker-patient ratio (98 health care workers for 3200 beds), to operate these unique facilities. In the first month, a total of 3758 patients were admitted to 4 halls, 4929 in-house medical consults occurred, 136 patients were transferred to a hospital, 1 patient died 2 weeks after discharge, and no health care workers became infected. This article shares the authors' experience in operating these massive-scale isolation facilities while prioritizing safety for all and ensuring holistic patient care in the face of a public health crisis and lean health care resources.