Essential health services delivery in South Africa during COVID-19: Community and healthcare worker perspectives.
Essential health services delivery in South Africa during COVID-19: Community and healthcare worker perspectives.
复制标题
DOI：
10.3389/fpubh.2022.992481
复制
发表时间：
2022
影响因子：
5.2
通讯作者：
Goldstein, Susan
中科院分区：
文献类型：
--
作者：
Lalla-Edward, Samanta T.;Mosam, Atiya;Hove, Jennifer;Erzse, Agnes;Rwafa-Ponela, Teurai;Price, Jessica;Nyatela, Athini;Nqakala, Sizwe;Kahn, Kathleen;Tollman, Stephen;Hofman, Karen;Goldstein, Susan
关键词：
在2020年5月至2022年2月期间，南非的卫生系统在努力减轻冠状病毒大流行的过程中承受了压力。该国的流行病应对措施受到了严格审查。这一时期还使人们关注到保健系统及其管理机构中先前存在的缺陷。从上下文来看，关于医疗保健提供者和用户的经验的文献很少。该研究旨在提供有关COVID-19的信息，旨在为未来传染病爆发的准备提供指导。采用横断面探索性定性方法，采用半结构化访谈和焦点小组讨论与社区成员（CM）和卫生保健工作者（HCW）从两个南非研究地点：（a）农村布什巴基奇（由阿金库尔健康和社会人口监测网站运行）和（B），D区和F区在约翰内斯堡大都市。在采访了42名CM和43名HCW后，发现强制性的流程变更在最大限度地减少COVID-19暴露的同时，需要医疗保健人员专注于重症监护治疗，而牺牲了不太严重的治疗。COVID-19隔离方案、大量缺勤以及拥有先进技能的医务工作者被认为更善于治疗COVID-19患者，导致医务工作者的工作量增加。对感染和传播COVID-19、遭受经济损失以及无法为患者提供充分建议的担忧是反复出现的主题。在医疗保健机构人员和因通信中断而受到影响的社区中传播相关信息。必须制定让步和新的战略，使病人得到药物治疗。由于缺乏普罗维登斯，政府需要制定卫生干预战略，包括卫生知识普及、慢性药物分配的替代方法、改善卫生保健平台之间的沟通以及使用远程保健，以规避可能进一步爆发传染病的威胁。
Between May 2020 and February 2022, South Africa's health system bore strain as it battled mitigating the coronavirus pandemic. The country's pandemic response was scrutinized. This period also brought into focus pre-existing shortcomings in the healthcare system and its governing bodies. Contextually, there is a paucity in literature on the experiences of healthcare providers and users. This study aimed to contribute information on COVID-19, with the intention of providing guidance on preparing for future infectious disease outbreaks. Cross sectional exploratory qualitative methodology was employed using semi-structured interviews and focus group discussions with community members (CM) and healthcare workers (HCW) from two South African study sites: (a) rural Bushbuckridge (run by Agincourt Health and Socio-Demographic Surveillance Site) and (b), Regions D and F in Johannesburg Metropole. After interviewing 42 CMs and 43 HCWs, it emerged that mandated process changes while minimizing COVID-19 exposure, necessitated healthcare personnel focusing on critical care treatment at the expense of less acute ones. COVID-19 isolation protocols, extensive absenteeism and HCWs with advanced skills being perceived as more adept to treat COVID-19 patients contributed to HCWs experiencing higher workloads. Fears regarding contracting and transmitting COVID-19, suffering financial losses, and not being able to provide adequate advice to patients were recurrent themes. Dissemination of relevant information among healthcare facility personnel and communities suffered due to breakdowns in communication. Concessions and novel strategies to avail medication to patients had to be created. Since providence was lacking, government needs to formulate health intervention strategies that embrace health literacy, alternate methods of chronic medication dispensation, improved communication across health care platforms and the use of telehealth, to circumvent the threats of possible further infectious disease outbreaks.
登录
查看更多内容
影响因子：
4.4
作者：
Bogart LM;Shazi Z;MacCarthy S;Mendoza-Graf A;Wara NJ;Zionts D;Dube N;Govere S;Bassett IV
通讯作者：
Bassett IV
DOI：
10.1016/s2352-3018(20)30359-3
发表时间：
2021-03
期刊：
The lancet. HIV
影响因子：
--
作者：
Dorward J;Khubone T;Gate K;Ngobese H;Sookrajh Y;Mkhize S;Jeewa A;Bottomley C;Lewis L;Baisley K;Butler CC;Gxagxisa N;Garrett N
通讯作者：
Garrett N
影响因子：
2.8
作者：
Forero, Roberto;Nahidi, Shizar;Aboagye-Sarfo, Patrick
通讯作者：
Aboagye-Sarfo, Patrick
影响因子：
4.7
作者：
Gulube, SM;Wynchank, S
通讯作者：
Wynchank, S
影响因子：
11.8
作者：
Feldman, Amy G.;O'Leary, Sean T.;Danziger-Isakov, Lara
通讯作者：
Danziger-Isakov, Lara