Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak
Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak
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DOI：
10.1089/bsp.2004.2.265
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发表时间：
2004-01-01
期刊：
影响因子：
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通讯作者：
Zaborski, J
中科院分区：
文献类型：
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作者：
DiGiovanni, C;Conley, J;Zaborski, J
这项研究的目的是从多伦多在2003年初爆发严重急性呼吸系统综合症期间进行大规模隔离的经验中吸取教训。我们关注的是影响人们遵守隔离的意愿的问题。资料来自访谈、电话投票和焦点小组。确定了隔离合法性、隔离标准以及允许一些被隔离的医护人员离家上班的必要性等问题。同样重要的是，需要回答进入隔离区的人提出的问题，即他们在不工作时的工资、薪金和其他形式的收入是否继续存在，以及他们将如何获得日常生活所需的杂货和其他服务。强制执行的威胁对遵约的影响小于遵约监测的可信度。与隔离带来的无聊和其他心理压力作斗争，消除隔离中的耻辱感，以及为不同文化和语言的人群设计和提供有效和可信的沟通也至关重要。官员需要制定跨管辖区的一致的检疫政策、程序和公共信息，这是至关重要的。
The purpose of this study was to cull lessons from Toronto's experiences with large-scale quarantine during the outbreak of Severe Acute Respiratory Syndrome in early 2003. We focused on issues that affected the population's willingness to comply with quarantine. Information was acquired from interviews, telephone polling, and focus groups. Issues of quarantine legitimacy, criteria for quarantine, and the need to allow some quarantined healthcare workers to leave their homes to go to work were identified. Also important was the need to answer questions from people entering quarantine about the continuation of their wages, salaries, and other forms of income while they were not working, and about the means by which they would be supplied with groceries and other services necessary for daily living. The threat of enforcement had less effect on compliance than did the credibility of compliance-monitoring. Fighting boredom and other psychological stresses of quarantine, muting the forces of stigma against those in quarantine, and crafting and delivering effective and believable communications to a population of mixed cultures and languages also were critical. The need for officials to develop consistent quarantine policies, procedures, and public messages across jurisdictional boundaries was paramount.