Disease Outbreak Surge Response: How a Singapore Tertiary Hospital Converted a Multi-story Carpark Into a Flu Screening Area to Respond to the COVID-19 Pandemic

Disease Outbreak Surge Response: How a Singapore Tertiary Hospital Converted a Multi-story Carpark Into a Flu Screening Area to Respond to the COVID-19 Pandemic
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DOI:
10.1017/dmp.2020.249
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发表时间:
2021-06-01
影响因子:
2.7
通讯作者:
Fua, Tzay-Ping
Fua, Tzay-Ping
中科院分区:
医学4区
文献类型:
--
作者:
Thangayah, Jeevan Raaj;Tan, Kenneth Boon Kiat;Fua, Tzay-Ping

文献摘要

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2019年12月首次记录的2019冠状病毒病(COVID-19)于2020年1月30日被世界卫生组织(世卫组织)宣布为突发公共卫生事件(https://www.who.int/westernpacific/emergencies/covid-19)。截至2020年6月,由严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)病毒引起的这种疾病已影响到900多万人,造成全球至少49万人死亡,而且死亡人数还在上升(https://www.worldometers.info/coronavirus/#countries)。在疾病暴发期间,越来越多的患者寻求医疗照顾,可能会使卫生保健设施不堪重负,因此需要卫生保健服务部门做出相应的反应。激增能力是一个概念,它不仅被定义为“应对病人护理需求突然增加的能力”(Hick等人,Disaster Med Public Health Prep. 2008;2:S51-S57),而且还被定义为“有效而迅速地扩大能力”(Watson等人,Milbank Q. 2013;91(1):78-122)。这篇叙述性评论讨论了新加坡最大的三级医院如何浓缩了应急能力的要素,并将和平时期的多层停车场改造成流感筛查区,以应对COVID-19疾病爆发。
Coronavirus disease 2019 (COVID-19), first documented in December 2019, was declared a public health emergency by the World Health Organization (WHO) on January 30, 2020 (https://www.who.int/westernpacific/emergencies/covid-19). The disease, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus, has affected more than 9 million people and contributed to at least 490,000 deaths globally as of June 2020, with numbers on the rise (https://www.worldometers.info/coronavirus/#countries). Increased numbers of patients seeking medical attention during disease outbreaks can overwhelm healthcare facilities, hence requiring an equivalent response from healthcare services. Surge capacity is a concept that has not only been defined as the "ability to respond to a sudden increase in patient care demands" (Hick et al., Disaster Med Public Health Prep. 2008;2:S51-S57) but also to "effectively and rapidly expand capacity" (Watson et al., Milbank Q. 2013;91(1):78-122). This narrative review discusses how Singapore's largest tertiary hospital has encapsulated the elements of surge capability and transformed a peacetime multi-story carpark into a flu screening area in response to the COVID-19 disease outbreak.