A mixed-methods evaluation: COVID Care in the Home, a public health response to the first omicron wave across the Torres and Cape region, Queensland

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health Pub Date : 2024-04-01 DOI:10.1016/j.anzjph.2024.100147

Leanne Hawthorn , Rittia Matysek , Johanna Neville , Ivana Gibson , Caroline Taunton , Rae Thomas , Sarah Galloway , Alexandra Hodal , Allison Hempenstall

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引用次数: 0

Abstract

Objective

The purpose of this article is to evaluate the COVID-19 Care in the Home (CCITH) program during the first COVID-19 omicron wave across Torres Strait and Cape York region of Far North Queensland in 2022.

Methods

A mixed-method study: An online survey and semi-structured interviews of CCITH internal and external stakeholders and participants was utilised to develop a greater understanding of perspectives of the program.

Results

Survey participants n=140. Most survey respondents did not attend hospital, emergency, or primary healthcare centre during isolation for medical assistance (82%, 115/140) and most strongly agreed/agreed (87%, 122/140) that the CCITH program cared for their health needs. Interview participants n=14. Thematic analysis of interviews verified survey responses and identified successes of this program including improved community relationships and primary healthcare centres and community members felt supported. Limitations included rapid changes to policies and roles and limited food availability during isolation.

Conclusions

The CCITH program highlights the resilience and self-determination of First Nations communities and primary health staff across the Torres Strait and Cape York throughout the first COVID-19 outbreak in the region.

Implications for Public Health

This virtual model of care could be employed in similar settings to improve service provision in both primary and public health to increase community safety and achieve good health outcomes.

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混合方法评估：COVID 家庭护理，昆士兰州托雷斯和开普地区针对第一波奥米克浪潮的公共卫生对策

本文旨在评估 2022 年托雷斯海峡和昆士兰远北约克角地区第一次 COVID-19 omicron 浪潮期间的 COVID-19 居家护理（CCITH）项目：采用在线调查和半结构式访谈的方式，对CCITH内部和外部利益相关者及参与者进行调查，以进一步了解他们对该计划的看法。大多数调查对象在隔离期间没有去医院、急诊室或初级医疗中心寻求医疗援助（82%，115/140），大多数调查对象非常同意/同意（87%，122/140）CCITH项目能满足他们的健康需求。访谈参与者 n=14。对访谈进行的专题分析验证了调查反馈，并确定了该项目取得的成功，包括改善了社区与初级医疗保健中心的关系，社区成员感受到了支持。结论在托雷斯海峡和约克角地区首次爆发 COVID-19 疫情期间，CCITH 项目凸显了原住民社区和初级卫生保健人员的复原力和自决能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.