Experience of Medical Personnel Dispatched to Isolated Psychiatric Institution in South Korea During COVID-19: Content Analysis.

Youngjoo Kim, Jung Hee Hyun, Jacob Lee, Yoonyoung Nam, Eunshil Yim, Kyounga Lee, Baegju Na
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Abstract

Objectives: This study investigates problems related to medical response, and the support system among medical personnel dispatched to the psychiatric hospital when the first cluster of infections occurred in a psychiatric hospital in South Korea.

Methods: Contents analysis was conducted for the responses of the medical personnel who responded to the interview. Training about basic quarantine rules, and safety management is not provided in the early dispatch stages.

Results: No guidance is available regarding the human rights protection of medical staff. Additionally, no on-site situation-control tower is available. Participants reported that temporary quarantine measures implemented at Hospital D to restrict the movement of patients and medical staff from the external world are problematic. The most significant problem is the insufficient governmental systemic support and consideration for protecting Both the human rights of psychiatric patients and the human rights of the medical staff who care for them.

Conclusions: Future responses to new infectious diseases should include the establishment of a continuous support system in the community by changing the collective and closed-room environments as well as isolation-centered mental healthcare systems to protect the human rights of patients with mental disorders. Additionally, response drills for people with mental illness in closed environments should be practiced in response to emerging infectious diseases at ordinary times. Finally, training and emergency measures for medical staff dispatched to these facilities and a manual for the protection of the human rights of medical staff should be prepared.

新冠肺炎期间韩国隔离精神病院医务人员派遣经验:内容分析
目的:本研究探讨韩国某精神病院发生首例聚集性感染时,派往精神病院的医务人员的医疗反应及支援系统的相关问题。方法:对参与访谈的医务人员的回答进行内容分析。在早期派遣阶段没有提供有关基本检疫规则和安全管理的培训。结果:没有关于医务人员人权保护的指导。此外,没有现场情况控制塔可用。与会者报告说,在D医院实施的限制患者和医务人员从外部世界流动的临时隔离措施存在问题。最突出的问题是政府在保障精神病人和照顾他们的医务人员的人权方面缺乏系统的支持和考虑。结论:今后应对新发传染病应改变社区集体封闭环境,建立社区持续支持体系,建立以隔离为中心的精神卫生保健体系,保障精神障碍患者的人权。此外,平时应针对新出现的传染病进行封闭环境下精神疾病患者应对演练。最后,应为派往这些设施的医务人员制定培训和应急措施,并编写一份保护医务人员人权的手册。
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