在大流行期间迎接医疗保健服务挑战。来自卡塔尔指定的COVID-19中心的节点

IF 4.1 Q1 HEALTH POLICY & SERVICES
Avicenna Pub Date : 2021-10-10 DOI:10.5339/avi.2021.8
Manish Barman, Tanweer Hussain, Hatem Abuswiril, M. Illahi, Muhammad Sharif, Harman Talat Saman, Magdi Hassan, Mohamedali Gaafar, Junaid Abu, Muayad Kasem Khaled Ahmad, Mohamed Abou Kamar
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引用次数: 9

摘要

医院和卫生保健系统在制定和实施协调一致的灾害管理应对措施,特别是流行病方面发挥着重要作用。在医疗政策和战略制定方面,只有权衡取舍,而这种权衡与不确定性类似于赌博。国家组织通过表达医生的动机在大流行病中发挥关键作用。有效的策略可以通过规模经济来促进医生的行动,从而降低医生满足社区和患者需求的成本。此外,无论临床医生有多么积极主动地采取行动,如果没有需要组织的业务支持的以人口为基础的护理的补充系统,他们的集体行动可能会失败。本次对机构政策实施和框架的审查旨在突出卡塔尔的一个节点指定的COVID-19中心如何通过改变其程序设置和工作安排来控制威胁,以增强对迅速出现的、可以想象的复杂局势的综合、内在反应。这一成果是在国家领导小组的指导下取得的,该小组通过建立现有的医学证据、管理惯例、熟练程度和卫生系统能力,有效地适应了其具体挑战。这一雄心勃勃的举措始于服务的凝聚力和基于证据的协议的实施,通过安排分析性合规和准备,指派一个医生领导的团队来研究、制定战略和组织改进的患者流程和信息。通过这些服务方法和持续的努力,HMGH实现了显著的成果改善,例如加强能力建设,减少医疗浪费,提高患者满意度,同时与世界上许多发达国家相比,成功地在绝对数字和人口百分比方面显著降低了COVID-19死亡率。本文中概述的策略可能不是包罗万象或适合其他医疗保健系统模型,但它们产生了真正的兴趣,值得追求并受到进一步严格的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Embracing Healthcare Delivery Challenges during a Pandemic. Review from a nodal designated COVID-19 center in Qatar
Hospitals and healthcare systems are instrumental in the formulation and delivery of a coordinated response to disaster management especially epidemics. In healthcare policy and strategy formation, there are only trade-offs, which with uncertainty are akin to gambles. National organizations play a key role in pandemics through the expression of physician motivation. Effective strategies can facilitate physician action through economies of scale that lower the costs for physicians to meet both community and patients' needs. Moreover, no matter how well clinicians are motivated and positioned to act, their collective actions are likely to fall short without complementary systems for population-based care that require the operational support of an organization. This review of institutional policy implementation and frameworks intends to highlight how a nodal-designated COVID-19 center in Qatar managed to control the menace by altering its procedural sets and work arrangements to augment an integrated, intrinsic response to a briskly emerging, conceivably complex situation. This outcome was achieved under the guidance of a national leadership team, effectively adapted to its specific challenges by building on current medical evidence, management routines, proficiencies, and health system capacity. This ambitious drive started with the cohesion of services and implementation of evidence-based protocols by assigning a physician-led team to research, strategize and organize improved patient flow and information by arranging analytical compliance and preparedness. Through these service approaches and ongoing efforts, HMGH has realized significant outcome improvements, such as increasing capacity building, reducing healthcare waste, and increasing patient satisfaction rates whilst successfully achieving significantly lower COVID-19 mortality both in terms of absolute numbers and as percent population compared to many developed countries in the world. The strategies outlined in this article might not be all-inclusive or fit other healthcare system models, but they generate a veritable interest to pursue and be subjected to further rigorous study.
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