缅因州疾病控制与预防中心COVID-19接触者追踪项目回顾性评估

Elisabeth Brewington MHA, MPH, Ben K. Greenfield, Jessica Purser PhD
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摘要

简介:尽管在整个新冠肺炎大流行期间广泛使用了接触者追踪工作,但关于最佳做法和建议的研究结果有限。缅因州疾病控制和预防中心与工作人员签订合同,从2020年8月至2022年2月进行新冠肺炎接触者追踪。对该计划进行了回顾性评估,以与公共卫生和医疗保健领导人分享经验教训,供未来使用。方法:合同联系人追踪工作人员参加了按优势、劣势、机会和威胁分析框架组织的便利讨论。记录和转录了三次会议,并通过专题审查和评价编码进行了定性分析。结果:主题审查确定了27个参与者回复代码。代码分为4个总体主题:疫情集体、组织布局、团队结构和团队环境。这些主题为今后的努力提出了若干建议。讨论:外部网络和伙伴关系、强有力的参与领导、员工专业化以及使用创新技术促进定期沟通被认为是该计划成功的因素。新冠肺炎工作中发现的支持性团队环境和集体目标对接触者追踪团队的经验也很重要。结论:本研究是对缅因州疾病控制和预防中心新冠肺炎接触者追踪小组的回顾性评估。确定了招聘、员工参与和留用以及协作方面的最佳做法。这些经验教训对未来的突发公共卫生事件以及更广泛的其他传染病的合同追踪都很有价值。通过系统审查或更大规模的评价工作,就最佳做法达成全国共识是下一步的重要工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective Evaluation of the COVID-19 Contact Tracing Program at the Maine Center for Disease Control and Prevention
Introduction: Despite the widespread use of contact tracing efforts throughout the COVID-19 pandemic, there are limited findings available about best practices and recommendations. The Maine Center for Disease Control and Prevention contracted staff to conduct COVID-19 contact tracing from August 2020 through February 2022. A retrospective evaluation of this program was conducted to share lessons learned with public health and health care leaders for future use. Methods: Contracted contact tracing staff participated in facilitated discussions structured by the Strengths, Weaknesses, Opportunities, and Threats analysis framework. Three sessions were recorded and transcribed, and qualitative analysis through thematic review and evaluation coding was conducted. Results: The thematic review identified 27 codes of participant responses. Codes were categorized into 4 overarching themes: pandemic collective, organizational placement, team structure, and team environment. These themes led to several recommendations for future efforts. Discussion: External networks and partnerships, strong engaged leadership, staff specialization, and use of innovative technology to foster regular communication were identified as contributors to the program’s success. The supportive team environment and collective purpose found in COVID-19 work were also important to the contact tracing team experience. Conclusion: This study is a retrospective evaluation of the Maine Center for Disease Control and Prevention’s COVID-19 contact tracing team. Best practices in hiring, staff engagement and retention, and collaboration were identified. These lessons are valuable for future public health emergencies and more broadly for contract tracing of other infectious diseases. Building a national consensus of best practices through systematic review or larger evaluation efforts is an important next step.
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