大型综合医院应对新型冠状病毒肺炎疫情“双分诊、双缓冲”模式的建立与实践

自新型冠状病毒肺炎疫情发生以来,随着防控措施的深入开展,新型冠状病毒肺炎患者的医疗救治工作取得积极进展,但疫情形势依然严峻复杂。武汉大学人民医院建立了"双分诊、双缓冲"的组织管理模式,使用了入院前双分诊、入院后双缓冲的方法应对新型冠状病毒肺炎疫情,在保证各项医疗任务顺利完成的同时,减少了医院感染风险,保障了诊疗质量和医患身心健康,取得了科学推进疫情防控的有利成效。     

新冠肺炎防疫补助都有哪些新政

2020年2月3日,在国务院应对新型冠状病毒感染的肺炎疫情联防联控机制新闻发布会上,国家卫生健康委副主任李斌指出,为了保障新型冠状病毒感染肺炎疫情的防控工作,财政部、人社部、国家医保局、国家卫生健康委等部门围绕患者救治、医务人员补助和防疫物资保障,出台了相关政策。人员补助方面。对参加防治工作的医务人员和防疫工作者,发放临时性工作补助。中央和地方按照规定标准安排经费;明确在新型冠状病毒肺炎疫情防治和救治工作中,医护及相关工作人员因履行工作职责感染新型冠状病毒肺炎的,应认定为工伤,依法享受工伤保险待遇。     

马里维和空运医疗后送组防控新型冠状病毒肺炎疫情的策略与效果

中国第7批马里维和空运医疗后送组在维和任务期间,立足现有医疗条件,积极应对新型冠状病毒肺炎疫情(简称“新冠肺炎疫情”),本文总结了空运医疗后送组在实施卫勤保障过程中防控新冠肺炎疫情的策略和效果,为应对突发公共卫生事件的卫勤保障提供参考和借鉴。     

新型冠状病毒肺炎疫情的全球流行现状和其对中国的影响及政策建议

当前全球六大洲、114个国家、领土或地区受到新型冠状病毒肺炎疫情不同程度的影响，WHO已宣布本次疫情构成"全球大流行"。为进一步加强对全球新型冠状病毒肺炎疫情的防控，应对全球疫情升级对中国的挑战，本研究着重回答3个问题：新型冠状病毒肺炎全球流行现状及各国防疫情况；全球疫情对中国影响；中国应对全球疫情的短期预案和中长期策略建议。     

关于印发不同人群预防新型冠状病毒感染口罩选择与使用技术指引的通知

肺炎机制发[2020]20号各省、自治区、直辖市及新疆生产建设兵团应对新型冠状病毒感染的肺炎疫情联防联控机制(领导小组、指挥部):在新型冠状病毒感染的肺炎流行期间,为指导不同人群科学合理地选择和使用口罩,严防新型冠状病毒感染的肺炎疫情蔓延和扩散,制定了《不同人群预防新型冠状病毒感染口罩选择和使用技术指引》。现印发给你们...     

新型冠状病毒肺炎暴发与大流行的流行病学调查及应对策略

目的探讨新型冠状病毒肺炎暴发与大流行的流行病学调查及应对策略。方法分析新型冠状病毒肺炎疫情暴发后流行病学调查实践工作经验,提出疫情国际大流行背景下的应对策略和方法。结果新型冠状病毒肺炎暴发的流行病学调查与控制工作的要点包括:流行病学证据及证据链,疫情事件传染源确定,传染源控制,传播途径切断,高危人群分类管理等。提出了加强国境卫生检疫,加强信息收集与信息分享,加强主动监测并开展以病例为核心的线索追踪,加快疫苗研发进度等新型冠状病毒肺炎大流行的应对策略。结论及时调整和完善应对策略,对进一步做好新型冠状病毒肺炎防控工作至关重要。     

关于做好老年人新型冠状病毒感染肺炎疫情防控工作的通知

肺炎机制发[2020]11号各省、自治区、直辖市及新疆生产建设兵团应对新型冠状病毒感染的肺炎疫情联防联控机制(领导小组、指挥部):为贯彻落实习近平总书记关于新型冠状病毒感染的肺炎疫情防控工作的重要指示精神,按照中央关于分类指导做好疫情防控工作的要求,进一步做好老年人新型冠状病毒感染的肺炎疫情防控工作,助力打赢疫情防控阻...     

关于印发公共场所新型冠状病毒感染的肺炎卫生防护指南的通知

肺炎机制发[2020]15号各省、自治区、直辖市应对新型冠状病毒感染的肺炎疫情联防联控机制(领导小组、指挥部):为指导宾馆、商场、影院、游泳馆、博物馆、候车(机)室、办公楼等人群经常聚集活动的公共场所和工作场所开展预防性卫生防护措施,严防新型冠状病毒感染的肺炎疫情蔓延和扩散,制定了《公共场所新型冠状病毒感染的肺炎卫生防...     

世界卫生组织应对新型冠状病毒肺炎的机制

新型冠状病毒肺炎的大流行是这个时代的全球卫生危机,也是我们目前所面临的最大挑战。在世界范围内,传染病的管理关键在于遵守国际法规,进行国际合作,以追求共同利益和价值。WHO是联合国系统下管理和控制疾病传播的专门性国际组织。本文对WHO应对传染病的防控机制、新型冠状病毒肺炎疫情的应对措施以及努力方向进行综述,以期为全球新型冠状病毒肺炎疫情控制提供参考。     

新型冠状病毒肺炎疫情下县域医疗机构分类管理探讨

新型冠状病毒肺炎疫情发生后,国家建立省际对口支援湖北省除武汉以外地市新型冠状病毒肺炎医疗救治工作机制。介绍了新型冠状病毒肺炎疫情下县域医疗卫生配置现状及存在的问题,分析了广东省援助湖北医疗队在支援帮扶洪湖市过程中,对新型冠状病毒肺炎防治定点医疗机构实施分类管理、集中收治的举措和成效,提出了相应的策略建议。     

新型冠状病毒肺炎疫情下的医疗设备及防护物资管理

新型冠状病毒肺炎疫情的大规模暴发为医院医疗设备及防护物资的管理带来了新的挑战。为应对此次疫情,医院相关部门需在满足日常诊疗工作要求的前提下,细化与疫情相关的医疗设备及防护物资的采购、使用、维护等流程,以保证医疗设备及防护物资的高效率、高质量供应,切实为临床一线做好后勤保障。     

Role of neighborhood social support in stress coping and psychological wellbeing during the COVID-19 pandemic: Evidence from Hubei,China

The COVID-19 pandemic that emerged in Wuhan, the capital city of Hubei province in China, has caused severe health problems and imposed a tremendous psychological impact on the public. This study investigated the risk and protective factors associated with psychological distress among Hubei residents during the peak of the outbreak. Data were obtained from a combined online and telephone survey of 1,682 respondents. Various COVID-19-related stressors, including risk exposure, limited medical treatment access, inadequate basic supplies, reduced income, excessive exposure to COVID-19-related information, and perceived discrimination, were associated with psychological distress. Neighborhood social support can reduce psychological distress and buffer the effect of COVID-19-related stressors, whereas support from friends/relatives affected stress coping limitedly. Interventions to reduce stressors and promote neighborhood support are vital to reduce psychological distress during infectious disease outbreaks.     

Dynamic Public Perceptions of the Coronavirus Disease Crisis,the Netherlands, 2020

A key component of outbreak control is monitoring public perceptions and public response. To determine public perceptions and public responses during the first 3 months of the coronavirus disease (COVID-19) outbreak in the Netherlands, we conducted 6 repeated surveys of ≈3,000 persons. Generalized estimating equations analyses revealed changes over time as well as differences between groups at low and high risk. Overall, respondents perceived the risks associated with COVID-19 to be considerable, were positive about the mitigation measures, trusted the information and the measures from authorities, and adopted protective measures. Substantial increases were observed in risk perceptions and self-reported protective behavior in the first weeks of the outbreak. Individual differences were based mainly on participants’ age and health condition. We recommend that authorities constantly adjust their COVID-19 communication and mitigation strategies to fit public perceptions and public responses and that they tailor the information for different groups.     

COVID-19患者的消化道症状及营养治疗

自2019年12月新型冠状病毒肺炎(COVID-19)暴发以来,截至2020年9月8日全球确诊人数已超过2700万.虽然本国的疫情控制已取得初步胜利,但仍面临"外防输入、内防反弹"的压力.同时,由于世界各国抗疫模式不同、医疗资源短缺等因素,部分国家仍处于疫情扩散的高峰,大量患者仍需加强救治.COVID-19主要引起呼吸...     

新冠肺炎疫情下武汉驻地医疗队管理模式探索与实践

自新冠肺炎疫情在湖北武汉暴发以来,除武汉当地医护人员救治新冠肺炎患者外,全国各地医护队伍分批次有序进驻湖北,参与新冠肺炎的救治。按照宁夏回族自治区卫生健康委安排,2020年2月21日第六批医护队伍驰援武汉,整建制接管武汉市中心医院后湖院区隔离发热四、五病区。为使医疗队迅速适应新环境,形成诊疗合力,提升救治水平,该医疗队探索并实践了行政、医疗护理、感染防控和后勤保障等管理模式。     

新型冠状病毒肺炎疫情期间医疗机构污水和污物消毒技术指南

本技术指南从消毒工艺、消毒效果评价和排放要求三个方面进一步提升了医疗机构污水和污物消毒的技术要求,适用于新冠肺炎疫情期间综合性医院、病例定点医院、医学观察区污水和污物的卫生管理。     

新冠疫情背景下实习后期护生职业认同现状调查

目的 分析新冠疫情背景下实习后期护生的职业认同现状及其影响因素.方法 采用护生职业认同量表和焦虑自评量表,于2020年2—3月借助问卷星平台对河南省6所院校的实习后期护生进行调查.结果 本次调查的实习后期护生职业认同总分为(66.34±12.88)分.多元线性回归分析结果显示:年龄、新冠发生后对护理职业的喜欢程度、新冠...     

Medical populism and the COVID-19 pandemic

ABSTRACT

This paper uses the vocabulary of ‘medical populism’ to identify and analyse the political constructions of (and responses to) the COVID-19 pandemic in Brazil, the Philippines, and the United States from January to mid-July 2020, particularly by the countries’ heads of state: Jair Bolsonaro, Rodrigo Duterte, and Donald Trump. In all three countries, the leaders’ responses to the outbreak can be characterised by the following features: simplifying the pandemic by downplaying its impacts or touting easy solutions or treatments, spectacularizing their responses to crisis, forging divisions between the ‘people’ and dangerous ‘others’, and making medical knowledge claims to support the above. Taken together, the case studies illuminate the role of individual political actors in defining public health crises, suggesting that medical populism is not an exceptional, but a familiar response to them. This paper concludes by offering recommendations for global health in anticipating and responding to pandemics and infectious disease outbreaks.     

What have European countries done to prevent the spread of COVID-19? Lessons from the COVID-19 Health system response monitor

Although some European countries imposed measures that successfully slowed the transmission of Covid-19 during the first year of the pandemic, others struggled, either because they acted slowly or implemented measures ineffectively. In this paper we consider the European experience with public health measures designed to prevent transmission of COVID-19. Based on literature and country responses described in the COVID-19 Health System Response Monitor from March 2020 to December 2020, we consider some critical aspects of public health policy responses. These include the importance of public health capacity that can scale up surveillance and outbreak control, including effective testing and contract tracing, of clear messaging based on an understanding of human behaviour, policies that address the undesirable consequences of necessary measures, such as support for those isolating or unable to earn, and the ability to implement at pace and scale a major vaccine rollout. We conclude that for countries to be successful at preventing COVID-19 transmission, there is a need for a clear strategy with explicit goals and a whole systems approach to implementation.     

新型冠状病毒肺炎对HIV感染人群影响的研究进展

随着新型冠状病毒肺炎疫情在全球的快速蔓延,这场大流行将不可避免会对医疗卫生领域尤其艾滋病等重大公共卫生问题的防治带来巨大挑战。联合国艾滋病规划署敦促各国在新型冠状病毒肺炎大流行期间不要放松艾滋病防治工作。目前针对特殊人群尤其HIV感染人群开展的新型冠状病毒肺炎研究还十分有限。本研究从新型冠状病毒肺炎对HIV感染人群疾病进展、医疗服务获取、流行结局的影响及如何降低上述影响等方面进行综述,为针对该人群开展新型冠状病毒肺炎科学研究和防治实践、在新冠疫情背景下优化艾滋病防治服务提供参考。