Enablers and barriers to public health practice during COVID-19: Perspectives from local public leadership from across Canada.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-01-07 DOI:10.17269/s41997-024-00982-7

Thilina Bandara, Navi Sandhu, Khatira Mehdiyeva, Sarbjeet Singh, Charles Plante, Cory Neudorf

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Abstract

Objective: Our study investigates the efforts of local medical health officers during COVID-19 in Canada, with a focus on explicating enabling factors and barriers to effectively respond through local public health efforts.

Methods: We conducted 26 semi-structured interviews with local-level public health leadership from across Canada and analyzed the transcripts for salient facilitators and barriers to effective local public health practice using the Consolidated Framework for Implementation Research.

Results: Effective local-level public health practice was facilitated by efforts that potentiated synergistic efforts inside and outside of the public health sector, including trust, buy-in, and ample resources. Barriers to effective practice involved uncertainty associated with governance, human resources, and the complexity of the pandemic itself.

Conclusion: Sustained coordinated efforts across organizations together with clear governance mandates are required for robust local emergency management.

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2019冠状病毒病期间公共卫生实践的推动因素和障碍：来自加拿大各地地方公共领导的观点

目的：本研究调查了加拿大当地医疗卫生官员在COVID-19期间所做的努力，重点阐述了通过当地公共卫生努力有效应对疫情的有利因素和障碍。方法：我们对来自加拿大各地的地方一级公共卫生领导进行了26次半结构化访谈，并使用实施研究综合框架分析了有效的地方公共卫生实践的突出促进因素和障碍。结果：通过加强公共卫生部门内外的协同努力，包括信任、支持和充足的资源，促进了有效的地方一级公共卫生实践。妨碍有效做法的障碍包括与治理、人力资源和大流行病本身的复杂性有关的不确定性。结论：要实现强有力的地方应急管理，需要各组织之间持续的协调努力以及明确的治理任务。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.