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Perspectives of social policies and programs in the post-Covid-19 era 后新冠肺炎时代的社会政策和项目展望
IF 5 Pub Date : 2022-02-22 DOI: 10.5339/avi.2022.1
Chokri Kooli
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引用次数: 9
The Effect of Telemedicine on Patients’ Compliance in Family Medicine Follow-ups in Qatar 卡塔尔远程医疗对患者家庭医学随访依从性的影响
IF 5 Pub Date : 2021-11-22 DOI: 10.5339/avi.2022.3
Yaman M AlAhmad, Duaa Mahmoud Haggeer, Abrar Yaser Alsayed, Mahmoud Y. Haik, L. AbuAfifeh, Mohammed Hussain Aljaber, Ahmed Aboubakr Mohamed, Mohammad Balideh, N. Almutawa, Mohamed Hashim Mahmoud
Introduction: Telemedicine is the delivery of health care services to patients distantly. During the Coronavirus Disease 2019 (COVID-19) pandemic, telemedicine has become an essential implement in delivering healthcare services worldwide. Accordingly, in March 2020, the Primary Health Care Centers (PHCCs) in Qatar has started telephone consultation follow-up appointments in Family Medicine (FM) clinics instead of conventional consultation. Given the limited data about telephone consultations in Qatar, our aim of this study is to investigate the possible impact of telemedicine on chronic disease patients’ follow-up compliance. Methods: This study compares the compliance of adult patients with chronic diseases following-up within FM clinics in Qatar's PHCC through telephone consultations with a minimum of three telephone consultations ordered between April to November 2020, in comparison to the compliance of the same group of patients to their prior face-to-face follow-up consultations in FM clinics with a minimum of three face-to-face ordered follow up appointments between April to November 2019. A cross-sectional study will be carried out to investigate the effect of telephone consultation in PHCC on patients’ compliance with reference to conventional face-to-face consultation. Patients’ data will be received from Health Information Management in twenty-seven PHCCs in Qatar. Conclusion: Due to the limited studies on the effectiveness of telemedicine on patient compliance in FM follow-ups within Qatar's PHCC, comparing patients’ follow-up compliance with telephone consultations to their prior face-to-face consultations would be helpful in assessing patients’ quality of care delivering within FM clinics. With telecommunication being easily accessible and time-efficient, it is believed, when used correctly, it might improve compliance and adherence to the management prescribed by the physician and follow-up appointments in Qatar's PHCC. In addition, this study will help in providing recommendations that could guide the organization on forming policies to be applied in PHCCs after the resolution of the COVID-19 pandemic.
引言:远程医疗是向远程患者提供医疗保健服务。在2019冠状病毒病(新冠肺炎)大流行期间,远程医疗已成为全球提供医疗服务的重要工具。因此,2020年3月,卡塔尔初级卫生保健中心开始在家庭医学诊所进行电话咨询随访预约,而不是传统咨询。鉴于卡塔尔电话咨询的数据有限,我们本研究的目的是调查远程医疗对慢性病患者随访依从性的可能影响。方法:本研究比较了成年慢性病患者在卡塔尔PHCC FM诊所通过电话咨询与2020年4月至11月期间至少三次电话咨询随访的依从性,相比之下,同一组患者在2019年4月至11月期间,在FM诊所接受了至少三次面对面预约随访。将进行一项横断面研究,以调查PHCC电话咨询对患者遵守传统面对面咨询的影响。患者的数据将从卡塔尔27家初级保健中心的健康信息管理处获得。结论:由于卡塔尔PHCC内远程医疗对FM随访患者依从性的有效性研究有限,将患者电话咨询的随访依从性与之前的面对面咨询进行比较将有助于评估患者在FM诊所内提供的护理质量。由于电信易于访问且时效性强,人们相信,如果使用得当,它可能会提高卡塔尔初级保健中心对医生规定的管理和随访预约的依从性和依从性。此外,这项研究将有助于提供建议,指导该组织在新冠肺炎大流行解决后制定适用于PHCC的政策。
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引用次数: 5
The challenge of education and training in the COVID-19 National Emergency Hospital Wisma Atlet Kemayoran in Jakarta 雅加达新冠肺炎国家急救医院Wisma Atlet Kemayoran的教育和培训挑战
IF 5 Pub Date : 2021-10-13 DOI: 10.5339/avi.2021.10
M. Helmi, D. Sari, Y. Sulistyowati, A. Meliala, L. Trisnantoro, T. Nurrobi, T. Ratmono
Background The Corona virus disease 2019 (COVID-19) pandemic poses a risk of inequality between the number of prepared service staff and patients. Emergency hospitals, that do not have full-time employees due to the voluntary employment system, need to supervise the competence and knowledge of their staff, as they came with diverse backgrounds of knowledge and skill. The National Emergency Hospital Wisma Atlet Kemayoran, which can provide services for nearly 6000 COVID-19 patients, is required to be able to provide education and training continuously to improve the knowledge of its volunteers aiming to improve the quality of the care services. Methodology The present study is descriptive observational research to explore the challenge of education and training in the COVID-19 National Emergency Hospital Wisma Atlet Kemayoran in Jakarta. Results The COVID-19 health workers need to be equipped with sufficient knowledge about personal protective equipment (PPE), COVID-19 management, triage, admission, emergency and critical care for the COVID-19 patients. Supervision is needed to ensure that volunteers with various knowledge and skill backgrounds can collaboratively provide good services for the COVID-19 patients at all fronts. With frequent personnel changes, education and training on the same topic are always given repeatedly. To overcome this inefficiency, the Education and Training Department can film every practical skill related to health care service, and then create tutorial videos followed by small groups onsite skill station, when necessary. The hospital received enormous support from the governmental and non- governmental organizations to conduct education and training sessions on regular basis. Conclusions Education and training are very critical in the Emergency COVID-19 Hospital. The process has become a major challenge due to regular changes of staff. Information and communication technologies remain a more recommended alternative to the traditional onsite face-to-face method of education and training delivery as to prevent the spread of this virus. The training and education program in the National COVID-19 Emergency Hospital Wisma Atlet have received major supports from several Government agencies, and national private/non-government organizations. However, supports from International NGOs, international aid agencies, or humanitarian organizations, apart from the local professional organizations, which generally extend generous support need also to be explored.
2019冠状病毒病(COVID-19)大流行带来了准备好的服务人员和患者数量不平等的风险。由于自愿雇佣制度,没有全职员工的急救医院,由于员工的知识和技能背景不同,需要对他们的能力和知识进行监督。可以为近6000名COVID-19患者提供服务的Wisma Atlet Kemayoran国家急救医院需要能够不断提供教育和培训,以提高其志愿者的知识,以提高护理服务质量。本研究为描述性观察性研究,旨在探讨雅加达新冠肺炎国家急救医院Wisma Atlet Kemayoran在教育和培训方面面临的挑战。结果COVID-19卫生工作者需要具备足够的个人防护装备、COVID-19管理、分诊、入院、COVID-19患者急诊和重症监护知识。要加强监督,确保不同知识技能背景的志愿者齐心协力,为新冠肺炎患者提供全方位服务。由于人员变动频繁,同一主题的教育和培训总是反复进行。为了克服这种低效率,教育培训部可以拍摄与卫生保健服务相关的每一项实用技能,然后在必要时制作教程视频,然后进行小组现场技能站。医院得到政府和非政府组织的大力支持,定期举办教育和培训课程。结论在COVID-19急诊医院,教育和培训至关重要。由于工作人员经常变动,这一过程已成为一项重大挑战。为了防止这种病毒的传播,信息和通信技术仍然是一种更值得推荐的替代方法,可以替代传统的现场面对面教育和培训方法。国家COVID-19急救医院Wisma Atlet的培训和教育计划得到了几个政府机构和国家私营/非政府组织的大力支持。但是,还需要探讨国际非政府组织、国际援助机构或人道主义组织除了一般慷慨提供支助的当地专业组织以外的支助。
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引用次数: 12
Embracing Healthcare Delivery Challenges during a Pandemic. Review from a nodal designated COVID-19 center in Qatar 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 5 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
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.
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。
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引用次数: 9
Physical and mental health aspects in COVID-19: Two sides of a coin COVID-19的身心健康方面:硬币的两面
IF 5 Pub Date : 2021-10-10 DOI: 10.5339/avi.2021.6
O. Sidhom
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引用次数: 7
Pharmacological management of psychiatric agitation in COVID-19 hospitalized patients COVID-19住院患者精神躁动的药理管理
IF 5 Pub Date : 2021-10-10 DOI: 10.5339/avi.2021.11
W. Abdelghaffar, H. Snen, N. Haloui, H. Blibech, R. Rafrafi
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引用次数: 0
Effects of the COVID-19 pandemic on perceived stress levels of employees working in private organizations during lockdown 新冠肺炎大流行对封锁期间在私人组织工作的员工感知压力水平的影响
IF 5 Pub Date : 2021-10-10 DOI: 10.5339/avi.2021.7
A. Maqsood, J. Saleem, Muhammad Salman Butt, Ruhma Shahzad, Raja Zubair, M. Ishaq
Background Worldwide, office employees have experienced two novel phenomena during the COVID-19 pandemic and lockdown: working from home and reductions in their salaries. These phenomena have majorly impacted the lives of individuals as well as their families. The present study aims to measure the perceived stress levels among employees during the COVID-19 pandemic lockdown in Pakistan. Methodology A cross-sectional approach was used to collect data from a sample of 385 employees working in three different IT-oriented private organizations. A semi-structured, Likert-scale questionnaire was used, containing the 10-item inventory from the Perceived Stress Scale (PSS). A sociodemographic profile, working parameters, and frequency of PSS inventory were presented in the descriptive analysis. Binary logistic regression analysis was made to compare the stress levels of the two groups resulting from their workloads and reductions in salary. Results An elevated perceived stress level (50.9%) was observed among the employees, showing a significant relationship with salary reduction and home work engagement (p<0.005). A strong negative correlation was observed (-0.860) for the salary reduction with PSS. Conclusion Working from home and reductions in salary caused increased perceived stress levels of the employees working in private organizations. Salary reductions proved to be a strong stressor, causing economic disruption and inability to cope with financial burdens during the COVID-19 pandemic.
在全球范围内,办公室员工在COVID-19大流行和封锁期间经历了两种新现象:在家工作和减薪。这些现象严重影响了个人及其家庭的生活。本研究旨在测量巴基斯坦COVID-19大流行封锁期间员工的感知压力水平。方法采用横断面方法从三个不同的it导向的私营组织工作的385名员工样本中收集数据。采用半结构化的李克特量表问卷,其中包含来自感知压力量表(PSS)的10个项目清单。描述性分析提供了社会人口统计资料、工作参数和PSS调查频率。通过二元logistic回归分析,比较了两组因工作量和减薪而产生的压力水平。结果员工感知压力水平升高(50.9%),与减薪和家庭工作投入显著相关(p<0.005)。工资减少与PSS呈负相关(-0.860)。结论:在家办公和工资减少导致私营企业员工的压力水平增加。事实证明,减薪是一个强大的压力源,在2019冠状病毒病大流行期间造成经济中断和无法应对财务负担。
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引用次数: 10
COVID-19 and the mental health of professionals in the health sector in the UAE: An analytical study 新冠肺炎与阿联酋卫生部门专业人员的心理健康:一项分析研究
IF 5 Pub Date : 2021-10-10 DOI: 10.5339/avi.2021.9
Chokri Kooli
As the Covid-19 pandemic persists, the public health interventions reported that many individuals during this pandemic situation experience different circumstances that lead to their poor mental health performance, such as isolation stress, anxiety, depression, anger, confusion, and unemployment. The aim of this study is to examine the existing literature in a comprehensive manner and to explore the impact of COVID-19 on the mental health of UAE health workers. This study also examined the psychological factors that influence workers’ mental health due to the pandemic of COVID-19. An online questionnaire was administered to answer the research question. The results proved that the pandemic has affected both physical and mental health of UAE health workers. Consequently, the adoption of preventive actions at the governmental, organizational, and individual levels is highly recommended. In this research, the implementation of effective communication and the application of adequate psychological services have been suggested. To this end, the role of policy makers to be involved in placing governmental initiatives that prevent the spread of the virus and protect the mental health of workers has been highlighted.
随着Covid-19大流行的持续,公共卫生干预措施报告说,在这次大流行期间,许多人经历了不同的情况,导致他们的心理健康表现不佳,如孤立压力、焦虑、抑郁、愤怒、困惑和失业。本研究的目的是全面检查现有文献,并探讨COVID-19对阿联酋卫生工作者心理健康的影响。本研究还研究了COVID-19大流行影响工人心理健康的心理因素。一份在线调查问卷被用来回答研究问题。结果证明,大流行影响了阿联酋卫生工作者的身心健康。因此,强烈建议在政府、组织和个人各级采取预防行动。在本研究中,提出了实施有效的沟通和适当的心理服务的建议。为此目的,强调了决策者参与制定政府倡议以防止病毒传播和保护工人心理健康的作用。
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引用次数: 8
COVID-19: Challenges and opportunities COVID-19:挑战与机遇
IF 5 Pub Date : 2021-09-07 DOI: 10.5339/avi.2021.5
Chokri Kooli
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引用次数: 6
Psychological impact of COVID-19 pandemic among expatriate residents in the UAE COVID-19大流行对阿联酋外籍居民的心理影响
IF 5 Pub Date : 2021-06-24 DOI: 10.5339/AVI.2021.3
Panthayil. K. Baburajan
The COVID-19 pandemic has devastated people and countries around the world. It has affected every aspect of human life. Despite the discovery of vaccines and widespread immunization drive which is a minor consolation, the consequences of it are likely to prevail for extended periods of time. This study explored the psychological impacts of the COVID-19 pandemic within the United Arab Emirates (UAE). An online survey was carried out among a sample of 78 expatriate residents. While most of the respondents recognized and highly valued the measures taken by the UAE government to support and deal with the pandemic, intense stress and uncertainty was reported. It was found that the Asian community was more anxious concerning the negative consequences of the pandemic than Arab or W stern residents. The worry among older people was also found to be more intense. Anxiety over health consequences, fear of job loss, and constraints for international travels were the most overwhelming concerns. The difficulties that the coronavirus has presented continue to devastate the psychological wellbeing of individuals even where an adequate governmental system for prevention and controlling the pandemic is in place.
新冠肺炎大流行摧毁了世界各地的人民和国家。它影响了人类生活的方方面面。尽管疫苗的发现和广泛的免疫接种运动只是一个小小的安慰,但其后果可能会持续很长一段时间。本研究探讨了新冠肺炎大流行对阿拉伯联合酋长国(UAE)的心理影响。对78名外籍居民进行了一项在线调查。尽管大多数受访者认可并高度评价阿联酋政府为支持和应对疫情所采取的措施,但据报道,他们面临着巨大的压力和不确定性。研究发现,与阿拉伯或W严厉的居民相比,亚裔社区更担心疫情的负面后果。老年人的担忧也更加强烈。对健康后果的焦虑、对失业的恐惧以及国际旅行的限制是最令人担忧的问题。即使有足够的政府系统来预防和控制疫情,冠状病毒带来的困难仍在继续破坏个人的心理健康。
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引用次数: 14
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