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Epidemic Illusions: On the Coloniality of Global Public Health. Eugene T.Richardson. Cambridge MA: The MIT Press. 2020. Xxv+193pp. Price $25.00 ISBN 9780262045605 流行病幻觉:论全球公共卫生的殖民性。尤金T.Richardson。马萨诸塞州剑桥:麻省理工学院出版社,2020。第二十五章+ 193页。售价$25.00 ISBN 9780262045605
IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-04-25 DOI: 10.1002/wmh3.521
Elias Madzudzo,Gillian Chomutare Madzudzo
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引用次数: 0
Dynamic governance of the first wave of Covid‐19 in Tunisia: An interoperability analysis 突尼斯第一波Covid - 19疫情动态治理:互操作性分析
IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-03-28 DOI: 10.1002/wmh3.508
Khaled Nasri, Houda Boubaker, N. Dhaouadi
Abstract This study proposes an interoperability index of the measures taken by the Tunisian government during the first wave of the coronavirus disease 2019 (COVID‐19) pandemic. In the first part, we present the process of decision making as a revised and adjusted process in continuous upgrading, based on the dynamic governance process in times of crisis. In the second part, we estimate an index that records the strictness of government policies in each subperiod and the degree of interoperability between the Tunisian pandemic responses against COVID‐19 using subperiod instantiations. Our empirical findings show that the pandemic management strategy in Tunisia during the first wave was adjusted by incorporating new pandemic policies and changing the stringency levels over time. After estimating the interoperability index, we found that the measures taken early in a subperiod interact directly with the next successive subperiod in the decision process, but they interact indirectly with other successive subperiods.
摘要本研究提出了突尼斯政府在2019年第一波冠状病毒病(COVID-19)大流行期间采取的措施的互操作性指数。在第一部分中,我们将决策过程描述为一个不断升级的修订和调整过程,基于危机时期的动态治理过程。在第二部分中,我们使用子周期实例估计了一个指数,该指数记录了每个子周期政府政策的严格性,以及突尼斯应对新冠肺炎疫情之间的互操作性程度。我们的实证研究结果表明,突尼斯在第一波疫情期间的疫情管理战略是通过纳入新的疫情政策和随着时间的推移改变严格程度来调整的。在估计互操作性指数后,我们发现在决策过程中,子周期早期采取的措施与下一个连续子周期直接相互作用,但它们与其他连续子周期间接相互作用。
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引用次数: 3
Evaluating South African and Namibian governments’ use of digital media during Covid‐19 评估南非和纳米比亚政府在新冠肺炎-19期间使用数字媒体的情况
IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-03-23 DOI: 10.1002/wmh3.507
Karabo Sitto, E. Lubinga, S. Chiumbu, K. Sobane, Nkosinothando Mpofu
Abstract Governments during the Covid‐19 pandemic in response to the challenge of reaching as many of their citizens as quickly as possible have relied on the use of digital media communication. Various stakeholders, however, have questioned whether strategic use of digital communication by governments has been effective during the Covid‐19 health crisis. We thematically analyzed a public online bi‐country webinar and conducted a netnographic analysis of South African Health Minister Dr. Zweli Mkhize and Namibian Ministry of Health and Social Services Twitter accounts to evaluate the effectiveness of government digital communication during the Covid‐19 pandemic. Stakeholders and social media analysis highlight that government digital communication has lacked engagement, falling short in assisting citizens to understand the effects of the Covid‐19 pandemic. We highlight the shortcomings of governments simply transmitting information on channels built for dialogue, the digital divide limiting reach, as well as how limited engagement opens up opportunities for misinformation.
摘要在新冠肺炎-19大流行期间,各国政府为了应对尽快接触尽可能多的公民的挑战,一直依赖于使用数字媒体通信。然而,各种利益相关者质疑政府在新冠肺炎-19健康危机期间对数字通信的战略使用是否有效。我们对一场公共在线两国网络研讨会进行了主题分析,并对南非卫生部长Zweli Mkhize博士和纳米比亚卫生和社会服务部推特账户进行了网络分析,以评估新冠肺炎-19大流行期间政府数字通信的有效性。利益相关者和社交媒体分析强调,政府数字通信缺乏参与,未能帮助公民了解新冠肺炎-19大流行的影响。我们强调了政府简单地通过对话渠道传递信息的缺点,数字鸿沟限制了传播范围,以及有限的参与如何为错误信息打开机会。
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引用次数: 0
Interventions for adapting health care providers to new situations in the workplace during the COVID-19 pandemic: A scoping review for developing a policy brief. COVID-19大流行期间使卫生保健提供者适应工作场所新情况的干预措施:制定政策简报的范围审查
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-03-01 Epub Date: 2022-02-27 DOI: 10.1002/wmh3.500
Nasib Babaei, Marziyeh Avazeh, Leila Doshmangir

The rapid change in the conditions of health care centers following the sudden onset of the COVID-19 pandemic led to work challenges and role changes and the transfer of staff to new and unfamiliar workplaces. This study aimed to develop policy interventions to adapt health care providers to the new situation in the workplace during the COVID-19 pandemic. A systematic literature review was carried out using international databases to identify English-language studies to identify policy interventions. The viewpoints resulting from the observations of the research team and seven health system experts were used to categorize the interventions. Three main policy interventions were identified: creating a flexible and efficient system through modifying personnel roles, adequate training of health care personnel about work conditions when treating COVID-19 patients, and creating a supportive and motivating work environment.

COVID-19大流行突然爆发后,卫生保健中心的条件发生了迅速变化,导致工作挑战和角色变化,并将工作人员转移到新的和不熟悉的工作场所。本研究旨在制定政策干预措施,使卫生保健提供者适应COVID-19大流行期间工作场所的新形势。使用国际数据库进行了系统的文献综述,以确定英语研究以确定政策干预措施。研究小组和7名卫生系统专家观察所得的观点被用于对干预措施进行分类。确定了三项主要政策干预措施:通过调整人员角色创建灵活高效的系统;对医护人员进行充分培训,使其了解治疗COVID-19患者时的工作条件;以及创造支持性和激励性的工作环境。
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引用次数: 0
When a school is more than just a school: Improving school-based health in the wake of COVID-19. 当一所学校不仅仅是一所学校时:2019冠状病毒病后改善学校健康
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-03-01 Epub Date: 2022-03-14 DOI: 10.1002/wmh3.498
Simon F Haeder, Emily Maxfield, Kara Ulmen, Sara Anderson

The ongoing COVID-19 pandemic has posed tremendous challenges for economies and individuals around the world. At the same time, it has also laid bare the blatant and growing inequities that many individuals, particularly children, are confronted with on a daily basis. With communities in lockdowns and schools going virtual in many parts of the United States, the important role that schools and school-based services play in the lives of many children have gained new attention. Nonetheless, only 3% of American schools have school-based health centers on campus, and they remain relegated to the fringes of both health care and education. One key limitation has been the lack of appropriately trained health-care professionals. Over the past 2 years, we have interviewed dozens of individuals about their experiences in school-based health centers. Based on this study, we explore what it means for a health-care professional to work in school-based health care and how it differs from more traditional health-care settings. Our analysis particularly focuses on training and education, work environments, and their unique demands that come from being embedded within the educational setting. We conclude by addressing the important role that governmental policies could play in augmenting this crucial workforce.

摘要持续的新冠肺炎疫情给世界各地的经济和个人带来了巨大挑战。与此同时,它也暴露了许多人,特别是儿童,每天都面临的公然和日益严重的不平等。随着美国许多地区的社区被封锁,学校虚拟化,学校和学校服务在许多儿童生活中发挥的重要作用得到了新的关注。尽管如此,只有3%的美国学校在校园内设有学校健康中心,它们仍然处于医疗保健和教育的边缘。一个关键的限制是缺乏经过适当培训的卫生保健专业人员。在过去的两年里,我们采访了几十个人,了解他们在学校健康中心的经历。基于这项研究,我们探讨了医疗保健专业人员在学校医疗保健工作意味着什么,以及它与更传统的医疗保健环境有何不同。我们的分析特别关注培训和教育、工作环境,以及他们在教育环境中的独特需求。最后,我们讨论了政府政策在增加这一关键劳动力方面可以发挥的重要作用。
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引用次数: 0
Nigeria's financing of health care during the COVID-19 pandemic: Challenges and recommendations. 2019冠状病毒病大流行期间尼日利亚的卫生保健筹资:挑战和建议。
IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-03-01 Epub Date: 2021-11-06 DOI: 10.1002/wmh3.484
Bolaji S Aregbeshola, Morenike O Folayan

An analysis of the financing of Nigeria's health-care system in response to coronavirus disease 2019 (COVID-19) pandemic was conducted. Nigeria projected that it would need US$330 million to control its COVID-19 pandemic. However, it raised more than US$560.52 million, of which more than 90% came from the private sector and the donor/philanthropist community. The pooled COVID-19 fund is mainly being expended on temporary public health and clinical care measures, with little invested to strengthen the health system beyond the pandemic. The poor turn-around time for COVID-19 test results and the stigma associated with the disease results in most persons with mild to moderate symptoms seeking care from alternatives to the health-care institutions designated for COVID-19 health care. The huge out-of-pocket expenses, and the inability of most Nigerians to earn money because of measures instituted to contain the pandemic, will likely cause many Nigerians to become economically impoverished by the COVID-19 pandemic. COVID-19-related commodity procurement was least responsive to the needs of those most in need of care and support. The government needs to institute several fiscal policies. Immediate response to ease the financial impact of COVID-19 require inclusion of COVID-19 management in health insurance packages and an increase in domestic government health spending.

对尼日利亚卫生保健系统应对2019冠状病毒病(COVID-19)大流行的资金情况进行了分析。尼日利亚预计将需要3.3亿美元来控制其COVID-19大流行。然而,它筹集了超过5.6052亿美元,其中90%以上来自私营部门和捐助者/慈善家社区。COVID-19汇集基金主要用于临时公共卫生和临床护理措施,很少投资于在大流行之后加强卫生系统。COVID-19检测结果的周转时间较短以及与该疾病相关的耻辱感导致大多数有轻度至中度症状的人寻求替代方案,而不是指定的COVID-19卫生保健机构。由于采取了控制疫情的措施,巨额的自付费用以及大多数尼日利亚人无法赚钱,可能会导致许多尼日利亚人因COVID-19大流行而陷入经济贫困。与covid -19相关的商品采购最不能满足最需要关怀和支持的人的需求。政府需要制定几项财政政策。要立即采取应对措施减轻COVID-19的财务影响,就需要将COVID-19管理纳入医疗保险计划,并增加国内政府卫生支出。
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引用次数: 13
Political power and awareness of nursing during the COVID-19 pandemic from the views of senior nursing students. 从护生视角看新冠肺炎大流行期间的政治权力与护理意识
IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-03-01 Epub Date: 2021-09-26 DOI: 10.1002/wmh3.475
Aslıhan Çatıker

Studying the impact of the COVID-19 pandemic on the current nursing workforce and the training of future nurses is important. This study aimed to assess the views of senior nursing students pursuing health policy courses on the effects of the COVID-19 pandemic on the political power and awareness of nursing profession. Document analysis method, one of the qualitative enhancement patterns, was employed in this study. This study was conducted in a nursing school with a sample comprising 34 nursing students. The data were collected from online homework documents and evaluated with thematic analysis. Students on the effects of the COVID-19 pandemic on the nursing profession were categorized into three main themes and nine subthemes. Students reported that although the visibility of nursing increased during the COVID-19 pandemic, the problems of this profession did not change. The results showed that depoliticization was an important obstacle in the fight against these problems and students stated that the struggle could be realized together with a unified and strong political voice. Students suggested being organized in the struggle against problems, addressing unions and associations, and political awareness and political participation as a remedy.

研究COVID-19大流行对当前护理人员和未来护士培训的影响非常重要。本研究旨在评估卫生政策专业护生对2019冠状病毒病大流行对护理专业政治权力和意识的影响的看法。本研究采用定性强化方法之一的文献分析法。本研究在一所护理学校进行,样本包括34名护理专业学生。数据从在线作业文件中收集,并以专题分析进行评估。学生就新冠肺炎大流行对护理专业的影响分为3个主题和9个副主题。学生们报告说,尽管在COVID-19大流行期间护理的知名度提高了,但这一职业的问题并没有改变。结果表明,非政治化是与这些问题作斗争的一个重要障碍,学生们说,可以通过统一和强有力的政治声音来实现这一斗争。学生们建议组织起来与问题作斗争,向工会和协会发表讲话,提高政治意识和政治参与,以此作为补救措施。
{"title":"Political power and awareness of nursing during the COVID-19 pandemic from the views of senior nursing students.","authors":"Aslıhan Çatıker","doi":"10.1002/wmh3.475","DOIUrl":"https://doi.org/10.1002/wmh3.475","url":null,"abstract":"<p><p>Studying the impact of the COVID-19 pandemic on the current nursing workforce and the training of future nurses is important. This study aimed to assess the views of senior nursing students pursuing health policy courses on the effects of the COVID-19 pandemic on the political power and awareness of nursing profession. Document analysis method, one of the qualitative enhancement patterns, was employed in this study. This study was conducted in a nursing school with a sample comprising 34 nursing students. The data were collected from online homework documents and evaluated with thematic analysis. Students on the effects of the COVID-19 pandemic on the nursing profession were categorized into three main themes and nine subthemes. Students reported that although the visibility of nursing increased during the COVID-19 pandemic, the problems of this profession did not change. The results showed that depoliticization was an important obstacle in the fight against these problems and students stated that the struggle could be realized together with a unified and strong political voice. Students suggested being organized in the struggle against problems, addressing unions and associations, and political awareness and political participation as a remedy.</p>","PeriodicalId":44943,"journal":{"name":"World Medical & Health Policy","volume":" ","pages":"19-33"},"PeriodicalIF":4.1,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8661792/pdf/WMH3-14-19.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39726840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
How are healthcare provider systems preparing for health emergency situations? 卫生保健提供者系统如何为卫生紧急情况做准备?
IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-03-01 Epub Date: 2021-05-11 DOI: 10.1002/wmh3.436
Timothy DeVita, David Brett-Major, Rebecca Katz

Natural disasters, disease outbreaks, famine, and human conflict have strained communities everywhere over the course of human existence. However, modern changes in climate, human mobility, and other factors have increased the global community's vulnerability to widespread emergencies. We are in the midst of a disruptive health event, with the COVID-19 pandemic testing our health provider systems globally. This study presents a qualitative analysis of published literature, obtained systematically, to examine approaches health providers are taking to prepare for and respond to mass casualty incidents around the globe. The research reveals emerging trends in the weaknesses of systems' disaster responses while highlighting proposed solutions, so that others may better prepare for future disasters. Additionally, the research examines gaps in the literature, to foster more targeted and actionable contributions to the literature.

在人类生存的过程中,自然灾害、疾病爆发、饥荒和人类冲突给世界各地的社区带来了压力。然而,气候、人口流动和其他因素的现代变化增加了国际社会面对大范围紧急情况的脆弱性。我们正处于一场破坏性的卫生事件中,COVID-19大流行在全球范围内考验着我们的卫生服务系统。本研究对系统获得的已发表文献进行了定性分析,以检查卫生服务提供者为准备和应对全球大规模伤亡事件所采取的方法。该研究揭示了系统灾害响应弱点的新趋势,同时强调了拟议的解决方案,以便其他人可以更好地为未来的灾害做好准备。此外,该研究还检查了文献中的空白,以促进对文献的更有针对性和可操作性的贡献。
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引用次数: 4
Telemedicine practice guidelines in India: Global implications in the wake of the COVID‐19 pandemic 印度远程医疗实践指南:2019冠状病毒病大流行后的全球影响
IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-02-21 DOI: 10.1002/wmh3.497
U. Venkatesh, Gandhi P. Aravind, Anbu Ananthan Velmurugan
Abstract Telemedicine is the delivery of healthcare services from a distance, by use of information and communication technology. There have been no statutory regulations or official guidelines in India specific for telemedicine practice and allied matters so far. For the first time, the government of India released telemedicine practice guidelines for Registered Medical Practitioners on March 25, 2020, amid the COVID‐19 outbreak. This review would initiate the discussion on the features of the guidelines, their limitations, and their significance in times of the COVID‐19 pandemic. The guidelines are with a restricted scope for providing medical consultation to patients, excluding other aspects of telemedicine such as research and evaluation and the continuing education of healthcare workers. The guidelines have elaborated on the eligibility for practicing Telemedicine in India, the modes and types of teleconsultations, delved into the doctor‐patient relationship, consent, and management protocols, and touched upon the data security and privacy aspects of Teleconsultation. After releasing the guidelines, the telescreening of the public for COVID‐19 symptoms is being advocated by the government of India. COVID‐19 National Teleconsultation Centre (CoNTeC) has been initiated, which connects the doctors across India to All India Institute of Medical Sciences (AIIMS) in real‐time for accessing expert guidance on the treatment of the COVID‐19 patients.
摘要远程医疗是利用信息和通信技术从远处提供医疗服务。到目前为止,印度还没有专门针对远程医疗实践和相关事项的法定法规或官方指南。2020年3月25日,在新冠肺炎疫情期间,印度政府首次发布了注册执业医师远程医疗实践指南。这项审查将启动对指南的特点、局限性及其在新冠肺炎疫情期间的意义的讨论。该指南为患者提供医疗咨询的范围有限,不包括远程医疗的其他方面,如研究和评估以及医护人员的继续教育。该指南详细阐述了在印度从事远程医疗的资格、远程咨询的模式和类型,深入探讨了医患关系、同意和管理协议,并涉及远程咨询的数据安全和隐私方面。在发布指南后,印度政府提倡对公众进行新冠肺炎症状的电筛查。新冠肺炎国家远程咨询中心(CoNTeC)已经启动,该中心将印度各地的医生实时连接到全印度医学科学研究所(AIIMS),以获得有关新冠肺炎患者治疗的专家指导。
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引用次数: 5
Understanding the gap between policy and facts: The Italian experience on federal decoupling in the implementation of breast units 理解政策与事实之间的差距:意大利在实施乳房单位时联邦脱钩的经验
IF 4.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-02-21 DOI: 10.1002/wmh3.499
I. Gabutti, C. Barneschi
{"title":"Understanding the gap between policy and facts: The Italian experience on federal decoupling in the implementation of breast units","authors":"I. Gabutti, C. Barneschi","doi":"10.1002/wmh3.499","DOIUrl":"https://doi.org/10.1002/wmh3.499","url":null,"abstract":"","PeriodicalId":44943,"journal":{"name":"World Medical & Health Policy","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46399014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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World Medical & Health Policy
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