社会弱势社区COVID-19大流行管理模式

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Innovations Pub Date : 2022-07-13 DOI:10.1136/bmjinnov-2021-000870
G. Marín, Jenny Fonseca, G. Etchegoyen, Lupe Marin, Itziar Kain Aramburu, Rocio Rodriguez, Pablo Vetere, Graciela Mateo, Marcelo Bourgeois, F. Campuzano-Castro, Ignacio Babbini, Gina Marin, Tomás Canevari, H. Bozzano
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引用次数: 0

摘要

为减少新冠肺炎大流行的负面影响,提出了几项公共政策。这项工作旨在确定一种管理模式如何能够在COVID-19大流行期间加强社区网络、提供支持、医疗保健和引导公共政府援助。方法本研究是一项干预研究,旨在测试2019冠状病毒病大流行期间阿根廷布宜诺斯艾利斯州首府拉普拉塔一个名为“Puente de Fierro”的社会弱势社区的医疗保健和必需品获取管理模式的有效性。以Altos de San Lorenzo郊区为对照组。研究的变量包括:SARS-CoV-2病毒的传染和死亡水平;获得食品、药品和其他物品;加强社区网络;全港政府计划的执行情况。结果试验了一种新的管理模式,即把生活必需品转移到人民手中,而不是让人民为了获得这些利益而转移。“食品袋”和“食品银行”的可及性显著提高,COVID-19的传染程度和死亡率降低(控制区为2.3/10万,控制区为3.6/10万;“死亡率”分别为2.8%和3.6%)。还支助在当地商店安装接受食品卡的虚拟支付装置。结论新冠肺炎大流行期间以卫生保健和物资服务供应为基础的管理模式减少了疾病及其隔离措施对社会脆弱社区的负面影响。
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Management model of the COVID-19 pandemic in socially vulnerable communities
Introduction Several public policies were proposed to reduce the negative impact of COVID-19 pandemic. This work aimed to determine how a management model is capable of strengthening the community network, providing support, healthcare and channelling public government’s aid during COVID-19 pandemic situation. Methods It is an intervention study that tested the effectiveness of a management model for both healthcare and essential goods access in a socially vulnerable neighbourhood called ‘Puente de Fierro’ in La Plata the capital of Buenos Aires State, Argentina, during the COVID-19 pandemic. Altos de San Lorenzo suburb area was considered as control group. Variables studied were: level of contagion and death due to the SARS-CoV-2 virus; access to food, medicine and other goods; strengthening of community networks; performance of government programmes in territory. Results A new management paradigm was tested by moving essential goods towards the people, instead of making the people move to obtain those benefits. Accessibility to ‘Food Bag’ and ‘Food Bank’ were significantly increased, a reduction of contagion level and mortality rate for COVID-19 was achieved (2.3/100 000 vs 3.6/100 000 inhabitants in control area; and ‘fatality rate’ was 2.8% vs 3.6%, respectively). Support was also provided to installed in local stores virtual payment devices for food cards acceptance. Conclusion The management model based in healthcare and goods and service supplies during COVID-19 pandemic reduced the negative impact of disease and its measures of isolation in socially vulnerable neighbourhoods.
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来源期刊
BMJ Innovations
BMJ Innovations Medicine-Medicine (all)
CiteScore
4.20
自引率
0.00%
发文量
63
期刊介绍: Healthcare is undergoing a revolution and novel medical technologies are being developed to treat patients in better and faster ways. Mobile revolution has put a handheld computer in pockets of billions and we are ushering in an era of mHealth. In developed and developing world alike healthcare costs are a concern and frugal innovations are being promoted for bringing down the costs of healthcare. BMJ Innovations aims to promote innovative research which creates new, cost-effective medical devices, technologies, processes and systems that improve patient care, with particular focus on the needs of patients, physicians, and the health care industry as a whole and act as a platform to catalyse and seed more innovations. Submissions to BMJ Innovations will be considered from all clinical areas of medicine along with business and process innovations that make healthcare accessible and affordable. Submissions from groups of investigators engaged in international collaborations are especially encouraged. The broad areas of innovations that this journal aims to chronicle include but are not limited to: Medical devices, mHealth and wearable health technologies, Assistive technologies, Diagnostics, Health IT, systems and process innovation.
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