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Healthcare policy = Politiques de sante. 2023 Nov;19(2):63-78. doi: 10.12927/hcpol.2023.27232 0.02024

Practice- and System-Based Interventions to Reduce COVID-19 Transmission in Primary Care Settings: A Qualitative Study

基于实践和系统的干预措施减少初级医疗环境中COVID-19的传播：定性研究 翻译改进

Maria Mathews  1, Tiffany Liu  2, Dana Ryan  2, Lindsay Hedden  3, Julia Lukewich  4, Emily Gard Marshall  5, Richard Buote  6, Leslie Meredith  7, Lauren R Moritz  8, Sarah Spencer  9, Shabnam Asghari  10, Judith B Brown  1, Thomas R Freeman  11, Paul S Gill  12, Shannon Sibbald  13

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作者单位

  • 1 Professor, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON.
  • 2 Research Assistant, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON.
  • 3 Assistant Professor, Faculty of Health Sciences, Simon Fraser University, Burnaby, BC.
  • 4 Associate Professor, Faculty of Nursing, Memorial University, St. John's, NL.
  • 5 Professor, Department of Family Medicine, Primary Care Research Unit, Dalhousie University, Halifax, NS.
  • 6 Research Assistant, Department of Family Medicine, Primary Care Research Unit, Dalhousie University, Halifax, NS.
  • 7 Research Manager, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON.
  • 8 Research Associate, Department of Family Medicine, Primary Care Research Unit, Dalhousie University, Halifax, NS.
  • 9 Research Coordinator, Faculty of Health Sciences, Simon Fraser University, Burnaby, BC.
  • 10 Professor, Discipline of Family Medicine, Memorial University, St. John's, NL.
  • 11 Professor Emeritus, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON.
  • 12 Professor, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON, Lecturer, Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON.
  • 13 Associate Professor, School of Health Studies, Faculty of Health Sciences, Western University, Associate Professor, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON.

    • DOI: 10.12927/hcpol.2023.27232 PMID: 38105668

    摘要 Ai翻译

    Using qualitative interviews with 68 family physicians (FPs) in Canada, we describe practice- and system-based approaches that were used to mitigate COVID-19 exposure in primary care settings across Canada to ensure the continuation of primary care delivery. Participants described how they applied infection prevention and control procedures (risk assessment, hand hygiene, control of environment, administrative control, personal protective equipment) and relied on centralized services that directed patients with COVID-19 to settings outside of primary care, such as testing centres. The multi-layered approach mitigated the risk of COVID-19 exposure while also conserving resources, preserving capacity and supporting supply chains.

    À l'aide d'entrevues qualitatives auprès de 68 médecins de famille au Canada, nous décrivons les approches au niveau de la pratique et du système qui ont été utilisées pour atténuer l'exposition à la COVID-19 dans les milieux de soins primaires partout au Canada afin d'assurer la continuité de la prestation des soins primaires. Les participants ont décrit comment ils ont appliqué les procédures de prévention et de contrôle des infections (évaluation des risques, hygiène des mains, contrôle de l'environnement, contrôle administratif, équipement de protection individuelle) et comment ils comptaient sur des services centralisés qui dirigeaient les patients atteints de la COVID-19 vers d'autres établissements que les soins primaires, comme les centres de dépistage. L'approche à plusieurs niveaux a atténué le risque d'exposition à la COVID-19 tout en ménageant les ressources, en préservant les capacités et en soutenant les chaînes d'approvisionnement.

    Keywords：practice-based interventions; system-based interventions; covid-19 transmission; primary care settings; qualitative study

    关键词：基于实践的干预措施; 基于系统的干预措施; COVID-19传播; 初级保健环境; 定性研究

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    期刊名：Healthcare policy

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    ISSN：1715-6572

    e-ISSN：1715-6580

    IF/分区：0.0/

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    Practice- and System-Based Interventions to Reduce COVID-19 Transmission in Primary Care Settings: A Qualitative Study