突发重大传染病事件背景下过负荷医院管理研究的范围综述

doi:10.12114/j.issn.1007-9572.2022.0823

摘要/Abstract

摘要： 背景过负荷医院在突发重大传染病事件中发挥重要作用。与其他情况相比，过负荷医院在突发重大传染病事件背景下的管理与运营具有特异性，管理模式的漏洞会造成严重后果，目前尚无相关研究的梳理与总结。目的对突发重大传染病事件背景下过负荷医院管理的研究进行范围审查，以分析医院管理的要素及研究现状，为未来该领域的研究提供指导。方法以Arksey和O'Malley报告的框架和原则及相关学者提供的进一步建议构建方法学框架，检索Pubmed、Embase、Cochrane Library、中国生物医学文献数据库中相关研究，检索时限为建库至2022-06-17。对纳入文献进行汇总和分析。结果纳入25篇文献，均来自于新型冠状病毒感染疫情期间中国方舱医院与定点医院的研究，过负荷医院管理的要素涵盖应急准备、人员管理、运营管理和服务管理。结论对于过负荷医院管理的研究数量增加、研究领域广泛，但研究质量不佳、缺乏统一的评价指标与反馈工具。今后应提高与过负荷医院相关研究质量，制定标准化管理流程，完善评价指标的构建和落实，为临床护理实践提供更多指导。

关键词: 突发重大传染病, 过负荷医院, 医院管理, 应急响应, 新型冠状病毒感染, 综述

Abstract:

Background

Surge hospitals play an important role in combating a major infectious disease outbreak. Compared with other situations, the management and operation of surge hospitals amid the outbreak of major infectious diseases are specific, and serious consequences will be caused if there is a loophole in the hospital management model. However, there is no research that reviews and summarizes relevant studies.

Objective

To perform a scoping review of the research on surge hospital management during a major infectious disease outbreak, so as to understand the elements of hospital management and research status, providing guidance for future research in this field.

Methods

This review used a methodological framework developed based on Arksey & O'Malley's framework and principles as well as recommendations from related scholars and colleagues' guiding principles. Studies on the management of surge hospitals amid the outbreak of major infectious diseases were searched in electronic databases of PubMed, Embase, Cochrane Library and SinoMed from inception to June 17, 2022. Then the included studies were summarized and analyzed.

Results

Twenty-five studies were included. All studies were about the management of mobile cabin hospitals and designated hospitals for treating COVID-19 in China during the COVID-19 pandemic. The elements of surge hospital management included emergency preparedness, personnel management, operation management and service management.

Conclusion

The number of studies on surge hospital management has increased, with an extensive scope of research, but the quality of them is unsatisfactory, and there is a lack of unified evaluation indicators and feedback tools. In the future, efforts should be made to improve the quality of relevant studies, formulate a standardized surge hospital management process, increase the construction and implementation of evaluation indicators, so as to provide more guidance for clinical nursing practice.

Key words: Infectious diseases outbreak, Surge hospital, Hospital administration, Rapid response, COVID-19, Review

胥梓薇,程康耀,桂莉. 突发重大传染病事件背景下过负荷医院管理研究的范围综述[J]. 中国全科医学, 2024, 27(16): 2039-2044. DOI: 10.12114/j.issn.1007-9572.2022.0823.
XU Ziwei,CHENG Kangyao,GUI Li. A Scoping Review of Research on the Management of Surge Hospitals during a Major Infectious Disease Outbreak[J]. Chinese General Practice, 2024, 27(16): 2039-2044. DOI: 10.12114/j.issn.1007-9572.2022.0823.

图/表 3

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