دورية أكاديمية
"Hospitals respond to demand. Public health needs to respond to risk": health system lessons from a case study of northern Queensland's COVID-19 surveillance and response.
| العنوان: | "Hospitals respond to demand. Public health needs to respond to risk": health system lessons from a case study of northern Queensland's COVID-19 surveillance and response. |
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| المؤلفون: | Edelman A; Menzies School of Health Research, Charles Darwin University, Alice Springs, Northern Territory, Australia.; College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia., Allen T; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia., Devine S; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia., Horwood PF; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia., McBryde ES; Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia., Mudd J; College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia., Warner J; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia., Topp SM; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia. stephanie.topp@jcu.edu.au.; James Cook University, Building 41, Level 2, 1 James Cook Drive, Douglas, Queensland, 4811, Australia. stephanie.topp@jcu.edu.au. |
| المصدر: | BMC health services research [BMC Health Serv Res] 2024 Jan 18; Vol. 24 (1), pp. 104. Date of Electronic Publication: 2024 Jan 18. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | COVID-19*/epidemiology, Humans ; Public Health ; Queensland/epidemiology ; Hospitals ; Australia |
| مستخلص: | Background: The vast region of northern Queensland (NQ) in Australia experiences poorer health outcomes and a disproportionate burden of communicable diseases compared with urban populations in Australia. This study examined the governance of COVID-19 surveillance and response in NQ to identify strengths and opportunities for improvement. Methods: The manuscript presents an analysis of one case-unit within a broader case study project examining systems for surveillance and response for COVID-19 in NQ. Data were collected between October 2020-December 2021 comprising 47 interviews with clinical and public health staff, document review, and observation in organisational settings. Thematic analysis produced five key themes. Results: Study findings highlight key strengths of the COVID-19 response, including rapid implementation of response measures, and the relative autonomy of NQ's Public Health Units to lead logistical decision-making. However, findings also highlight limitations and fragility of the public health system more generally, including unclear accountabilities, constraints on local community engagement, and workforce and other resourcing shortfalls. These were framed by state-wide regulatory and organisational incentives that prioritise clinical health care rather than disease prevention, health protection, and health promotion. Although NQ mobilised an effective COVID-19 response, findings suggest that NQ public health systems are marked by fragility, calling into question the region's preparedness for future pandemic events and other public health crises. Conclusions: Study findings highlight an urgent need to improve governance, resourcing, and political priority of public health in NQ to address unmet needs and ongoing threats. (© 2024. The Author(s).) |
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| معلومات مُعتمدة: | GNT1173004 National Health and Medical Research Council |
| فهرسة مساهمة: | Keywords: Australia; COVID-19; Governance; Health systems; Pandemic preparedness; Public health; Queensland |
| تواريخ الأحداث: | Date Created: 20240118 Date Completed: 20240122 Latest Revision: 20240122 |
| رمز التحديث: | 20240122 |
| مُعرف محوري في PubMed: | PMC10797896 |
| DOI: | 10.1186/s12913-023-10502-x |
| PMID: | 38238735 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1472-6963 |
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| DOI: | 10.1186/s12913-023-10502-x |