- 期刊
醫院因應COVID-19之防疫策略－多國經驗之回顧
Hospitals' Prevention Strategies in Response to COVID-19: A Scoping Review from International Experience
摘要
2019年12月中國大陸武漢市發生新冠肺炎（Coronavirus Disease 2019, COVID-19）案例後，疾病快速傳播。許多醫院也因院內感染而導致醫院關閉，進而影響醫院運作。為了避免造成醫院內感染風險的提升，各國根據自身情況實施不同的防疫策略，以應對疫情爆發造成醫院的雍塞及院內傳染可能。本研究自PubMed、Clinical Key、Web of science、Science Direct、華藝、中華醫學期刊全文數據庫、世界衛生組織（World Health Organization, WHO）及各國家之疾病管制官方網站等資料庫，進行搜尋回顧2019年12月COVID-19案例發生後至2021年9月發表之中英文期刊，共收錄58篇文獻資料。以了解其他國家之醫院對於COVID-19預防感染之策略，並分別從醫院之門診、急診、住院與醫護員工防疫策略等四個面向加以探討。透過彙整各國家之醫院的防疫情形及政策管理等資訊，提供我國醫院應對COVID-19及相關傳染性疾病之政策參考。建議在就醫流程、分級系統及科技輔助下進行防疫策略，以遠距醫療持續照護病人，達到持續醫療服務與防疫並重之目標。
並列摘要
After the Coronavirus Disease 2019 (COVID-19) cases occurred in Wuhan, Mainland China, in December 2019, the disease spread rapidly in the world. Subsequently, many hospitals in Mainland China and several other countries were closed due to an outbreak of infection in the hospital, which affected hospital operations. Many countries have developed different prevention strategies based on their conditions to prevent the risk of nosocomial diseases associated with COVID-19 in their hospitals. The prevention and control strategies of COVID-19 infection in the hospitals were reviewed through several sources (including PubMed, Clinical Key, Web of Science, ScienceDirect, Airiti, Chinese Medical Journal Database, the official website of World Health Organization, the official websites of Centers for Disease Control and Prevention in some countries). Both Chinese and English publications (between December 2019 and September 2021) were selected, in which a total of 58 articles were included. This study aimed to understand the prevention and control strategies of the COVID-19 epidemic for the hospital units (outpatient, emergency, and inpatient departments) in some countries. The study discussed four aspects of hospital's prevention and control strategies, including outpatient department, emergency department, inpatient unit, and personnel prevention strategy. Consequently, this evidence-based review would be a reference for preventing and controlling COVID-19 and other epidemic infectious diseases in hospitals. It is recommended that epidemic prevention strategies be implemented, including changes in medical visit procedures, enhancing referring systems, and adopting medical technology assistance. Telemedicine should be used to achieve the goal of continuous medical services and epidemic prevention.