頁籤選單縮合
| 題 名 | 我國醫療體系因應COVID-19疫情初期之防疫物資應變策略=Strategies for Supplying Personal Protective Equipment to Hospitals in Taiwan during The Early COVID-19 Pandemic |
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| 作 者 | 劉瀞鎂; 賴敬方; 宋俊洋; 柯海韻; 王任鑫; 池宜倩; 周淑玫; | 書刊名 | 疫情報導 |
| 卷 期 | 38:5 2022.03.08[民111.03.08] |
| 頁 次 | 頁47-54 |
| 分類號 | 412.42 |
| 關鍵詞 | 防疫物資; 個人防護裝備; 應變機制; 安全儲備量; 三級庫存; COVID-19; Personal protective equipment; Management Information System; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 個人防護裝備(Personal protect equipment, PPE)能為第一線醫療及防疫人員提供妥適防護,確保其安全。2019年COVID-19疫情發生後,PPE需求急速增加,但國際供貨緊縮,造成全球搶購。而臺灣於2003年SARS(severe acute respiratory syndrome)疫情後,修訂傳染病防治相關法規,建置PPE三級(含中央政府、地方政府及醫院)儲備調度機制及防疫物資管理資訊系統(Management Information System, MIS),要求中央與地方及醫療機構應依自行預估防治動員30天所需PPE安全儲備量儲備,以因應傳染病大流行之防治需要。於本次COVID-19疫情期間,防疫物資應變策略包括:透過MIS密切監測醫院耗用與儲備情形、緊急徵用PPE擴充中央儲備量、訂定PPE撥配與撥補原則撥補醫院,以及請醫院依實際需求評估與提高安全儲備量等。經分析顯示,醫院2020年1月至7月防護衣、N95口罩及隔離衣之耗用量,均比2019年同期至少增加10倍,醫院原設定30天之PPE安全儲備量也檢討逐步提升。2020年7月時,醫院N95口罩之實際庫存量為安全儲備量2.3倍,外科手術口罩則為安全儲備量10.6倍,防護衣為安全儲備量1.7倍。另比較各層級醫院,醫學中心安全儲備量調整增加最多,且醫學中心於醫護人員每人之PPE分配量也增加最多,可見應變策略於COVID-19疫情初期已充實醫療防疫所需,並提供醫護人員妥適防護,厚植其防疫量能。 |
| 英文摘要 | Personal protective equipment (PPE) provides proper protection for first-line medical and outbreak prevention personnel to ensure their safety. After the outbreak of COVID-19 in 2019, the demand for PPE had increased rapidly, but the international supply was shrinking, causing the panic procuring in the world. After the outbreak of SARS (severe acute respiratory syndrome) in 2003, Taiwan revised the relevant regulations on the prevention and control of infectious diseases, established the PPE three-level (the central government, local governments and hospitals) reserve and dispatch mechanism including the Management Information System (MIS) for outbreak prevention, which requires that the central/local and hospitals should estimate the 30-day PPE safety reserves in case of outbreaks of infectious diseases. During this COVID-19 outbreak, the contingency strategies for outbreak prevention materials include closely monitoring the consumption and reserve situation of PPE in hospitals through MIS, emergency requisition of PPE to expand the central reserve, formulating PPE allocation and replenishment principles to replenish hospitals, and inviting hospitals to assess the actual needs and improvement of safety reserves, etc. We found that the consumption of protective clothing, N95 masks and isolation gowns in the hospitals from January to July 2020 had increased by at least 10 times compared with those during the same period in 2019. The original 30-day PPE safety reserve in the hospitals gradually increased. As of July 2020, the actual inventory of N95 masks inhospitals was 2.3 times of the safety reserve, 10.6 times higher for surgical masks, and 1.7 times higher for protective clothing. Comparing the safety reserves in hospitals and medical centers, the adjusted PPE amount in medical centers had increased the most, and the amount of PPE allocated to each medical staff in medical centers had also increased the most. Obviously, the response strategy fulfilled the needs for medical and outbreak prevention in the early COVID-19 outbreak. |
本系統中英文摘要資訊取自各篇刊載內容。