The potential impact of the next influenza pandemic on a national primary care medical workforce

被引：27

作者：

Wilson N. ^{[1
]}

Baker M. ^{[1
]}

Crampton P. ^{[1
]}

Mansoor O. ^{[2
]}

机构：

[1] Department of Public Health, Wellington School of Medicine and Health Sciences, Otago University, Wellington

[2] Public Health Consulting Ltd., Wellington

来源：

Human Resources for Health | / 3卷 / 1期

关键词：

Influenza; Health Care Worker; Influenza Pandemic; Mass Casualty Incident; Healthy Work Effect;

D O I：

10.1186/1478-4491-3-7

中图分类号：

学科分类号：

摘要：

Background: Another influenza pandemic is all but inevitable. We estimated its potential impact on the primary care medical workforce in New Zealand, so that planning could mitigate the disruption from the pandemic and similar challenges. Methods: The model in the "FluAid" software (Centers for Disease Control and Prevention, CDC, Atlanta) was applied to the New Zealand primary care medical workforce (i.e., general practitioners). Results: At its peak (week 4) the pandemic would lead to 1.2% to 2.7% loss of medical work time, using conservative baseline assumptions. Most workdays (88%) would be lost due to illness, followed by hospitalisation (8%), and then premature death (4%). Inputs for a "more severe" scenario included greater health effects and time spent caring for sick relatives. For this scenario, 9% of medical workdays would be lost in the peak week, and 3% over a more compressed six-week period of the first pandemic wave. As with the base case, most (64%) of lost workdays would be due to illness, followed by caring for others (31%), hospitalisation (4%), and then premature death (1%). Conclusion: Preparedness planning for future influenza pandemics must consider the impact on this medical workforce and incorporate strategies to minimise this impact, including infection control measures, well-designed protocols, and improved health sector surge capacity. © 2005 Wilson et al; licensee BioMed Central Ltd.

引用

页数：6

共 32 条

[1]

WHO consultation on priority public health interventions before and during an influenza pandemic, (2004)

[2]

The New Zealand Health Workforce, Framing Future Directions, Discussion Document, (2002)

[3]

Brabyn L., Barnett R., Population need and geographical access to general practitioners in rural New Zealand, N. Z. Med. J., 117, (2004)

[4]

King A., The Primary Health Care Strategy, (2001)

[5]

Hefford M., Crampton P., Foley J., Reducing health disparities through primary care reform: The New Zealand experiment, Health Policy, 72, pp. 9-23, (2005)

[6]

Weiner J., Gillam S., Lewis R., Organization and financing of British primary care groups and trusts: Observations through the prism of US managed care, J. Health Serv. Res. Policy, 7, pp. 43-50, (2002)

[7]

Meltzer M.I., Shoemake H.A., Kownaski M., Crosby R., FluAid 2.0: A manual to aid state and local-level public health officials plan, prepare and practice for the next influenza pandemic (Beta test version), (2000)

[8]

Meltzer M.I., Cox N.J., Fukuda K., The economic Impact of pandemic influenza in the United States: Priorities for intervention, Emerg. Infect. Dis., 5, pp. 659-671, (1999)

[9]

Meltzer M.I., Cox N.J., Fukuda K., Modeling the economic impact of pandemic influenza in the United States: Implications for setting priorities for intervention. Background paper, (1999)

[10]

Schopflocher D.P., Russell M.L., Svenson L.W., Nguyen T.H., Mazurenko I., Pandemic influenza planning: Using the U.S. Centers for Disease Control FluAid Software for small area estimation in the Canadian context, Ann. Epidemiol., 14, pp. 73-76, (2004)

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