How to provide an effective primary health care in fighting against severe acute respiratory syndrome: The experiences of two cities
Identifieur interne : 000F52 ( Pmc/Checkpoint ); précédent : 000F51; suivant : 000F53How to provide an effective primary health care in fighting against severe acute respiratory syndrome: The experiences of two cities
Auteurs : William C. W. Wong ; Samuel Y. S. Wong ; Albert Lee ; William B. GogginsSource :
- American Journal of Infection Control [ 0196-6553 ] ; 2007.
Abstract
This study was designed to compare the response and management of severe acute respiratory syndrome (SARS) by the family physicians of the Hong Kong and the Toronto health systems, and to provide evidence to improve health policy and practices in a newly emerging infectious disease.
A questionnaire was sent to family medicine tutors affiliated with either the Chinese University of Hong Kong or the University of Toronto in 2003. The survey questions covered training for SARS, the use of screening tools, an anxiety scale, clinical practices, and demographic data.
137 (74.8%) and 51 (34%) doctors from Hong Kong and Toronto replied to the questionnaire, respectively. Most (80-84.6%) had no training in infectious disease control and were not confident in dealing with SARS (68.1-73.5%). In Hong Kong, the screening tools provided by international agencies did not meet the local needs. In Toronto, lack of a centralized hospital admission policy and fully public laboratory probably resulted in appointment cancellation and dissatisfaction. There may be a need for deployment of personnel between institutions but loss of income was not a major concern.
Sharing the “lessons learned” in different regions during a SARS outbreak will help prepare for the next epidemic.
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DOI: 10.1016/j.ajic.2006.06.009
PubMed: 17276791
PubMed Central: 7132727
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">How to provide an effective primary health care in fighting against severe acute respiratory syndrome: The experiences of two cities</title><author><name sortKey="Wong, William C W" sort="Wong, William C W" uniqKey="Wong W" first="William C. W." last="Wong">William C. W. Wong</name></author><author><name sortKey="Wong, Samuel Y S" sort="Wong, Samuel Y S" uniqKey="Wong S" first="Samuel Y. S." last="Wong">Samuel Y. S. Wong</name></author><author><name sortKey="Lee, Albert" sort="Lee, Albert" uniqKey="Lee A" first="Albert" last="Lee">Albert Lee</name></author><author><name sortKey="Goggins, William B" sort="Goggins, William B" uniqKey="Goggins W" first="William B." last="Goggins">William B. Goggins</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">17276791</idno><idno type="pmc">7132727</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132727</idno><idno type="RBID">PMC:7132727</idno><idno type="doi">10.1016/j.ajic.2006.06.009</idno><date when="2007">2007</date><idno type="wicri:Area/Pmc/Corpus">000D69</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D69</idno><idno type="wicri:Area/Pmc/Curation">000D69</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000D69</idno><idno type="wicri:Area/Pmc/Checkpoint">000F52</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000F52</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">How to provide an effective primary health care in fighting against severe acute respiratory syndrome: The experiences of two cities</title><author><name sortKey="Wong, William C W" sort="Wong, William C W" uniqKey="Wong W" first="William C. W." last="Wong">William C. W. Wong</name></author><author><name sortKey="Wong, Samuel Y S" sort="Wong, Samuel Y S" uniqKey="Wong S" first="Samuel Y. S." last="Wong">Samuel Y. S. Wong</name></author><author><name sortKey="Lee, Albert" sort="Lee, Albert" uniqKey="Lee A" first="Albert" last="Lee">Albert Lee</name></author><author><name sortKey="Goggins, William B" sort="Goggins, William B" uniqKey="Goggins W" first="William B." last="Goggins">William B. Goggins</name></author></analytic><series><title level="j">American Journal of Infection Control</title><idno type="ISSN">0196-6553</idno><idno type="eISSN">1527-3296</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>This study was designed to compare the response and management of severe acute respiratory syndrome (SARS) by the family physicians of the Hong Kong and the Toronto health systems, and to provide evidence to improve health policy and practices in a newly emerging infectious disease.</p></sec><sec><title>Methods</title><p>A questionnaire was sent to family medicine tutors affiliated with either the Chinese University of Hong Kong or the University of Toronto in 2003. The survey questions covered training for SARS, the use of screening tools, an anxiety scale, clinical practices, and demographic data.</p></sec><sec><title>Results</title><p>137 (74.8%) and 51 (34%) doctors from Hong Kong and Toronto replied to the questionnaire, respectively. Most (80-84.6%) had no training in infectious disease control and were not confident in dealing with SARS (68.1-73.5%). In Hong Kong, the screening tools provided by international agencies did not meet the local needs. In Toronto, lack of a centralized hospital admission policy and fully public laboratory probably resulted in appointment cancellation and dissatisfaction. There may be a need for deployment of personnel between institutions but loss of income was not a major concern.</p></sec><sec><title>Conclusions</title><p>Sharing the “lessons learned” in different regions during a SARS outbreak will help prepare for the next epidemic.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tsang, K W" uniqKey="Tsang K">K.W. Tsang</name></author><author><name sortKey="Ho, P L" uniqKey="Ho P">P.L. Ho</name></author><author><name sortKey="Ooi, G C" uniqKey="Ooi G">G.C. Ooi</name></author><author><name sortKey="Yee, W K" uniqKey="Yee W">W.K. Yee</name></author><author><name sortKey="Wang, T" uniqKey="Wang T">T. Wang</name></author><author><name sortKey="Chan Yeung, M" uniqKey="Chan Yeung M">M. Chan-Yeung</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wenzel, R P" uniqKey="Wenzel R">R.P. Wenzel</name></author><author><name sortKey="Edmond, M B" uniqKey="Edmond M">M.B. Edmond</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Poutanen, S M" uniqKey="Poutanen S">S.M. Poutanen</name></author><author><name sortKey="Low, D E" uniqKey="Low D">D.E. Low</name></author><author><name sortKey="Henry, B" uniqKey="Henry B">B. Henry</name></author><author><name sortKey="Finkelstein, S" uniqKey="Finkelstein S">S. Finkelstein</name></author><author><name sortKey="Rose, D" uniqKey="Rose D">D. Rose</name></author><author><name sortKey="Green, K" uniqKey="Green K">K. Green</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hsu, L Y" uniqKey="Hsu L">L.Y. Hsu</name></author><author><name sortKey="Lee, C C" uniqKey="Lee C">C.C. Lee</name></author><author><name sortKey="Green, J A" uniqKey="Green J">J.A. Green</name></author><author><name sortKey="Ang, B" uniqKey="Ang B">B. Ang</name></author><author><name sortKey="Paton, N I" uniqKey="Paton N">N.I. Paton</name></author><author><name sortKey="Lee, L" uniqKey="Lee L">L. Lee</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Naylor, C D" uniqKey="Naylor C">C.D. Naylor</name></author><author><name sortKey="Chantler, C" uniqKey="Chantler C">C. Chantler</name></author><author><name sortKey="Griffiths, S" uniqKey="Griffiths S">S. Griffiths</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, W C W" uniqKey="Wong W">W.C.W. Wong</name></author><author><name sortKey="Lee, A" uniqKey="Lee A">A. Lee</name></author><author><name sortKey="Tsang, K K" uniqKey="Tsang K">K.K. Tsang</name></author><author><name sortKey="Wong, S Y S" uniqKey="Wong S">S.Y.S. Wong</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Becker, M H" uniqKey="Becker M">M.H. Becker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, A" uniqKey="Lee A">A. Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Detsky, A S" uniqKey="Detsky A">A.S. Detsky</name></author><author><name sortKey="Naylor, C D" uniqKey="Naylor C">C.D. Naylor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ajzen, I" uniqKey="Ajzen I">I. Ajzen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ajzen, I" uniqKey="Ajzen I">I. Ajzen</name></author><author><name sortKey="Fishbein, M" uniqKey="Fishbein M">M. Fishbein</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Detsky, A S" uniqKey="Detsky A">A.S. Detsky</name></author><author><name sortKey="Naylor, C D" uniqKey="Naylor C">C.D. Naylor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zoutman, D E" uniqKey="Zoutman D">D.E. Zoutman</name></author><author><name sortKey="Ford, B D" uniqKey="Ford B">B.D. Ford</name></author><author><name sortKey="Bryce, E" uniqKey="Bryce E">E. Bryce</name></author><author><name sortKey="Gourdeau, M" uniqKey="Gourdeau M">M. Gourdeau</name></author><author><name sortKey="Hebert, G" uniqKey="Hebert G">G. Hebert</name></author><author><name sortKey="Henderson, E" uniqKey="Henderson E">E. Henderson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Infect Control</journal-id><journal-id journal-id-type="iso-abbrev">Am J Infect Control</journal-id><journal-title-group><journal-title>American Journal of Infection Control</journal-title></journal-title-group><issn pub-type="ppub">0196-6553</issn><issn pub-type="epub">1527-3296</issn><publisher><publisher-name>Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17276791</article-id><article-id pub-id-type="pmc">7132727</article-id><article-id pub-id-type="publisher-id">S0196-6553(06)01106-0</article-id><article-id pub-id-type="doi">10.1016/j.ajic.2006.06.009</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>How to provide an effective primary health care in fighting against severe acute respiratory syndrome: The experiences of two cities</article-title></title-group><contrib-group><contrib contrib-type="author" id="au1"><name><surname>Wong</surname><given-names>William C.W.</given-names></name><degrees>MB, ChB, FRCGP</degrees><email>cwwong@cuhk.edu.hk</email><xref rid="cor1" ref-type="corresp">∗</xref></contrib><contrib contrib-type="author" id="au2"><name><surname>Wong</surname><given-names>Samuel Y.S.</given-names></name><degrees>MD, CCFP</degrees></contrib><contrib contrib-type="author" id="au3"><name><surname>Lee</surname><given-names>Albert</given-names></name><degrees>MD, FRACGP, FRCP</degrees></contrib><contrib contrib-type="author" id="au4"><name><surname>Goggins</surname><given-names>William B.</given-names></name><degrees>ScD</degrees></contrib></contrib-group><aff>From the Department of Community and Family Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China PRC</aff><author-notes><corresp id="cor1"><label>∗</label>Address correspondence to Dr. William C. W. Wong, Department of Community and Family Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China PRC. <email>cwwong@cuhk.edu.hk</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>2</day><month>2</month><year>2007</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>2</month><year>2007</year></pub-date><pub-date pub-type="epub"><day>2</day><month>2</month><year>2007</year></pub-date><volume>35</volume><issue>1</issue><fpage>50</fpage><lpage>55</lpage><permissions><copyright-statement>Copyright © 2007 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.</copyright-statement><copyright-year>2007</copyright-year><copyright-holder>Association for Professionals in Infection Control and Epidemiology, Inc.</copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><abstract><sec><title>Objectives</title><p>This study was designed to compare the response and management of severe acute respiratory syndrome (SARS) by the family physicians of the Hong Kong and the Toronto health systems, and to provide evidence to improve health policy and practices in a newly emerging infectious disease.</p></sec><sec><title>Methods</title><p>A questionnaire was sent to family medicine tutors affiliated with either the Chinese University of Hong Kong or the University of Toronto in 2003. The survey questions covered training for SARS, the use of screening tools, an anxiety scale, clinical practices, and demographic data.</p></sec><sec><title>Results</title><p>137 (74.8%) and 51 (34%) doctors from Hong Kong and Toronto replied to the questionnaire, respectively. Most (80-84.6%) had no training in infectious disease control and were not confident in dealing with SARS (68.1-73.5%). In Hong Kong, the screening tools provided by international agencies did not meet the local needs. In Toronto, lack of a centralized hospital admission policy and fully public laboratory probably resulted in appointment cancellation and dissatisfaction. There may be a need for deployment of personnel between institutions but loss of income was not a major concern.</p></sec><sec><title>Conclusions</title><p>Sharing the “lessons learned” in different regions during a SARS outbreak will help prepare for the next epidemic.</p></sec></abstract></article-meta><notes><p>Hong Kong SAR, China PRC</p></notes></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Goggins, William B" sort="Goggins, William B" uniqKey="Goggins W" first="William B." last="Goggins">William B. Goggins</name><name sortKey="Lee, Albert" sort="Lee, Albert" uniqKey="Lee A" first="Albert" last="Lee">Albert Lee</name><name sortKey="Wong, Samuel Y S" sort="Wong, Samuel Y S" uniqKey="Wong S" first="Samuel Y. S." last="Wong">Samuel Y. S. Wong</name><name sortKey="Wong, William C W" sort="Wong, William C W" uniqKey="Wong W" first="William C. W." last="Wong">William C. W. Wong</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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