PDF(Pubmed)
Abstract：
UNASSIGNED: Provider-initiated contact tracing (CT) is an important measure to slow down the spread of infectious diseases such as COVID-19. However, carrying out effective CT depends on the collaboration between the patient and the contact tracer. To improve CT, it is important to understand which factors influence contact tracers in being able to carry out CT during large pandemics.
UNASSIGNED: We performed individual semi-structured interviews with nine contact tracers working for the COVID-19 unit of the Public Health Service (PHS) Rotterdam-Rijnmond, the Netherlands, to explore their experiences with carrying out CT. Data were collected between July 2020 and December 2020. The interview protocol was structured based on the CT tasks and guided by the literature and the framework explaining adherence to clinical practice guidelines.
UNASSIGNED: In general, CT seemed to be carried out satisfactorily. Individual factors (interviewing techniques and skills, attitude towards the patient and attitude towards CT), factors related to the patient (cooperativeness and engagement, emotions, language and culture and (mis)information), guideline-related factors (characteristics) and factors related to the organisation (interactions with colleagues, support from management, workload and training) were found to influence the carrying out of CT.
UNASSIGNED: To be well prepared for future pandemics, it is important to explore strategies that can be effective to support the contact tracer in performing CT, support patients in feeling comfortable to be engaged and ways to reach more consistency in policies and protocols.
UNASSIGNED: We performed individual semi-structured interviews with nine contact tracers working for the COVID-19 unit of the Public Health Service (PHS) Rotterdam-Rijnmond, the Netherlands, to explore their experiences with carrying out CT. Data were collected between July 2020 and December 2020. The interview protocol was structured based on the CT tasks and guided by the literature and the framework explaining adherence to clinical practice guidelines.
UNASSIGNED: In general, CT seemed to be carried out satisfactorily. Individual factors (interviewing techniques and skills, attitude towards the patient and attitude towards CT), factors related to the patient (cooperativeness and engagement, emotions, language and culture and (mis)information), guideline-related factors (characteristics) and factors related to the organisation (interactions with colleagues, support from management, workload and training) were found to influence the carrying out of CT.
UNASSIGNED: To be well prepared for future pandemics, it is important to explore strategies that can be effective to support the contact tracer in performing CT, support patients in feeling comfortable to be engaged and ways to reach more consistency in policies and protocols.
摘要：
■提供者发起的接触者追踪（CT）是减缓COVID-19等传染病传播的重要措施。然而,进行有效的CT取决于患者和接触示踪剂之间的协作。为了改善CT，重要的是要了解哪些因素影响接触示踪剂能够在大流行期间进行CT。
■我们对为鹿特丹-Rijnmond公共卫生服务（PHS）COVID-19单位工作的9名接触示踪剂进行了个人半结构化访谈，荷兰,探索他们进行CT的经验。数据收集时间为2020年7月至2020年12月。访谈协议是基于CT任务构建的，并以文献和解释遵守临床实践指南的框架为指导。
■一般来说，CT检查似乎令人满意。个人因素(面试技巧和技能，对患者的态度和对CT的态度)，与患者相关的因素(合作和参与度，情感,语言和文化以及(错误)信息)，指南相关因素(特征)和与组织相关的因素(与同事的互动，管理层的支持，工作量和培训）被发现影响CT的执行。
■为了为未来的大流行做好准备，重要的是探索策略，可以有效地支持接触示踪剂在执行CT，支持患者感到舒适的参与和方法，以达到更多的政策和协议的一致性。
■我们对为鹿特丹-Rijnmond公共卫生服务（PHS）COVID-19单位工作的9名接触示踪剂进行了个人半结构化访谈，荷兰,探索他们进行CT的经验。数据收集时间为2020年7月至2020年12月。访谈协议是基于CT任务构建的，并以文献和解释遵守临床实践指南的框架为指导。
■一般来说，CT检查似乎令人满意。个人因素(面试技巧和技能，对患者的态度和对CT的态度)，与患者相关的因素(合作和参与度，情感,语言和文化以及(错误)信息)，指南相关因素(特征)和与组织相关的因素(与同事的互动，管理层的支持，工作量和培训）被发现影响CT的执行。
■为了为未来的大流行做好准备，重要的是探索策略，可以有效地支持接触示踪剂在执行CT，支持患者感到舒适的参与和方法，以达到更多的政策和协议的一致性。
