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新冠病毒肺炎患者医学观察和救治集中隔离场所——感染风险最小化管控的中国武汉经验
Xianliang Wang, Jiao Wang, Jin Shen, John S. Ji, Lijun Pan, Hang Liu, Kangfeng Zhao, Li Li, Bo Ying, Lin Fan, Liubo Zhang, Lin Wang, Xiaoming Shi
工程（英文） ›› 2021, Vol. 7 ›› Issue (7) : 908-913.
PDF(566 KB)
PDF(566 KB)
新冠病毒肺炎患者医学观察和救治集中隔离场所——感染风险最小化管控的中国武汉经验
Facilities for Centralized Isolation and Quarantine for the Observation and Treatment of Patients with COVID-19
新冠病毒肺炎（COVID-19）疫情大流行给整个医疗系统带来沉重的负担，同时暴露出医疗系统对医疗资源和物理空间的极大需求，但是目前很少有研究探讨医疗资源和物理空间的高效利用。因此，本研究旨在总结中国在新冠病毒肺炎疫情期间用于医学观察和救治的集中隔离场所的经验，以期为进一步提升对确诊病例、疑似病例和密切接触者的管理水平提供建议。通过对三种类型的集中隔离场所（方舱医院、非定点医院和隔离宾馆）进行改建，对确诊和疑似病例进行了治疗和隔离。这些场所减轻了即时空间需求。此外，为了减小这些场所内的感染风险，监管机构和政府机构实施了新的设计、管理和预防措施，以最大限度减少感染风险。其他国家和地区可以借鉴中国武汉的实践经验，通过对社会资源进行优化配置来应对COVID-19疫情大流行。总之，为了应急响应，政府应该统筹分配社会资源，建设集中隔离场所；卫生机构应该发布集中隔离场所规定，对这些场所的日常管理予以高度重视；需要组建一支跨领域管理团队以支持集中隔离场所的日常运营；鼓励集中隔离政策的深入研究和国际合作。
The coronavirus disease 2019 (COVID-19) pandemic increased the burden on many healthcare systems and in the process, exposed the need for medical resources and physical space. While few studies discussed the efficient utilization of medical resources and physical space so far. Therefore, this study aimed to summarize experiences related to facilities used for centralized isolation for medical observation and
treatment during the COVID-19 pandemic in China and to provide suggestions to further improve the management of confirmed cases, suspected cases, and close contacts. In China, three types of facilities for centralized isolation (Fangcang shelter hospitals, refitted non-designated hospitals, and quarantine hotels) underwent retrofitting for the treatment and isolation of confirmed and suspected cases. These
facilities mitigated the immediate high demand for space. Moreover, in order to minimize infection risks in these facilities, regulators and governmental agencies implemented new designs, management measures, and precautionary measures to minimize infection risk. Other countries and regions could refer to China's experience in optimally allocating social resources in response to the COVID-19 pandemic.
As a conclusion, government should allocate social resources and construct centralized isolation and quarantine facilities for an emergency response, health authorities should issue regulations for centralized isolation facilities and pay strict attention to the daily management of these facilities, a multidisciplinary administration team is required to support the daily operation of a centralized isolation facility, in-depth studies and international collaboration on the centralized isolation policy are encouraged.
集中隔离 / 风险控制 / 传染病患者 / 密切接触者 / 新冠病毒肺炎
Centralized isolation / Risk control / Infectious patients / Close contacts / Coronavirus disease
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