@文章{信息:doi/10.2196/14627，作者="Reukers, Daphne F M和Marbus, Sierk D和Smit, Hella和Schneeberger, Peter和Donker, G{\'e}和van der Hoek, Wim和van Gageldonk-Lafeber, Arianne B"，标题="媒体报道作为监测流感对医院护理影响的来源:定性内容分析"，期刊="JMIR公共卫生监测"，年="2020"，月=" 3 "，日="4"，量="6"，数="1"，页数="e14627"，关键词="流感;严重急性呼吸道感染;莎丽;监测;媒体报道;新闻文章;背景:荷兰，像大多数欧洲国家一样，在初级保健中有一个强大的流感监测系统。然而，缺乏流感并发症住院的实时全国代表性数据。因此，关于流感流行期间医院能力问题的传闻信息不能得到证实。目的:本研究旨在评估在缺乏医院监测数据的情况下，媒体报道是否可以为估计流感对医院容量的影响提供相关信息。 Methods: Dutch news articles on influenza in hospitals during the influenza season (week 40 of 2017 until week 20 of 2018) were searched in a Web-based media monitoring program (Coosto). Trends in the number of weekly articles were compared with trends in 5 different influenza surveillance systems. A content analysis was performed on a selection of news articles, and information on the hospital, department, problem, and preventive or response measures was collected. Results: The trend in weekly news articles correlated significantly with the trends in all 5 surveillance systems, including severe acute respiratory infections (SARI) surveillance. However, the peak in all 5 surveillance systems preceded the peak in news articles. Content analysis showed hospitals (N=69) had major capacity problems (46/69, 67{\%}), resulting in admission stops (9/46, 20{\%}), postponement of nonurgent surgical procedures (29/46, 63{\%}), or both (8/46, 17{\%}). Only few hospitals reported the use of point-of-care testing (5/69, 7{\%}) or a separate influenza ward (3/69, 4{\%}) to accelerate clinical management, but most resorted to ad hoc crisis management (34/69, 49{\%}). Conclusions: Media reports showed that the 2017/2018 influenza epidemic caused serious problems in hospitals throughout the country. However, because of the time lag in media reporting, it is not a suitable alternative for near real-time SARI surveillance. A robust SARI surveillance program is important to inform decision making. ", issn="2369-2960", doi="10.2196/14627", url="http://publichealth.www.mybigtv.com/2020/1/e14627/", url="https://doi.org/10.2196/14627", url="http://www.ncbi.nlm.nih.gov/pubmed/32130197" }