杂志文章@ 2369- 2960% I JMIR出版物%V 6% N 卡塔尔世界杯8强波胆分析1% P e14627% T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%A Reukers,Daphne F M %A Marbus,Sierk D %A Smit,Hella %A Schneeberger,Peter %A Donker,Gé %A van der Hoek,Wim %A van Gageldonk-Lafeber,Arianne B %+国家公共卫生和环境研究所传染病控制中心，Postbus 1,3720 BA, Bilthoven，，荷兰，31 302743419，daphne.reukers@rivm.nl %K流感%K严重急性呼吸道感染%K SARI %K监测%K媒体报道%K新闻文章%K医院护理%D 2020 %7 4.3.2020 %9原始论文%J JMIR公共卫生监测%G英文%X背景:荷兰与大多数欧洲国家一样，在初级保健中拥有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。方法:在基于网络的媒体监测计划(Coosto)中搜索流感季节(2017年第40周至2018年第20周)关于医院流感的荷兰新闻文章。每周文章数量的趋势与5个不同的流感监测系统的趋势进行了比较。选择新闻文章进行内容分析，收集医院、科室、问题、预防或应对措施等信息。结果:每周新闻报道的趋势与包括严重急性呼吸道感染(SARI)监测在内的所有5个监测系统的趋势显著相关。 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. %M 32130197 %R 10.2196/14627 %U http://publichealth.www.mybigtv.com/2020/1/e14627/ %U https://doi.org/10.2196/14627 %U http://www.ncbi.nlm.nih.gov/pubmed/32130197

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