S-492 A research program to provide a comparative contextualized analysis of occupational COVID-19 among health workers: Preliminary insights from a South African-Canadian Collaboration
Notice bibliographique
Résumé
<h3></h3> A research program to provide a comparative contextualized analysis of occupational COVID-19 among health workers: Preliminary insights from a South African-Canadian Collaboration. <h3>Objective</h3> The COVID-19 pandemic has demonstrated that healthcare workers (HCWs) in many settings are at high risk of occupational exposure to infectious diseases, especially where attention to occupational protection was lacking. In July 2020 our World Health Organization (WHO) collaborating centres in Canada and South Africa launched a joint Rapid Response Research program in partnership with local government health service delivery agencies in both countries to better understand how local contexts affect policies and practice; scrutinize their respective scientific and contextual rationales as well as outcome; grasp why and how these change over time; and understand organizational factors that enhance implementing resilient policies. <h3>Methods</h3> The collaboration includes cohort studies, in the Vancouver Coastal Health (VCH) region in Canada, and Gauteng province in South Africa respectively, to assess risk factors for SARS-CoV-2 infection among HCWs as well as evaluate the effectiveness of SARS-CoV-2 infection prevention and control measures. It also includes a cross-sectional study in Gauteng to explore mental health of HCWs during the pandemic and identify areas for intervention; a quasi-experimental study of the role of information systems in strengthening occupational health services for healthcare workers; and global policy analyses including an analysis of a global survey of HCWs from 161 countries. <h3>Results</h3> The global survey revealed considerable variations in the degree to which prevention and control measures were deemed adequate; the South African baseline audit of 42 hospitals also revealed considerable variations in implementing occupational health protection. We demonstrated the utility of information systems to assess risk by occupation and setting in VCH; preliminary results of the VCH case-control study demonstrated the feasibility of this design; and, importantly, we identified challenges in leveraging operational research to inform policy, practice and world-knowledge in both VCH and South Africa. <h3>Conclusion</h3> Our research activities showed the impact of vaccine roll-out and new variants on rates of COVID-19 among HCWs within different healthcare settings and occupational groups and how policies to protect HCWs have evolved (e.g., masking policies and vaccine protocols for HCWs). We conclude that lessons regarding procedural barriers to data acquisition and sharing must be addressed with an ethical framework in mind.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,002 | 0,009 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».