Frontiers in public health · 2026
Identification of risk factors and response strategies in interhospital transfer of critically ill patients with respiratory infectious diseases: a qualitative study.
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Tang Xiaoyu, Luo Yiwei, Dong Qinghua, Li Minye, Chen Dianjie, He Zhengji, Xiao Qun, Zhi Chen, Zhu Min, Ma Hui
Аннотация
BACKGROUND: Respiratory infectious disease epidemics challenge global public health. Critically ill patients need specialized care, making interhospital transfer pivotal for resource optimization; however, it carries substantial risks. The objective of the current study was to identify the risk factors for interhospital transfer of critically ill patients with respiratory infectious diseases and formulate response strategies.
METHODS: Semistructured interviews were conducted with 12 research subjects, and the interview contents were analyzed via NVIVO11.0 software in accordance with Colaizzi's method.
RESULTS: Five major risk factors have been identified: Insufficient organizational and policy support; Shortage of staffing capacity and allocation; Obstacles in task execution and communication; Limitations of transport tools and equipment; and Limitations of environment and patient status. Moreover, five corresponding coping strategies were proposed.
CONCLUSION: These findings underscore the perceived importance of organizational support, standardized protocols, specialized training, and optimized equipment in enhancing transfer safety, providing a foundation for refining clinical practices. Future research is needed to empirically validate the effectiveness of these strategies across diverse healthcare settings and scale their implementation.
METHODS: Semistructured interviews were conducted with 12 research subjects, and the interview contents were analyzed via NVIVO11.0 software in accordance with Colaizzi's method.
RESULTS: Five major risk factors have been identified: Insufficient organizational and policy support; Shortage of staffing capacity and allocation; Obstacles in task execution and communication; Limitations of transport tools and equipment; and Limitations of environment and patient status. Moreover, five corresponding coping strategies were proposed.
CONCLUSION: These findings underscore the perceived importance of organizational support, standardized protocols, specialized training, and optimized equipment in enhancing transfer safety, providing a foundation for refining clinical practices. Future research is needed to empirically validate the effectiveness of these strategies across diverse healthcare settings and scale their implementation.