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Table 2 Difficulties/frustrations reported by 102 specialist physicians who were involved in the management of Quebec's 2009 pH1N1

From: Coordination and resource-related difficulties encountered by Quebec's public health specialists and infectious diseases/medical microbiologists in the management of A (H1N1) - a mixed-method, exploratory survey

Have you experienced difficulties/frustrations? IDMM (n = 62) n (%) PHPMS (n = 40) n (%)
Overall categories 52 (84.0%) 35 (87.5%)
Patients' management - clinical level   
Overall 49 (79.0%) 10 (25%)
Beds management 16 (25.8%) 0
Case reporting 19 (30.6%) 2 (5.0%)
Laboratories 40 (64.5%) 3 (7.5%)
Patients care 25 (40.3%) 1 (2.5%)
Treatment 24 (38.7%) 2 (5.0%)
Infection prevention and control 36 (58.1%) 6 (15.0%)
Other 1 (1.6%) 0
Patients' management - Public Health level   
Overall 28 (45.2%) 22 (55%)
Expert committees 12 (19.4%) 9 (22.5%)
Case reporting 12 (19.4%) 7 (17.5%)
Epidemiological investigations 9 (14.5%) 10 (25.0%)
Neuraminidase inhibitors prescriptions 17 (27.4%) 5 (12.5%)
Other 2 (3.2%) 8 (20.0%)
Crisis management   
Overall 28 (45.2%) 24 (60%)
Top-down 23 (37.1%) 22 (55.0%)
Quebec-Canada 11 (17.7%) 4 (10.0%)
Other 1 (1.6%) 2 (5.0%)
Communication process   
Overall 34 (54.8%) 24 (60%)
Clinical practice guidelines (content) 19 (30.6%) 11 (27.5%)
Dissemination of clinical practice guidelines 26 (41.9%) 13 (32.5%)
Communication routes 25 (40.3%) 12 (30.0%)
Other 2 (3.2%) 2 (5.0%)
Vaccination   
Overall 35 (56.4%) 25 (62.5%)
Availability of vaccine 21 (33.9%) 10 (25.0%)
Groups at risk 18 (29.0%) 17 (42.5%)
Number of dosage 11 (17.7%) 3 (7.5%)
Administration approach 16 (25.8%) 8 (20.0%)
Other 5 (8.1%) 4 (10.0%)
Management of pandemic waves   
Overall 31 (50%) 11 (27.5%)
Availability of epidemiological data on cases 11 (17.7%) 7 (17.5%)
Cases management 9 (14.5%) 3 (7.5%)
Laboratories organization 27 (43.5%) 1 (5.0%)
Other 1 (1.6%) 3 (7.5%)
Other issues not previously covered   
Overall 7 (11.2%) 6 (15.0%)
  1. IDMM: infectious diseases specialist/medical microbiologists; PHPMS: public health and preventive medicine specialists