Zerwekh Tyler, McKnight Jason, Hupert Nathaniel, Wattson Daniel, Hendrickson Lisa, Lane David
Hawaii Department of Health, Kauai District Health Office, Lihue, Hawaii 96766, USA.
J Public Health Manag Pract. 2007 Jan-Feb;13(1):7-15. doi: 10.1097/00124784-200701000-00003.
This article presents the outcomes of a full-scale training exercise utilizing a drive-thru clinic model for dispensing of Strategic National Stockpile medication. The Hawaii Department of Health developed a clinic design for vehicles based on previous exercises and research on sample throughput rates. The streamlined model selected includes a triage area near the entrance and consecutive stations for the public to register, have an evaluation for drug contradictions, and receive the medication. During the 2-hour exercise held in April 2005, a total of 622 patients were processed in their vehicles for an overall rate of 5.2 persons per minute. Although patient services were reduced in comparison to current walk-in clinic models, the public was able to receive prophylactic medication in a timely manner with a high rate of accuracy and minimal human-to-human contact. These results demonstrate that local health departments, particularly in rural areas, can provide essential medications, vaccinations, or rations through a drive-thru clinic, thus limiting morbidity and mortality during a public health emergency.
本文介绍了利用免下车诊所模式分发国家战略储备药品的全面培训演练的成果。夏威夷卫生部根据以往的演练和对样本吞吐率的研究，开发了一种针对车辆的诊所设计。所选的简化模式包括入口附近的分诊区以及供公众登记、进行药物矛盾评估和领取药物的连续站点。在2005年4月举行的两小时演练中，共为622名车内患者提供了服务，总体速度为每分钟5.2人。尽管与当前的门诊诊所模式相比，患者服务有所减少，但公众能够及时获得预防性药物，准确率高且人际接触最少。这些结果表明，地方卫生部门，特别是农村地区的卫生部门，可以通过免下车诊所提供基本药物、疫苗或配给，从而在公共卫生紧急情况期间降低发病率和死亡率。
