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社区卫生中心与应急准备:能力与培训需求评估

Community health centers and emergency preparedness: an assessment of competencies and training needs.

作者信息

Ablah Elizabeth, Tinius Annie M, Horn Leslie, Williams Chris, Gebbie Kristine M

机构信息

Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita, 1010 N. Kansas, Wichita, KS 67214, USA.

出版信息

J Community Health. 2008 Aug;33(4):241-7. doi: 10.1007/s10900-008-9093-9.

Abstract

Community health centers (CHCs) provide care to a large number of medically underserved Americans. As primary care providers and trusted members of their communities, CHCs need to be prepared to respond to emergency and disaster situations, as they may be relied upon for medical care and other support services. Focus groups were conducted with CHC medical directors and administrators from New York City. Participants discussed previous emergency preparedness training, future training needs, applicability of competencies, and usefulness of two training programs. Participants indicated that they had more experience with preparedness training than many of their colleagues, although participants still reported further training needs. In particular, emergency roles and responsibilities, decontamination and containment, and personal preparedness were given as needed training topics for staff. The training resources were reported to be useful and beneficial. Participants also reported that most of the competencies were appropriate for CHC clinicians. During an emergency, people want to receive care from their normal provider, and for many, that provider is a CHC. This and other research suggests that the emergency preparedness needs facing CHCs are significant and should be addressed.

摘要

社区卫生中心(CHC)为大量医疗服务不足的美国人提供医疗服务。作为初级医疗服务提供者和社区中值得信赖的成员,社区卫生中心需要做好应对紧急情况和灾难的准备,因为在医疗护理和其他支持服务方面,人们可能会依赖它们。研究人员与来自纽约市的社区卫生中心医疗主任和管理人员进行了焦点小组访谈。参与者讨论了以往的应急准备培训、未来的培训需求、能力的适用性以及两个培训项目的实用性。参与者表示,他们比许多同事有更多的应急准备培训经验,不过他们仍表示有进一步的培训需求。特别是,应急角色和职责、去污和控制以及个人准备被列为工作人员所需的培训主题。据报告,这些培训资源很有用且有益。参与者还报告说,大多数能力对社区卫生中心的临床医生来说是合适的。在紧急情况下,人们希望从他们的常规医疗服务提供者那里获得护理,对许多人来说,这个提供者就是社区卫生中心。这项研究以及其他研究表明,社区卫生中心面临的应急准备需求很大,应该加以解决。

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