National Center for Disaster Preparedness, Columbia University, Mailman School of Public Health, 215 W 125th St, Suite 303, New York, NY 10027, USA.
Disaster Med Public Health Prep. 2009 Dec;3 Suppl 2:S141-7. doi: 10.1097/DMP.0b013e3181c12959.
An influenza pandemic, as with any disaster involving contagion or contamination, has the potential to influence the number of health care employees who will report for duty. Our project assessed the uptake of proposed interventions to mitigate absenteeism in hospital workers during a pandemic.
Focus groups were followed by an Internet-based survey of a convenience sample frame of 17,000 hospital workers across 5 large urban facilities. Employees were asked to select their top barrier to reporting for duty and to score their willingness to work before and after a series of interventions were offered to mitigate it.
Overall, 2864 responses were analyzed. Safety concerns were the most frequently cited top barrier to reporting for work, followed by issues of dependent care and transportation. Significant increases in employee willingness to work scores were observed from mitigation strategies that included preferential access to antiviral medication or personal protective equipment for the employee as well as their immediate family.
The knowledge base on workforce absenteeism during disasters is growing, although in general this issue is underrepresented in emergency planning efforts. Our data suggest that a mitigation strategy that includes options for preferential access to either antiviral therapy, protective equipment, or both for the employee as well as his or her immediate family will have the greatest impact. These findings likely have import for other disasters involving contamination or contagion, and in critical infrastructure sectors beyond health care.
流感大流行，如同任何涉及传染病或污染的灾难一样，有可能影响到报告工作的卫生保健员工人数。我们的项目评估了在大流行期间减轻医院工作人员缺勤的拟议干预措施的效果。
在对 5 家大型城市医疗机构的 17000 名医院工作人员进行了便利样本的焦点小组后，进行了基于互联网的调查。员工被要求选择他们报告工作的最大障碍，并在提出一系列减轻障碍的干预措施之前和之后，对其工作意愿进行评分。
共分析了 2864 份回复。安全问题是报告工作的最大障碍，其次是依赖护理和交通问题。从包括为员工及其直系亲属提供优先获得抗病毒药物或个人防护设备的缓解策略中，观察到员工工作意愿得分显著增加。
尽管在应急规划工作中普遍存在代表性不足的问题，但关于灾难期间劳动力缺勤的知识库正在不断增加。我们的数据表明，缓解策略包括为员工及其直系亲属提供优先获得抗病毒治疗、防护设备或两者的选择，将产生最大的影响。这些发现可能对其他涉及污染或传染病的灾难以及医疗保健以外的关键基础设施部门具有重要意义。
