Crane Jeffery S, McCluskey James D, Johnson Giffe T, Harbison Raymond D
Center for Environmental/Occupational Risk Analysis and Management, College of Public Health, University of South Florida, Tampa, Florida, USA.
J Emerg Trauma Shock. 2010 Jan;3(1):13-20. doi: 10.4103/0974-2700.55808.
Previous findings have demonstrated that preparedness and planning within the public health system are inadequately developed to respond to an act of biological or chemical terrorism.
This investigation used Internet-based surveys to assess the level of preparedness (PL) and willingness to respond (WTR) to a bioterrorism attack, and identify factors that predict PL and WTR among Florida community healthcare providers. Invitations were sent to 22,800 healthcare providers in Florida, which resulted in 2,279 respondents.
Respondents included physicians (n=604), nurses (n=1,152), and pharmacists (n=486). The results indicated that only 32% of Florida healthcare providers were competent and willing to respond to a bioterrorism attack, 82.7% of providers were willing to respond in their local community, and 53.6% within the State. Respondents were more competent in administrative skills than clinical knowledge (62.8% vs. 45%). Areas in which respondents had the highest competency were the initiation of treatment and recognition of their clinical and administrative roles. Areas in which respondents showed the lowest competency were the ability to identify cases and the ability to communicate risk to others. About 55% of the subjects had previous bioterrorism training and 31.5% had conducted emergency drills. Gender, race, previous training and drills, perceived threats of bioterrorism attack, perceived benefits of training and drills, and feeling prepared were all predictors of overall preparedness.
The findings suggest that only one-third of Florida community healthcare providers were prepared for a bioterrorism attack, which is an insufficient response rate to effectively respond to a bioterrorism incident.
先前的研究结果表明，公共卫生系统内的防范和规划工作尚未充分开展，难以应对生物或化学恐怖主义行为。
本调查采用基于互联网的调查来评估应对生物恐怖主义袭击的防范水平（PL）和响应意愿（WTR），并确定佛罗里达州社区医疗服务提供者中预测PL和WTR的因素。向佛罗里达州的22,800名医疗服务提供者发出了邀请，共有2,279名受访者。
受访者包括医生（n = 604）、护士（n = 1,152）和药剂师（n = 486）。结果表明，佛罗里达州只有32%的医疗服务提供者有能力且愿意应对生物恐怖主义袭击，82.7%的提供者愿意在其当地社区做出响应，53.6%的人愿意在该州范围内响应。受访者在行政技能方面比临床知识方面更有能力（62.8%对45%）。受访者能力最高的领域是治疗的启动以及对其临床和行政角色的认识。受访者能力最低的领域是识别病例的能力以及向他人传达风险的能力。约55%的受试者曾接受过生物恐怖主义培训，31.5%的人进行过应急演练。性别、种族、先前的培训和演练、对生物恐怖主义袭击的感知威胁、对培训和演练的感知益处以及是否感觉有准备都是总体防范的预测因素。
研究结果表明，佛罗里达州只有三分之一的社区医疗服务提供者为生物恐怖主义袭击做好了准备，这一响应率不足以有效应对生物恐怖主义事件。
