Gershon Robyn R M, Magda Lori A, Canton Allison N, Riley Halley E M, Wiggins Faith, Young Wayne, Sherman Martin F
Mailman School of Public Health, Columbia University, New York, New York, USA.
Am J Disaster Med. 2010 Jan-Feb;5(1):15-26. doi: 10.5055/ajdm.2010.0002.
To assess pandemic-related attitudes and behavioral intentions of home healthcare workers (HHCWs).
Cross-sectional survey.
New York City.
A convenience sample of 384 HHCWs.
Ability and willingness to report to work during a pandemic influenza outbreak.
A large proportion of HHCWs reported that they would be either unable or unwilling (or both) to provide care to their current (83 percent) or new (91 percent) patients during a pandemic. Ability was significantly associated with not having children living at home, having alternatives to mass transportation, not having a spouse/partner employed as a first responder or healthcare worker, and having longer tenure (ie, six or more years) in homecare. During an outbreak, 43 percent of HHCWs said they would be willing to take care of current patients and only 27 percent were willing to take care of new patients. Willingness to care for both current and new patients was inversely associated with fear for personal safety (p < 0.01). Provision of key elements of a respiratory protection program was associated with decreased fear (p < 0.05). Most participants (86 percent) had not received any work-based, pandemic-related training, and only 5 percent reported that their employer had an influenza pandemic plan.
Given that a large majority of the participating HHCWs would either be unable or unwilling to report to duty during a pandemic, potential shortfalls in this workforce may occur. To counter this, organizations should focus on strategies targeting intervenable barriers to ability and to willingness (ie, the provision of a vaccine and respiratory protection programs).
评估家庭医护人员（HHCWs）与大流行相关的态度和行为意向。
横断面调查。
纽约市。
384名家庭医护人员的便利样本。
在大流行性流感爆发期间报到工作的能力和意愿。
很大一部分家庭医护人员报告称，在大流行期间，他们要么无法、要么不愿意（或两者皆有）为其现有（83%）或新（91%）患者提供护理。能力与家中没有子女、有公共交通替代方式、配偶/伴侣不是急救人员或医护人员以及在家护理工作年限较长（即六年或更长时间）显著相关。在疫情爆发期间，43%的家庭医护人员表示愿意照顾现有患者，只有27%的人愿意照顾新患者。照顾现有和新患者的意愿与对个人安全的恐惧呈负相关（p<0.01）。提供呼吸防护计划的关键要素与恐惧减少相关（p<0.05）。大多数参与者（86%）没有接受过任何基于工作的、与大流行相关的培训，只有5%的人报告其雇主有流感大流行计划。
鉴于绝大多数参与调查的家庭医护人员在大流行期间要么无法、要么不愿意报到上班，这一劳动力队伍可能会出现潜在短缺。为应对这一情况，各组织应专注于针对影响能力和意愿的可干预障碍的策略（即提供疫苗和呼吸防护计划）。
