Department of Health Services, University of Washington, Seattle, WA, USA.
BMC Public Health. 2011 May 18;11:337. doi: 10.1186/1471-2458-11-337.
Health care providers (HCPs) play an important role in public health emergency preparedness and response (PHEPR) so need to be aware of public health threats and emergencies. To inform HCPs, public health issues PHEPR messages that provide guidelines and updates, and facilitate surveillance so HCPs will recognize and control communicable diseases, prevent excess deaths and mitigate suffering. Public health agencies need to know that the PHEPR messages sent to HCPs reach their target audience and are effective and informative. Public health agencies need to know that the PHEPR messages sent to HCPs reach their target audience and are effective and informative. We conducted a literature review to investigate the systems and tools used by public health to generate PHEPR communications to HCPs, and to identify specific characteristics of message delivery mechanisms and formats that may be associated with effective PHEPR communications.
A systematic review of peer- and non-peer-reviewed literature focused on the following questions: 1) What public health systems exist for communicating PHEPR messages from public health agencies to HCPs? 2) Have these systems been evaluated and, if yes, what criteria were used to evaluate these systems? 3) What have these evaluations discovered about characterizations of the most effective ways for public health agencies to communicate PHEPR messages to HCPs?
We identified 25 systems or tools for communicating PHEPR messages from public health agencies to HCPs. Few articles assessed PHEPR communication systems or messaging methods or outcomes. Only one study compared the effectiveness of the delivery format, device or message itself. We also discovered that the potential is high for HCPs to experience "message overload" given redundancy of PHEPR messaging in multiple formats and/or through different delivery systems.
We found that detailed descriptions of PHEPR messaging from public health to HCPs are scarce in the literature and, even when available are rarely evaluated in any systematic fashion. To meet present-day and future information needs for emergency preparedness, more attention needs to be given to evaluating the effectiveness of these systems in a scientifically rigorous manner.
医疗保健提供者（HCPs）在公共卫生应急准备和响应（PHEPR）中发挥着重要作用，因此需要了解公共卫生威胁和紧急情况。为了告知 HCPs，公共卫生问题 PHEPR 消息提供了指导方针和更新，并促进了监测，以便 HCPs 能够识别和控制传染病，预防过度死亡并减轻痛苦。公共卫生机构需要知道发送给 HCPs 的 PHEPR 消息能够到达目标受众，并且是有效且信息丰富的。公共卫生机构需要知道发送给 HCPs 的 PHEPR 消息能够到达目标受众，并且是有效且信息丰富的。我们进行了文献综述，以调查公共卫生机构用于向 HCPs 发送 PHEPR 通信的系统和工具，并确定可能与有效的 PHEPR 通信相关的消息传递机制和格式的特定特征。
对同行评审和非同行评审文献进行系统回顾，重点关注以下问题：1）公共卫生机构向 HCPs 发送 PHEPR 消息存在哪些公共卫生系统？2）这些系统是否经过评估，如果是，使用了哪些标准来评估这些系统？3）这些评估发现了公共卫生机构向 HCPs 传达 PHEPR 消息的最有效方式的哪些特征？
我们确定了 25 个用于从公共卫生机构向 HCPs 发送 PHEPR 消息的系统或工具。很少有文章评估 PHEPR 通信系统或消息传递方法或结果。只有一项研究比较了传递格式、设备或消息本身的有效性。我们还发现，鉴于 PHEPR 消息在多种格式和/或通过不同的传递系统中存在冗余，HCPs 很有可能会经历“消息过载”。
我们发现，文献中对公共卫生向 HCPs 发送 PHEPR 消息的详细描述很少，即使有，也很少以任何系统的方式进行评估。为了满足当今和未来的应急准备信息需求，需要更加重视以科学严谨的方式评估这些系统的有效性。
