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我们准备好了吗?新西兰 2011 年橄榄球世界杯急性病医护人员的准备情况。

Are we ready? Preparedness of acute care providers for the Rugby World Cup 2011 in New Zealand.

机构信息

Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.

出版信息

Emerg Med J. 2013 Aug;30(8):611-4. doi: 10.1136/emermed-2011-200293. Epub 2011 Nov 1.

Abstract

UNLABELLED

New Zealand is hosting the Rugby World Cup (RWC) 2011. It is the largest sporting event in New Zealand's history, with around 70,000 fans estimated to visit the country from September to October 2011. This influx of tourists will have an impact on its already stretched healthcare services. The preparedness of New Zealand's healthcare system to handle this mass event is unclear.

OBJECTIVES

The two main objectives of this study were (1) to determine the perceived preparedness of acute care providers in New Zealand to respond to the healthcare demands of RWC 2011; and (2) to determine the factors associated with perceived strong preparedness among acute care providers in New Zealand.

METHOD

A cross-sectional survey of 1500 doctors, nurses and ambulance officers working in acute care services in New Zealand was conducted between June 2010 and March 2011.

RESULTS

911 surveys were completed (response rate 60.7%). Only 12.7% of acute care providers felt they were prepared to deal with possible health issues arising from RWC 2011. Perceived preparedness was highest among ambulance officers and lowest among providers in intensive care units (16.3% vs 4.1%, p<0.01). Acute care providers who were aware of their role in a mass emergency were more likely to report preparedness with a prevalence OR of 3.5 and a 95% CI of 2.1 to 5.7.

CONCLUSION

Only 12.7% of acute care providers in New Zealand perceived preparedness for RWC 2011. Perceived preparedness followed a stepwise decline from prehospital services, emergency department, to surgery and then finally to intensive care services. This indicates that current preparedness activities are focusing on prehospital emergency services and neglecting surgical and intensive care services. Awareness about the role of acute care providers during emergencies, training and previous experience were associated with perceived strong preparedness for RWC 2011.

摘要

目的

本研究的两个主要目的是:(1)确定新西兰急性护理提供者对 2011 年橄榄球世界杯(RWC)医疗需求的应对能力的感知准备情况;(2)确定与新西兰急性护理提供者感知准备情况较强相关的因素。

方法

对 2010 年 6 月至 2011 年 3 月期间在新西兰急性护理服务中工作的 1500 名医生、护士和救护车人员进行了横断面调查。

结果

完成了 911 项调查(应答率 60.7%)。只有 12.7%的急性护理提供者认为他们有能力应对 2011 年橄榄球世界杯可能出现的健康问题。救护车人员的感知准备程度最高,而重症监护病房的提供者最低(16.3%比 4.1%,p<0.01)。意识到自己在大规模紧急情况下的角色的急性护理提供者更有可能报告有准备,患病率 OR 为 3.5,95%CI 为 2.1 至 5.7。

结论

新西兰只有 12.7%的急性护理提供者认为自己为 2011 年橄榄球世界杯做好了准备。感知准备程度从院前服务、急诊科、手术科,最后到重症监护科呈逐步下降趋势。这表明,目前的准备活动主要集中在院前急救服务,而忽视了手术和重症监护服务。对急性护理提供者在紧急情况下的角色的认识、培训和以往经验与对 2011 年橄榄球世界杯的强烈准备感知相关。

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