Health Management and Economics Research Centre, School of Health Management and Information Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Disaster Med Public Health Prep. 2013 Jun;7(3):313-8. doi: 10.1001/dmp.2012.34.
Research shows that having previous experience of major incidents has a positive impact on awareness and preparedness of organizations. We investigated the effects of major incident experience on preparedness of health organizations on future disasters in Iran.
A qualitative study using a semistructured interview technique was conducted with 65 public health and therapeutic affairs managers. Analysis of the data was performed used the framework analysis technique, which was supported by qualitative research software.
The study found that prior experience of major incidents results in better performance, coordination, and cooperation in response to future events. There was a positive effect on policy making and resource distribution and an increase in (1) preparedness activities, (2) raising population awareness, and (3) improving knowledge. However, the preparedness actions were predominantly individual-dependent.
Our findings showed that to increase system efficiency and effectiveness within health organizations, an appropriate major incident management system is needed. The new system can use lessons learned from previous major incidents to better equip health organizations to cope with similar events in the future.
研究表明，有过重大事件的应对经验对组织的意识和准备有积极影响。我们调查了伊朗重大事件应对经验对未来灾害的卫生组织准备情况的影响。
采用半结构式访谈技术对 65 名公共卫生和治疗事务管理人员进行了定性研究。使用框架分析技术对数据进行分析，该技术得到了定性研究软件的支持。
研究发现，重大事件的应对经验可以提高未来事件的应对表现、协调和合作。这对决策制定和资源分配有积极影响，并增加了（1）准备活动，（2）提高了公众意识，（3）增强了知识。然而，准备行动主要依赖于个人。
我们的研究结果表明，为了提高卫生组织系统的效率和效果，需要建立一个适当的重大事件管理系统。新系统可以利用从以往重大事件中吸取的经验教训，更好地装备卫生组织，以应对未来类似的事件。
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