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应对灾害中的聋人:为州级应急管理机构和社区组织建立系统培训的必要性。

Responding to the deaf in disasters: establishing the need for systematic training for state-level emergency management agencies and community organizations.

机构信息

Health Research for Action, School of Public Health, University of California, Berkeley, 2140 Shattuck Avenue, 10th Floor, Berkeley, CA 94704, USA.

出版信息

BMC Health Serv Res. 2013 Mar 7;13:84. doi: 10.1186/1472-6963-13-84.

Abstract

BACKGROUND

Deaf and hard-of-hearing (Deaf/HH) individuals have been underserved before and during emergencies. This paper will assess Deaf/HH related emergency preparedness training needs for state emergency management agencies and deaf-serving community-based organizations (CBOs).

METHODS

Four approaches were used: 1) a literature review; 2) results from 50 key informant (KI) interviews from state and territorial-level emergency management and public health agencies; 3) results from 14 KI interviews with deaf-serving CBOs in the San Francisco Bay Area; and 4) a pilot program evaluation of an emergency responder training serving the Deaf/HH in one urban community.

RESULTS

Results from literature review and state and territorial level KIs indicate that there is a substantive gap in emergency preparedness training on serving Deaf/HH provided by state agencies. In addition, local KI interviews with 14 deaf-serving CBOs found gaps in training within deaf-serving CBOs. These gaps have implications for preparing for and responding to all-hazards emergencies including weather-related or earthquake-related natural disasters, terrorist attacks, and nuclear-chemical disasters.

CONCLUSION

Emergency preparedness trainings specific to responding to or promoting preparedness of the Deaf/HH is rare, even for state agency personnel, and frequently lack standardization, evaluation, or institutionalization in emergency management infrastructure. This has significant policy and research implications. Similarly, CBOs are not adequately trained to serve the needs of their constituents.

摘要

背景

聋人和重听人士(Deaf/HH)在紧急情况下和之前一直得不到充分的服务。本文将评估州紧急管理机构和聋人服务社区组织(CBO)的与聋人相关的紧急准备培训需求。

方法

采用了四种方法:1)文献综述;2)来自州和地区一级紧急管理和公共卫生机构的 50 名关键知情人(KI)访谈的结果;3)来自旧金山湾区 14 名聋人服务 CBO 的 KI 访谈的结果;4)对一个为一个城市社区的聋人/重听人士服务的应急响应者培训的试点计划评估。

结果

文献综述和州及地区一级 KI 的结果表明,州机构提供的聋人服务的紧急准备培训存在实质性差距。此外,对 14 个聋人服务 CBO 的当地 KI 访谈发现,聋人服务 CBO 内部的培训存在差距。这些差距对各种灾害的准备和应对都有影响,包括与天气或地震有关的自然灾害、恐怖袭击和核化灾害。

结论

专门针对聋人/重听人士的应急准备培训很少见,即使是针对州机构的人员,而且在紧急管理基础设施中经常缺乏标准化、评估或制度化。这具有重大的政策和研究意义。同样,CBO 也没有得到充分的培训来满足其服务对象的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/638c/3637441/5ae3fce85179/1472-6963-13-84-1.jpg

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