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密西西比州医疗后备队:将密西西比州从应急规划转变为具备应急响应能力。

Mississippi Medical Reserve Corps: Moving Mississippi From Emergency Planning to Response Ready.

作者信息

McCormick Lisa C, Fifolt Matthew, Mercer Caroline, Pevear Jesse, Wilson Jonathan

机构信息

Department of Health Care Organization and Policy (Dr McCormick and Ms Mercer) and Survey Research Unit (Ms Pevear), School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama; Center for the Study of Community Health, Evaluation and Assessment Unit, University of Alabama at Birmingham, Birmingham, Alabama (Dr Fifolt)University of Mississippi Medical Center, Jackson, Mississippi (Mr Wilson).

出版信息

J Public Health Manag Pract. 2017 Jan/Feb;23(1):47-53. doi: 10.1097/PHH.0000000000000451.

Abstract

OBJECTIVE

The purpose of this study was to identify factors that might impact a Medical Reserve Corps (MRC) volunteer's decision to respond to an emergency event. The 2 primary goals of this survey were to (1) establish realistic planning assumptions regarding the use of volunteers in health care emergency responses, and (2) determine whether barriers to volunteer participation could be addressed by MRC units to improve volunteer response rates.

DESIGN

An anonymous online survey instrument was made available via Qualtrics through a customized URL. For the purpose of distribution, the Mississippi State Department of Health sent an electronic message that included the survey link to all MRC volunteers who were registered with the Mississippi Responder Management System (MRMS) as of September 2014.

RESULTS

Approximately 15% of those surveyed indicated they would be available and able to deploy within 24 hours. The most common factors reported in terms of respondent decisions to deploy included risk to personal health (61.2%), length of deployment (58.8%), and the security of the deployment area (55.3%). In addition, 67% of respondents indicated that extended periods of deployment would have a negative financial impact on their lives. Respondents who have had training or previous deployment experience reported having greater knowledge of potential response roles, increased comfort in their ability to respond with the MRC, and increased confidence in responding to differing public health emergencies.

CONCLUSIONS

Barriers to MRC volunteers being able to deploy should be addressed by each MRC unit. Issues such as risk to personal safety while on deployment, site security, and length of deployment should be considered by planners and those solutions communicated to MRC members during trainings. Emergency plans utilizing MRC volunteers will require significant evaluation to assess the risk of relying on an expected resource that could be severely limited during an actual emergency.

摘要

目的

本研究旨在确定可能影响医疗后备队(MRC)志愿者应对紧急事件决策的因素。本次调查的两个主要目标是:(1)建立关于在医疗保健应急响应中使用志愿者的现实规划假设;(2)确定MRC单位是否可以消除志愿者参与的障碍,以提高志愿者响应率。

设计

通过定制URL在Qualtrics上提供了一份匿名在线调查问卷。为了进行分发,密西西比州卫生部向截至2014年9月在密西西比州应急响应者管理系统(MRMS)注册的所有MRC志愿者发送了一封包含调查链接的电子邮件。

结果

约15%的受访者表示他们可以在24小时内到位并能够部署。在受访者决定部署的因素中,最常见的因素包括个人健康风险(61.2%)、部署时长(58.8%)和部署地区的安全性(55.3%)。此外,67%的受访者表示,长时间部署会对他们的生活产生负面财务影响。有培训或先前部署经验的受访者报告称,他们对潜在的响应角色有更多了解,对自己在MRC中响应的能力更有信心,并且对应对不同的公共卫生紧急情况更有信心。

结论

每个MRC单位都应解决MRC志愿者能够部署的障碍。规划人员应考虑诸如部署期间的个人安全风险、现场安全和部署时长等问题,并在培训期间将这些解决方案传达给MRC成员。利用MRC志愿者的应急计划需要进行重大评估,以评估在实际紧急情况中依赖可能严重受限的预期资源的风险。

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