Siegfried Alexa L, Carbone Eric G, Meit Michael B, Kennedy Mallory J, Yusuf Hussain, Kahn Emily B
1NORC at the University of Chicago,Bethesda,Maryland.
2US Centers for Disease Control and Prevention,Office of Public Health Preparedness and Response,Atlanta,Georgia.
Disaster Med Public Health Prep. 2017 Oct;11(5):552-561. doi: 10.1017/dmp.2016.198. Epub 2017 Mar 23.
This study describes findings from an assessment conducted to identify perceived knowledge gaps, information needs, and research priorities among state, territorial, and local public health preparedness directors and coordinators related to public health emergency preparedness and response (PHPR). The goal of the study was to gather information that would be useful for ensuring that future funding for research and evaluation targets areas most critical for advancing public health practice.
We implemented a mixed-methods approach to identify and prioritize PHPR research questions. A web survey was sent to all state, city, and territorial health agencies funded through the Public Health Emergency Preparedness (PHEP) Cooperative Agreement program and a sample of local health departments (LHDs). Three focus groups of state and local practitioners and subject matter experts from the Centers for Disease Control and Prevention (CDC) were subsequently conducted, followed by 3 meetings of an expert panel of PHPR practitioners and CDC experts to prioritize and refine the research questions.
We identified a final list of 44 research questions that were deemed by study participants as priority topics where future research can inform PHPR programs and practice. We identified differences in perceived research priorities between PHEP awardees and LHD survey respondents; the number of research questions rated as important was greater among LHDs than among PHEP awardees (75%, n=33, compared to 24%, n=15).
The research questions identified provide insight into public health practitioners' perceived knowledge gaps and the types of information that would be most useful for informing and advancing PHPR practice. The study also points to a higher level of information need among LHDs than among PHEP awardees. These findings are important for CDC and the PHPR research community to ensure that future research studies are responsive to practitioners' needs and provide the information required to enhance their capacity to meet the needs of the communities and jurisdictions they serve. (Disaster Med Public Health Preparedness. 2017;11:552-561).
本研究描述了一项评估的结果，该评估旨在识别州、地区和地方公共卫生应急准备主管及协调员在公共卫生应急准备与响应（PHPR）方面感知到的知识差距、信息需求和研究重点。该研究的目标是收集有助于确保未来研究与评估资金投向对推进公共卫生实践最为关键领域的信息。
我们采用混合方法来识别PHPR研究问题并确定其优先级。通过网络调查向所有通过公共卫生应急准备（PHEP）合作协议项目获得资助的州、市和地区卫生机构以及一部分地方卫生部门（LHD）发送了调查问卷。随后组织了三场由州和地方从业者以及疾病控制与预防中心（CDC）的主题专家参加的焦点小组讨论，接着举行了三场由PHPR从业者和CDC专家组成的专家小组会议，以对研究问题进行优先级排序和细化。
我们确定了一份最终包含44个研究问题的清单，研究参与者认为这些问题是未来研究的优先主题，可为PHPR项目和实践提供信息。我们发现PHEP受助者与LHD调查受访者在感知到的研究重点上存在差异；LHD中被评为重要的研究问题数量多于PHEP受助者（75%，n = 33，相比之下为24%，n = 15）。
所确定的研究问题为了解公共卫生从业者感知到的知识差距以及对指导和推进PHPR实践最有用的信息类型提供了见解。该研究还指出，LHD的信息需求水平高于PHEP受助者。这些发现对于CDC和PHPR研究界很重要，可确保未来的研究能够满足从业者的需求，并提供增强他们满足所服务社区和辖区需求能力所需的信息。（《灾难医学与公共卫生应急准备》。2017年；11:552 - 561）
