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促进与社区和宗教组织建立备灾和应对灾害的伙伴关系:对公共卫生部门的全国性调查结果

Facilitating Partnerships With Community- and Faith-Based Organizations for Disaster Preparedness and Response: Results of a National Survey of Public Health Departments.

作者信息

Adams Rachel M, Prelip Michael L, Glik Deborah C, Donatello Ian, Eisenman David P

机构信息

1Department of Community Health Sciences,Fielding School of Public Health,University of California Los Angeles,Los Angeles,California.

3Genentech Inc,South San Francisco,California.

出版信息

Disaster Med Public Health Prep. 2018 Feb;12(1):57-66. doi: 10.1017/dmp.2017.36. Epub 2017 Jul 24.

Abstract

OBJECTIVE

We identify characteristics of local health departments, which enhance collaborations with community- and faith-based organizations (CFBOs) for emergency preparedness and response.

METHODS

Online survey data were collected from a sample of 273 disaster preparedness coordinators working at local health departments across the United States between August and December 2011.

RESULTS

Using multiple linear regression models, we found that perceptions of CFBO trust were associated with more successful partnership planning (β=0.63; P=0.02) and capacity building (β=0.61; P=0.01). Employee layoffs in the past 3 years (β=0.41; P=0.001) and urban location (β=0.41; P=0.005) were positively associated with higher ratings of resource sharing between health agencies and CFBOs. Having 1-3 full-time employees increased the ratings of success in communication and outreach activities compared with health departments having less than 1 full-time employee (β=0.33; P=0.05). Positive attitudes toward CFBOs also enhanced communication and outreach (β=0.16; P=0.03).

CONCLUSIONS

Staff-capacity factors are important for quick dissemination of information and resources needed to address emerging threats. Building the trust of CFBOs can help address large-scale disasters by improving the success of more involved activities that integrate the CFBO into emergency plans and operations of the health department and that better align with federal-funding performance measures. (Disaster Med Public Health Preparedness. 2018;12:57-66).

摘要

目的

我们确定地方卫生部门的特征,这些特征可加强与社区和宗教组织(CFBOs)在应急准备和响应方面的合作。

方法

2011年8月至12月期间,从美国各地地方卫生部门工作的273名灾难准备协调员样本中收集在线调查数据。

结果

使用多元线性回归模型,我们发现对CFBO信任的认知与更成功的伙伴关系规划(β=0.63;P=0.02)和能力建设(β=0.61;P=0.01)相关。过去3年的员工裁员(β=0.41;P=0.001)和城市地理位置(β=0.41;P=0.005)与卫生机构和CFBOs之间更高的资源共享评级呈正相关。与全职员工少于1人的卫生部门相比,拥有1 - 3名全职员工可提高沟通和外展活动的成功评级(β=0.33;P=0.05)。对CFBOs的积极态度也增强了沟通和外展(β=0.16;P=0.03)。

结论

人员能力因素对于快速传播应对新出现威胁所需的信息和资源很重要。建立CFBOs的信任有助于应对大规模灾难,方法是提高将CFBO纳入卫生部门应急计划和行动的更全面活动的成功率,并更好地符合联邦资金绩效指标。(《灾难医学与公共卫生防范》。2018年;12:57 - 66)

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