Hashikawa Micheleen, Gold Katherine J
1Department of Family Medicine,University of Michigan,Ann Arbor,Michigan.
2Department of Family Medicine,University of Michigan,Ann Arbor,Michigan.
Disaster Med Public Health Prep. 2018 Oct;12(5):644-648. doi: 10.1017/dmp.2017.136. Epub 2018 Jan 24.
PurposeTo assess perceptions and attitudes toward disasters and disaster planning among outpatient primary care leaders.
Written surveys and semi-structured interviews of non-physician clinical managers and physician medical directors were conducted using the 2009 H1N1 pandemic as a case-based scenario at 5 university-affiliated family medicine clinics. Domains assessed included perceived pandemic threat; value, existence, and barriers to creating personal disaster plans; staff absenteeism estimates; barriers to work attendance. Quantitative and qualitative data were analyzed using descriptive statistics and content analysis with identification and coding of common themes, respectively.
All 12 invited leaders participated and believed a personal disaster plan was important but only 2 had plans. None had ever discussed with their staff the importance of having a personal disaster plan. Two common barriers in creating a plan were low threat perception level and never considering the possibility of pandemic influenza. Only half of respondents could list common barriers preventing staff from working. Staff were confident employees would come to work during a disaster.
Outpatient primary care leaders may hold misconceptions regarding future disasters, underestimate their potential impact on clinics, and lack personal preparedness. Further investigation and interventions are needed to ensure clinics can be prepared so they can function and help hospital and emergency services when disasters strike. (Disaster Med Public Health Preparedness. 2018;12:644-648).
目的评估门诊基层医疗领导者对灾难及灾难规划的认知和态度。
以2009年甲型H1N1流感大流行作为案例情景，对5家大学附属家庭医学诊所的非医师临床管理人员和医师医疗主任进行书面调查和半结构化访谈。评估的领域包括感知到的大流行威胁；制定个人灾难计划的价值、存在情况及障碍；员工缺勤估计；出勤障碍。分别使用描述性统计和内容分析法对定量和定性数据进行分析，识别并编码共同主题。
所有12位受邀领导者均参与调查，他们认为个人灾难计划很重要，但只有2人制定了计划。没有人曾与员工讨论过制定个人灾难计划的重要性。制定计划的两个常见障碍是威胁感知水平低以及从未考虑过甲型H1N1流感大流行的可能性。只有一半的受访者能够列出妨碍员工工作的常见障碍。员工相信在灾难期间员工会来上班。
门诊基层医疗领导者可能对未来灾难存在误解，低估其对诊所的潜在影响，且缺乏个人准备。需要进一步调查和干预，以确保诊所有所准备，以便在灾难发生时能够正常运转并协助医院和应急服务。（《灾难医学与公共卫生防范》。2018年；12:644 - 648）
