Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, China.
Department of Science Education, EYE&ENT Hospital of Fudan University, Shanghai, China.
Disaster Med Public Health Prep. 2020 Apr;14(2):192-200. doi: 10.1017/dmp.2019.37. Epub 2019 Jul 22.
This study aimed to identify the important capacities that were most urgently needed during emergency response and factors associated with the Centers for Disease Control and Prevention (CDC) professionals' field coping-capacity for public health emergency.
Professional workers (N = 1854) from 40 CDC institutions were chosen using the stratified cluster random sampling method in all 13 municipalities of Heilongjiang Province, China. Descriptive analysis and multivariate logistic regression were used.
Of 10 key capacities, the 3 that were most urgently needed during emergency response fieldwork as identified by respondents were crisis communication capacity, personal protection capacity, and laboratory detection capacity. Overall, 38.1% of respondents self-rated as "poor" on their coping-capacity. The logistic regression found that proficiency in emergency preparedness planning, more practical experiences in emergency response, effectiveness in training and drills, a higher education level, and a higher professional position were significantly associated with the individual's field coping-capacity.
This study identified CDC professionals' most urgent capacity need and the obstructive factors and highlighted the importance of enhancing the capacity in crisis communication, personal protection, and laboratory detection. Intervention should be targeted at sufficient fund, formalized, and effective emergency training and drills, more operational technical guidance, and all-around supervision and evaluation.
本研究旨在确定应急响应中最急需的重要能力，以及与疾病预防控制中心（CDC）专业人员应对突发公共卫生事件现场应对能力相关的因素。
采用分层整群随机抽样方法，选取中国黑龙江省 13 个市的 40 个 CDC 机构的专业工作人员（N=1854）。采用描述性分析和多变量逻辑回归进行分析。
在受访者看来，10 项关键能力中，在应急现场工作中最急需的 3 项能力是危机沟通能力、个人防护能力和实验室检测能力。总体而言，38.1%的受访者自评应对能力“较差”。逻辑回归发现，应急准备规划能力、更多的应急响应实践经验、培训和演练的有效性、较高的教育水平和较高的专业职位与个人现场应对能力显著相关。
本研究确定了 CDC 专业人员最急需的能力需求和障碍因素，并强调了加强危机沟通、个人防护和实验室检测能力的重要性。干预措施应针对充足的资金、规范化和有效的应急培训和演练、更多的操作技术指导以及全面的监督和评估。
