BMed, MPHTM, PhD candidate, ANU Medical School, Australian National University, ACT; Conjoint Senior Lecturer, Western Sydney University, NSW.
MBBS, DipRACOG, MD, FRACGP, Professor of General Practice, Medical School,@ Australian National University, ACT; Director, Academic Unit of General Practice, ACT Health Directorate, ACT.
Aust J Gen Pract. 2020 Mar;49(3):132-138. doi: 10.31128/AJGP-08-19-5054.
A qualitative study using semi-structured interviews was conducted with a purposive sample of GPs who had experienced disasters in Australia or New Zealand (NZ) between 2009 and 2016. Transcripts underwent thematic analysis.
Thirty-eight GPs reported diverse and effective contributions to disaster-response efforts. Four main themes emerged: GPs responded spontaneously to contribute; GPs adapted their usual expertise to provide disaster healthcare; personal and professional challenges experienced were consistent across different types of disaster; and unlike Australian GPs, NZ GPs felt better integrated and valued in the broader disaster-response system.
The results document GPs' roles and experiences in disaster healthcare and highlight how GPs contribute to meeting crucial healthcare needs in communities during and following disasters. Better defining, integrating and supporting GP roles in disaster systems is likely to improve disaster healthcare.
本研究采用目的抽样法，选取了 2009 年至 2016 年间在澳大利亚或新西兰（NZ）经历过灾害的全科医生作为研究对象，对其进行了半结构化访谈。对访谈记录进行了主题分析。
38 名全科医生报告了在灾害应对工作中的多样化且有效的贡献。主要有四个主题：全科医生自发响应参与；全科医生调整其常规专业知识以提供灾害医疗保健；在不同类型的灾害中，所经历的个人和职业挑战是一致的；与澳大利亚的全科医生不同，新西兰的全科医生在更广泛的灾害应对系统中感到更好地融入和被重视。
研究结果记录了全科医生在灾害医疗保健中的角色和经验，并强调了全科医生在灾害期间和之后如何为满足社区的关键医疗保健需求做出贡献。更好地定义、整合和支持全科医生在灾害系统中的角色，可能会改善灾害医疗保健。
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