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应对自然灾害与疾病爆发:紧急医疗服务提供者的观点是否不同?

Responding to natural disasters vs. disease outbreaks: Do emergency medical service providers have different views?

作者信息

Alwidyan Mahmoud T, Trainor Joseph E, Bissell Richard A

机构信息

Department of Allied Medical Science, Jordan University of Science and Technology, Irbid, Jordan.

Biden School of Public Policy & Administration, University of Delaware, Newark, United States.

出版信息

Int J Disaster Risk Reduct. 2020 Apr;44:101440. doi: 10.1016/j.ijdrr.2019.101440. Epub 2019 Dec 7.

Abstract

INTRODUCTION

Our planet has been experiencing a huge burden of natural disasters and public health emergencies in the last three decades. Emergency medical service providers are expected to be in the frontlines during such emergencies. Yet, this system is badly understudied when it comes to its roles and performance during disasters and public health emergencies. This study is designed to enhance understanding by assessing a sample U.S EMS providers' views about working during natural disasters and disease outbreaks and explores whether they are coming to work during such conditions.

METHODS

This study utilized a qualitative approach using face-to-face interviews with EMS workers from the State of Delaware, USA. Participants were asked about their views, insights, and potential behavior of working during natural disasters and disease outbreaks. Data collected were transcribed and coded using ATLAS.ti software to develop themes of the study using an inductive approach.

RESULTS

Three themes were emerged from interviews regarding working during natural disasters; respondents expressed excitement, concern, or no real differences. For disease outbreaks, however, the two themes were concerned and no additional risk. While participants expressed varying concerns about working during disasters and pandemic conditions, everyone felt willing and obligated to come to work despite the perceived high risk for some of them to work in some conditions.

CONCLUSION

This study helps to provide the base upon which EMS, public health, and emergency management agencies can formulate actions that emerged from the views of EMS providers concerning work during disasters and public health emergencies.

摘要

引言

在过去三十年里,我们的星球一直承受着自然灾害和突发公共卫生事件的巨大负担。在这类紧急情况发生时,紧急医疗服务提供者预计会处于前线。然而,当涉及到该系统在灾难和突发公共卫生事件中的作用和表现时,对其研究严重不足。本研究旨在通过评估美国部分紧急医疗服务提供者对在自然灾害和疾病爆发期间工作的看法来增进理解,并探讨他们在这种情况下是否会前来工作。

方法

本研究采用定性方法,对来自美国特拉华州的紧急医疗服务工作者进行面对面访谈。询问参与者关于他们在自然灾害和疾病爆发期间工作的看法、见解以及潜在行为。收集到的数据进行转录,并使用ATLAS.ti软件编码,以归纳法形成研究主题。

结果

关于在自然灾害期间工作的访谈出现了三个主题;受访者表达了兴奋、担忧或没有实际差异。然而,对于疾病爆发,出现了担忧和无额外风险这两个主题。虽然参与者对在灾难和大流行情况下工作表达了不同程度的担忧,但每个人都感到愿意并认为有义务前来工作,尽管他们中的一些人认为在某些情况下工作风险很高。

结论

本研究有助于为紧急医疗服务、公共卫生和应急管理机构提供一个基础,以便根据紧急医疗服务提供者对灾难和突发公共卫生事件期间工作的看法来制定行动方案。

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Working During Pandemic Disasters: Views and Predictors of EMS Providers.大流行灾难期间的工作:EMS 提供者的观点和预测因素。
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