Department of Public Health, School of Psychology and Public Health, La Trobe University, Bundoora, VIC 3086, Australia.
Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.
Int J Environ Res Public Health. 2020 May 27;17(11):3796. doi: 10.3390/ijerph17113796.
Thunderstorm asthma (TA) epidemics have been recognized globally as a rare phenomenon, producing a rapid surge of acute asthma presentations leading to an increased demand on emergency medical services and healthcare resources. General practitioners (GPs) are well placed in the community to contribute to healthcare during TA epidemics and similar disaster events. The aim of this review was to synthesize current evidence of the experiences of GPs during TA epidemics and similar surge events. A comprehensive systematic search of eleven electronic databases, including ancestry searching for peer-reviewed studies and grey literature published in English was conducted. Quantitative and qualitative study designs were included, and a quality assessment conducted. Of the 125 records identified, 16 were included for synthesis. During TA epidemics and surge events, GPs experience an increased demand for services, yet it is not known if general practice clinics experience resource limitations from this patient surge. While GPs express a willingness to help, few structures are in place to liaise, support and provide information to GPs during surge events. Following most surge/disaster events, no GP data is collected so it is not known how to improve coordination and communication between general practice services and emergency services. GPs have well-functioning adaptive management systems, and resources of space, supplies and staff thus the ability to increase surge capacity of their clinics.
雷暴哮喘（TA）疫情在全球范围内被认为是一种罕见现象，它会导致急性哮喘发作迅速增加，从而增加对紧急医疗服务和医疗资源的需求。全科医生（GP）在社区中处于有利地位，可以在 TA 疫情和类似灾害事件期间为医疗保健做出贡献。本综述的目的是综合当前关于全科医生在 TA 疫情和类似激增事件中的经验的证据。对包括同行评审研究和英文发表的灰色文献在内的 11 个电子数据库进行了全面的系统检索。纳入了定量和定性研究设计，并进行了质量评估。在确定的 125 条记录中，有 16 条被纳入综合分析。在 TA 疫情和激增事件期间，全科医生的服务需求增加，但尚不清楚普通诊所是否会因患者激增而面临资源限制。虽然全科医生表示愿意提供帮助，但在激增事件期间，很少有结构可以与全科医生联系、支持和提供信息。在大多数激增/灾害事件之后，没有收集全科医生的数据，因此不知道如何改善全科医生服务和紧急服务之间的协调和沟通。全科医生有运作良好的适应性管理系统，因此有空间、供应品和人员等资源，从而有能力增加诊所的应对能力。
