基于世界卫生组织框架的伊朗地震前卫生系统准备工作面临的挑战。
The challenges of Iranian health system preparedness before earthquakes based on the World Health Organization framework.
作者信息
Heidari Mohammad, Heidari Samaneh, Jafari Hamid
机构信息
Community-Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran. Iran.
出版信息
J Educ Health Promot. 2020 Oct 30;9:273. doi: 10.4103/jehp.jehp_746_19. eCollection 2020.
INTRODUCTION
The state of health-care disaster preparedness in Iran prior to the possible earthquakes is not well documented. This study identified the challenges of the Iranian health system before possible earthquakes in Tehran based on the World Health Organization (WHO) framework.
MATERIALS AND METHODS
In this qualitative study, in-depth and semi-structured interviews were conducted for 17 health experts and authorities, who were selected based on purposive sampling method. The questions were designed based on the proposed framework of the WHO in six areas including policies and planning, communication, collaboration and coordination, training, volunteers and the public, and surge capability. The data were analyzed by using framework analysis.
RESULTS
The main themes included weak communication infrastructures, inappropriate assessment of specialized training courses and lack of a clear scenario, integrated urban commanding, extra-sectorial coordination, and data banks for public volunteers.
CONCLUSION
Iran health-care disaster preparedness was tested by many earthquakes. This research showed that disaster preparedness in Iran faces several challenges.
引言
在可能发生地震之前，伊朗医疗保健系统的灾难准备状况缺乏充分记录。本研究基于世界卫生组织（WHO）的框架，确定了德黑兰可能发生地震之前伊朗卫生系统面临的挑战。
材料与方法
在这项定性研究中，对17名卫生专家和管理人员进行了深入的半结构化访谈，这些人员是通过目的抽样法选取的。问题是根据WHO提出的框架在六个领域设计的，包括政策与规划、沟通、协作与协调、培训、志愿者与公众以及应急能力。数据采用框架分析法进行分析。
结果
主要主题包括通信基础设施薄弱、对专业培训课程评估不当以及缺乏明确的预案、城市综合指挥、跨部门协调以及公共志愿者数据库。
结论
伊朗的医疗保健灾难准备工作经历了多次地震的考验。这项研究表明，伊朗的灾难准备工作面临若干挑战。
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