Nagata Takashi, Arishima Takuro, Yamaguchi Yoshihiro, Hirohashi Nobuyuki, Usa Toshiro, Hasegawa Arifumi, Hanada Hiroyuki, Yamamoto Naoyuki, Okamoto Tadashi, Akahoshi Tomohiko, Hamada Masahiko, Abe Takeru, Kikukawa Makoto, Nakao Hiroyuki, Yamamura Hitoshi, Sakamoto Tetsuya, Akashi Makoto, Hagihara Akihito
Faculty of Medicine Graduate School of Medical Sciences School of Medicine, Department of Advanced Medical Initiatives, Kyushu University, Fukuoka, Japan.
Department of Emergency and General Internal Medicine, Fujita Health University, Toyooka, Japan.
Disaster Med Public Health Prep. 2022 Feb 7;17:e78. doi: 10.1017/dmp.2021.348.
Based on experiences following the Great East Japan Earthquake and nuclear power plant accident in 2011, Nuclear Emergency Core Hospitals (NECHs) were designated as centers for radiation disaster management in Japan. This study aimed to investigate their current status and identify areas for improvement.
This cross-sectional study was conducted in October 2018. Demographic data were collected by a questionnaire with free text responses about attitudes toward NECHs. Considerations regarding risk communications during a radiation disaster were analyzed using qualitative text mining analysis.
A total of 36 hospitals participated in this study. Only 31% of NECHs anticipated a radiation disaster. The importance of business continuity plans and risk communications was shown. Text analysis identified 7 important categories for health care workers during a radiation disaster, including media response, communications to hospital staff, risk communications, radiation effects on children, planning for a radiation disaster in the region, rumors, and the role in the region.
The radiation disaster medical system and NECHs in Japan were surveyed. The importance of risk communications, planning for a radiation disaster in each region, and the role in the region are identified as issues that need to be addressed.
基于2011年东日本大地震及核电站事故后的经验，核应急核心医院（NECHs）被指定为日本辐射灾害管理的中心。本研究旨在调查其现状并确定改进领域。
本横断面研究于2018年10月进行。通过一份带有关于对核应急核心医院态度的自由文本回复的问卷收集人口统计学数据。使用定性文本挖掘分析对辐射灾害期间风险沟通的相关考量进行分析。
共有36家医院参与了本研究。只有31%的核应急核心医院预计会发生辐射灾害。显示了业务连续性计划和风险沟通的重要性。文本分析确定了辐射灾害期间医护人员的7个重要类别，包括媒体应对、与医院工作人员的沟通、风险沟通、辐射对儿童的影响、该地区辐射灾害的规划、谣言以及在该地区的作用。
对日本的辐射灾害医疗系统和核应急核心医院进行了调查。风险沟通、各地区辐射灾害规划以及在该地区的作用的重要性被确定为需要解决的问题。
