Department of Disaster Medicine, Hamidiye Institute of Health Sciences, University of Health Sciences, Istanbul, Turkey.
Department of Emergency Aid and Disaster Management, Hamidiye Faculty of Health Sciences, University of Health Sciences, Istanbul, Turkey.
Disaster Med Public Health Prep. 2023 Dec 7;17:e548. doi: 10.1017/dmp.2023.217.
This study was conducted to identify the challenges faced by medical rescue teams during the response phase of sudden-onset disasters and provide a comprehensive understanding of these challenges. Peer-reviewed, English-language articles published until January 2023 that described the challenges faced by medical rescue teams during disaster response were searched in the Web of Science, Scopus, Cochrane, PubMed, and Science Direct databases. The articles were assessed using the Mixed Methods Appraisal Tool (MMAT) version 2018, a quality evaluation tool, and a qualitative thematic synthesis approach was adopted. A total of 353 publications were identified, and 18 of these met the inclusion criteria. Of the 18 included studies, 8 were review articles, 4 were special reports, 3 were cross-sectional studies, 1 was a mixed methods study, 1 was a qualitative study, and 1 was a short communication. Through qualitative analysis, the challenges faced by medical rescue teams during disaster response were categorized into 6 factors: organizational, individual, environmental and health, logistical, communication and information, and other factors. These factors are significant in terms of issues such as delayed access to disaster victims, disruptions in response processes, and an increase in morbidity and mortality rates. Therefore, the findings in our study shed light on future research in the field of disasters and offer opportunities to develop a roadmap for improving the conditions of medical rescue teams.
本研究旨在识别突发灾害应急响应阶段医疗救援队伍面临的挑战，全面了解这些挑战。在 Web of Science、Scopus、Cochrane、PubMed 和 Science Direct 数据库中检索了截至 2023 年 1 月描述灾害应急响应中医护救援队伍面临的挑战的同行评审英文文献。使用混合方法评估工具（MMAT）版本 2018 评估文章，这是一种质量评估工具，并采用定性主题综合方法。共确定了 353 篇出版物，其中 18 篇符合纳入标准。在纳入的 18 项研究中，8 项是综述文章，4 项是特别报告，3 项是横断面研究，1 项是混合方法研究，1 项是定性研究，1 项是简短交流。通过定性分析，将医疗救援队伍在灾害应对中面临的挑战分为 6 个因素：组织、个人、环境和健康、后勤、沟通和信息以及其他因素。这些因素在诸如延迟接触灾害受害者、应对过程中断以及发病率和死亡率增加等问题方面具有重要意义。因此，我们的研究结果为灾害领域的未来研究提供了启示，并为制定改善医疗救援队伍条件的路线图提供了机会。
