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首页> 外文学位 >Collaborative hospital strategies for metropolitan disaster medical preparedness and response (California, Florida, Illinois, Louisiana, Missouri).
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Collaborative hospital strategies for metropolitan disaster medical preparedness and response (California, Florida, Illinois, Louisiana, Missouri).

机译：大城市灾难医疗准备和响应的合作医院策略（加利福尼亚州，佛罗里达州，伊利诺伊州，路易斯安那州，密苏里州）。

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Since the events of September 11th, JCAHO, public health and hospital trade associations have called for community inter-organizational collaboration to prepare for and respond to mass casualty events, bioterrorism, and other public health emergencies. The context for these calls is a fragmented public health system and highly competitive hospital markets. This research asks how hospitals, public health and EMS agencies are working together to develop coordinated mass casualty inter-organizational responses, in relatively collaborative and well-prepared communities. To answer this question, expert key informants are interviewed for state and community case studies to understand their perceptions.; A purposive sample of five disaster states, with different natural catastrophe histories, was selected from publicly available state CDC public health and HRSA hospital preparedness cooperative agreement program grant applications to represent major U.S. regions. These states include: California, Florida, Illinois, Louisiana, and Missouri. A comparison state without a history of natural disasters, Oregon, was also selected. State level key informants, expert in current state preparedness activities, were selected by position title from state bioterrorism advisory committee membership lists to represent perceptions of hospital, public health, and EMS stakeholders. One key informant from each stakeholder group was interviewed from each sample state. These informants recommended relatively well-prepared "exemplary" communities in their states where hospitals, public health and EMS agencies are collaborating to develop inter-organizational surge capacity.; Case study communities include the Orange County, CA, Portland, OR, Miami, FL, Rockford, IL, and St. Louis, MO metropolitan areas, and two rural communities---Corvallis, OR and Shreveport, LA. At least three key informants were interviewed by phone from each metropolitan or rural region: a hospital disaster coordinator, a public health official, and an EMS officer. Informants were also interviewed from the St. Louis MMRS and two additional hospital systems in Portland. The project conducted group interviews with hospital informants during site visits to Orange County, Corvallis, Miami, Portland, and Rockford.; Key informants describe several planning and response models being used in case study communities. Planning models include technical/rational plans prepared by professional planners, a political influence planning model in one community, and evidence of collaborative planning models in four communities. (Abstract shortened by UMI.)
机译：自9月11日事件以来，JCAHO，公共卫生和医院行业协会已呼吁社区组织间合作，为大规模人员伤亡事件，生物恐怖主义和其他公共卫生紧急事件做准备并做出响应。这些呼吁的背景是分散的公共卫生系统和竞争激烈的医院市场。这项研究询问医院，公共卫生和EMS机构如何在相对合作且准备充分的社区中共同努力，以形成协调一致的大规模伤亡组织间响应。为了回答这个问题，对主要的关键线人进行了州和社区案例研究，以了解他们的看法。从可公开获得的州疾病预防控制中心公共卫生和HRSA医院防备合作协议计划拨款申请中选择了五个具有不同自然灾害历史的灾难状态的目标样本，这些代表美国的主要地区。这些州包括：加利福尼亚，佛罗里达，伊利诺伊州，路易斯安那州和密苏里州。还选择了没有自然灾害史的比较州俄勒冈州。从州生物恐怖主义咨询委员会成员名单中按职位头衔选出州级关键线人，当前州防备活动的专家，以表示对医院，公共卫生和EMS利益相关者的看法。每个样本国家都采访了每个利益相关者群体的一位关键线人。这些线人建议在其州，医院，公共卫生和EMS机构合作开发组织间激增能力的州，准备相对良好的“模范”社区。案例研究社区包括加利福尼亚州奥兰治县，俄勒冈州波特兰市，佛罗里达州迈阿密市，伊利诺伊州罗克福德和密苏里州圣路易斯市以及两个农村社区-俄勒冈州科瓦利斯和路易斯安那州什里夫波特。每个城市或农村地区的电话至少采访了三名主要信息提供者：医院灾难协调员，公共卫生官员和EMS总监。圣路易斯MMRS和波特兰的另外两个医院系统也对受访者进行了采访。该项目在对奥兰治县，科瓦利斯，迈阿密，波特兰和罗克福德的现场访问期间对医院的信息提供者进行了小组访谈。关键线人描述了案例研究社区中使用的几种计划和响应模型。计划模型包括由专业计划人员准备的技术/合理计划，一个社区中的政治影响力计划模型以及四个社区中的协作计划模型的证据。 （摘要由UMI缩短。）

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