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Hurricane Sandy: Public Health Staff Perceptions of Impact and Recommendations for Future Preparedness, New York State.

机译：桑迪飓风：纽约州公共卫生人员的影响感知和对未来防范的建议。

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摘要

Objectives: In 2012 Hurricane Sandy caused flooding, infrastructure and environmental damage, and interruption to public health services. To evaluate the New York State (NYS) public health system response to Hurricane Sandy, this dissertation provides an assessment of staff perceptions from responders representing affected local health departments and the New York State Department of Health.;Methods: A mixed methods approach was used to summarize the Sandy response staff feedback on the strengths and challenges experienced during Sandy and the staff recommendations for public health system preparedness. Qualitative analysis of text from emergency reports, focus groups, interviews and anonymous surveys was performed to sort key words into Public health Preparedness Capabilities using NVivo version 10 (QSR International, Melbourne, Australia). Quantitative analysis of closed ended survey responses was performed using the Statistical Analysis Software (SAS) package, version 9.2 (Cary, NC).;Results: For both local and state health department staff emergency operations coordination and information sharing preparedness capabilities were among the most-cited strengths, challenges, and recommendations. Important strengths included conference calls and other mechanisms for sharing information with partners, evacuation plans, use of staff, volunteers, and existing resources such as vehicles, flexibility with executive orders on vaccination requirements, maintenance of existing surveillance, laboratory, systems, and 'just in time' training.;Under the emergency operations coordination preparedness capability, key recommendations were sharing of situation reports more broadly, development of additional partnerships and memoranda of understanding, and utilizing staff and resources from non-affected regions and agencies.;Under the information sharing preparedness capability, key recommendations were increased communication channels at remote work sites, use of social media, clarifying the data that can be shared under HIPPA regulations, and improved emergency contact information for staff.;Recommendations were also provided for planning (development of interagency plans), training and preparedness (additional training including support staff), flexibility (partnership with unions to explore flexibility in staffing rules and compensation), and roles and responsibilities (clarifying staff roles).;Conclusions: Public health response to weather related disasters can be enhanced by building on existing strengths, seeking staff feedback on challenges, and working to incorporate recommendations for future improvement.
机译：目标：2012年，桑迪飓风造成洪水，基础设施和环境破坏，并中断公共卫生服务。为了评估纽约州（NYS）公共卫生系统对飓风桑迪的反应，本论文对代表受影响的当地卫生部门和纽约州卫生部的响应者的员工看法进行了评估。方法：采用混合方法总结桑迪响应人员对桑迪期间经历的优势和挑战的反馈，以及员工对公共卫生系统准备工作的建议。使用NVivo版本10（QSR International，澳大利亚墨尔本）对紧急情况报告，焦点小组，访谈和匿名调查中的文本进行了定性分析，以将关键词分类为公共卫生防备能力。使用统计分析软件（SAS）程序包9.2版（北卡罗来纳州卡里）对封闭式调查答复进行了定量分析；结果：对于地方和州卫生部门，员工的紧急行动协调和信息共享准备能力是最重要的引用的优势，挑战和建议。重要优势包括电话会议和与合作伙伴共享信息的其他机制，疏散计划，人员，志愿者的使用以及车辆等现有资源，对疫苗接种要求的行政命令的灵活性，维护现有监视，实验室，系统和“公正”在紧急行动协调准备能力下，主要建议是更广泛地共享情况报告，发展更多的伙伴关系和谅解备忘录，并利用未受影响地区和机构的人员和资源。共享备灾能力，主要建议是增加远程工作场所的沟通渠道，使用社交媒体，阐明可以根据HIPPA法规共享的数据，并改善员工的紧急联系信息。;还为规划提供了建议（发展跨机构计划），培训和准备发红（包括支持人员的额外培训），灵活性（与工会合作以探索人员配备规则和薪酬的灵活性）以及角色和职责（阐明员工角色）。；结论：可以通过以下措施增强对天气相关灾害的公共卫生响应：现有优势，寻求员工对挑战的反馈，并努力纳入建议以进行未来改进。

著录项

  • 作者

    Shipp Hilts, Asante M.;

  • 作者单位

    State University of New York at Albany.;

  • 授予单位 State University of New York at Albany.;
  • 学科 Public health.
  • 学位 Dr.P.H.
  • 年度 2016
  • 页码 159 p.
  • 总页数 159
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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