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首页> 外文期刊>Journal of public health management and practice: JPHMP >Characteristics of kentucky local health departments that influence public health communication during times of crisis: Information dissemination associated with H1N1 novel influenza
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Characteristics of kentucky local health departments that influence public health communication during times of crisis: Information dissemination associated with H1N1 novel influenza

机译：在危机时期影响公共卫生沟通的肯塔基州地方卫生部门的特征：与H1N1新型流感相关的信息传播

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Objective: The purpose of this study was to investigate the association of selected characteristics of local health departments (LHDs) in Kentucky with the receipt of information by external stakeholders, specifically physicians and pharmacists, during the initial H1N1 outbreak of 2009. Methods: This study utilized a cross-sectional survey to gather characteristic information from local health departments. In addition, cross sectional surveys of physicians and pharmacists were used to determine information receipt. All 54 LHDs in Kentucky were surveyed; however, only those physicians belonging to the Kentucky Family Physician Association or the Kentucky Ambulatory Network were surveyed. Also, pharmacists included in this survey were members of the Kentucky Pharmacist Association. Descriptive data analyses, including chi-square test of independence, were conducted, and generalized estimating equations were used to calculate odds ratios to depict associations related to information exchange in this study. Results: Response rates for the study were as follows: LHDs 65% (35/54), physicians 18.5% (96/518), and pharmacists 21.1% (211/1000). Of the 35 participating LHDs the most common characteristic identified was the presence of a public information officer (PIO) and a pandemic influenza plan, 76% and 64%, respectively. Despite these factors, 72% of external stakeholders did not receive any information regarding H1N1 from the LHD. Generalized estimating equations also indicated that stakeholders in jurisdictions lacking a PIO had 6 (95% confidence interval, 1.3-26.95) greater odds of not receiving information from the LHD. External stakeholders in jurisdictions without a pandemic influenza plan had 3.38 (95% confidence interval, 0.80-1.17) increased odds of not receiving information but this association was not statistically significant. Conclusion: Observations from this study indicate a need to improve information exchange between LHDs and their external stakeholders, specifically physicians and pharmacists. Present results suggest the designation of a PIO may positively influence communication between LHDs and other health care providers, particularly physicians.
机译：目的：本研究的目的是调查在2009年最初的H1N1爆发期间，肯塔基州当地卫生部门（LHD）选定特征与外部利益相关者（尤其是医生和药剂师）的信息接收之间的关联。方法：本研究利用横断面调查从当地卫生部门收集特征信息。此外，还通过对医生和药剂师的横断面调查来确定信息接收。对肯塔基州的所有54个LHD进行了调查。但是，仅对属于肯塔基州家庭医师协会或肯塔基州门诊网络的那些医生进行了调查。此外，本次调查中的药剂师是肯塔基州药剂师协会的成员。进行描述性数据分析，包括卡方独立性检验，并使用广义估计方程计算比值比，以描述本研究中与信息交换相关的关联。结果：该研究的缓解率如下：LHDs为65％（35/54），医生为18.5％（96/518），而药剂师为21.1％（211/1000）。在35个参与调查的LHD中，最常见的特征是存在公共信息官（PIO）和大流行性流感计划，分别为76％和64％。尽管有这些因素，但72％的外部利益相关者未从LHD收到有关H1N1的任何信息。广义估计方程还表明，缺乏PIO的辖区中的利益相关者没有从LHD接收信息的几率更高（95％置信区间，1.3-26.95）。没有大流行性流感计划的辖区中的外部利益相关者未收到信息的几率增加了3.38（95％置信区间，0.80-1.17），但是这种关联在统计上并不显着。结论：这项研究的观察结果表明，有必要改善LHD及其外部利益相关者（特别是医生和药剂师）之间的信息交换。目前的结果表明，PIO的指定可能会对LHD与其他医疗保健提供者（尤其是医生）之间的交流产生积极影响。

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