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The pandemic influenza planning process in Ontario acute care hospitals

Identifieur interne : 003C54 ( Main/Exploration ); précédent : 003C53; suivant : 003C55

The pandemic influenza planning process in Ontario acute care hospitals

Auteurs : Dick E. Zoutman [Canada] ; B. Douglas Ford [Canada] ; Matt Melinyshyn [Canada] ; Brian Schwartz [Canada]

Source :

RBID : PMC:7132733

Descripteurs français

English descriptors

Abstract

Background

There will be little time to prepare when an influenza pandemic strikes; hospitals need to develop and test pandemic influenza plans beforehand.

Methods

Acute care hospitals in Ontario were surveyed regarding their pandemic influenza preparedness plans.

Results

The response rate was 78.5%, and 95 of 121 hospitals participated. Three quarters (76.8%, 73 of 95) of hospitals had pandemic influenza plans. Only 16.4% (12 of 73) of hospitals with plans had tested them. Larger (χ2 = 6.7, P = .01) and urban hospitals (χ2 = 5.0, P = .03) were more likely to have tested their plans. 70.4% (50 of 71) Of respondents thought the pandemic influenza planning process was not adequately funded. No respondents were “very satisfied” with the completeness of their hospital's pandemic plan, and only 18.3% were “satisfied.”

Conclusion

Important challenges were identified in pandemic planning: one quarter of hospitals did not have a plan, few plans were tested, key players were not involved, plans were frequently incomplete, funding was inadequate, and small and rural hospitals were especially disadvantaged. If these problems are not addressed, the result may be increased morbidity and mortality when a virulent influenza pandemic hits.


Url:
DOI: 10.1016/j.ajic.2009.10.002
PubMed: 20022406
PubMed Central: 7132733


Affiliations:


Links toward previous steps (curation, corpus...)


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<term>Lutte contre l'infection (organisation et administration)</term>
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<title>Background</title>
<p>There will be little time to prepare when an influenza pandemic strikes; hospitals need to develop and test pandemic influenza plans beforehand.</p>
</sec>
<sec>
<title>Methods</title>
<p>Acute care hospitals in Ontario were surveyed regarding their pandemic influenza preparedness plans.</p>
</sec>
<sec>
<title>Results</title>
<p>The response rate was 78.5%, and 95 of 121 hospitals participated. Three quarters (76.8%, 73 of 95) of hospitals had pandemic influenza plans. Only 16.4% (12 of 73) of hospitals with plans had tested them. Larger (χ
<sup>2</sup>
= 6.7,
<italic>P</italic>
= .01) and urban hospitals (χ
<sup>2</sup>
= 5.0,
<italic>P</italic>
= .03) were more likely to have tested their plans. 70.4% (50 of 71) Of respondents thought the pandemic influenza planning process was not adequately funded. No respondents were “very satisfied” with the completeness of their hospital's pandemic plan, and only 18.3% were “satisfied.”</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Important challenges were identified in pandemic planning: one quarter of hospitals did not have a plan, few plans were tested, key players were not involved, plans were frequently incomplete, funding was inadequate, and small and rural hospitals were especially disadvantaged. If these problems are not addressed, the result may be increased morbidity and mortality when a virulent influenza pandemic hits.</p>
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<div1 type="bibliography">
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<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="O Sullivan, T L" uniqKey="O Sullivan T">T.L. O'Sullivan</name>
</author>
<author>
<name sortKey="Amaratunga, C A" uniqKey="Amaratunga C">C.A. Amaratunga</name>
</author>
<author>
<name sortKey="Hardt, J" uniqKey="Hardt J">J. Hardt</name>
</author>
<author>
<name sortKey="Gibson, D" uniqKey="Gibson D">D. Gibson</name>
</author>
<author>
<name sortKey="Phillips, K" uniqKey="Phillips K">K. Phillips</name>
</author>
<author>
<name sortKey="Corneil, W" uniqKey="Corneil W">W. Corneil</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Bartlett, J G" uniqKey="Bartlett J">J.G. Bartlett</name>
</author>
<author>
<name sortKey="Borio, L" uniqKey="Borio L">L. Borio</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Rebmann, T" uniqKey="Rebmann T">T. Rebmann</name>
</author>
<author>
<name sortKey="Wilson, R" uniqKey="Wilson R">R. Wilson</name>
</author>
<author>
<name sortKey="Lapointe, S" uniqKey="Lapointe S">S. LaPointe</name>
</author>
<author>
<name sortKey="Russell, B" uniqKey="Russell B">B. Russell</name>
</author>
<author>
<name sortKey="Moroz, D" uniqKey="Moroz D">D. Moroz</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Stricof, R L" uniqKey="Stricof R">R.L. Stricof</name>
</author>
<author>
<name sortKey="Schabses, K A" uniqKey="Schabses K">K.A. Schabses</name>
</author>
<author>
<name sortKey="Tserenpuntsag, B" uniqKey="Tserenpuntsag B">B. Tserenpuntsag</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Stevenson, K B" uniqKey="Stevenson K">K.B. Stevenson</name>
</author>
<author>
<name sortKey="Murphy, C L" uniqKey="Murphy C">C.L. Murphy</name>
</author>
<author>
<name sortKey="Samore, M H" uniqKey="Samore M">M.H. Samore</name>
</author>
<author>
<name sortKey="Hannah, E L" uniqKey="Hannah E">E.L. Hannah</name>
</author>
<author>
<name sortKey="Moore, J W" uniqKey="Moore J">J.W. Moore</name>
</author>
<author>
<name sortKey="Barbera, J" uniqKey="Barbera J">J. Barbera</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Zoutman, D E" uniqKey="Zoutman D">D.E. Zoutman</name>
</author>
<author>
<name sortKey="Ford, B D" uniqKey="Ford B">B.D. Ford</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Cunney, R" uniqKey="Cunney R">R. Cunney</name>
</author>
<author>
<name sortKey="Humphreys, H" uniqKey="Humphreys H">H. Humphreys</name>
</author>
<author>
<name sortKey="Murphy, N" uniqKey="Murphy N">N. Murphy</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Oh, H S" uniqKey="Oh H">H.S. Oh</name>
</author>
<author>
<name sortKey="Chung, H W" uniqKey="Chung H">H.W. Chung</name>
</author>
<author>
<name sortKey="Kim, J S" uniqKey="Kim J">J.S. Kim</name>
</author>
<author>
<name sortKey="Cho, S L" uniqKey="Cho S">S.L. Cho</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Moro, M L" uniqKey="Moro M">M.L. Moro</name>
</author>
<author>
<name sortKey="Petrosillo, N" uniqKey="Petrosillo N">N. Petrosillo</name>
</author>
<author>
<name sortKey="Gandin, C" uniqKey="Gandin C">C. Gandin</name>
</author>
<author>
<name sortKey="Bella, A" uniqKey="Bella A">A. Bella</name>
</author>
</analytic>
</biblStruct>
</listBibl>
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