Insufficient preparedness of primary care practices for pandemic influenza and the effect of a preparedness plan in Japan: a prefecture-wide cross-sectional study.
Identifieur interne : 000979 ( PubMed/Checkpoint ); précédent : 000978; suivant : 000980Insufficient preparedness of primary care practices for pandemic influenza and the effect of a preparedness plan in Japan: a prefecture-wide cross-sectional study.
Auteurs : Taro Tomizuka [Japon] ; Yasuhiro Kanatani ; Kazuo KawaharaSource :
- BMC family practice [ 1471-2296 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse multivariée, Antiviraux (ressources et distribution), Dispositifs de protection (ressources et distribution), Enquêtes et questionnaires, Femelle, Grippe humaine (épidémiologie), Humains, Hôpitaux (normes), Japon, Modèles logistiques, Mâle, Odds ratio, Pandémies, Planification en santé (normes), Réserve stratégique, Soins de santé primaires (normes), Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus, Établissements de soins ambulatoires (normes), Études transversales.
- MESH :
- normes : Hôpitaux, Planification en santé, Soins de santé primaires, Établissements de soins ambulatoires.
- ressources et distribution : Antiviraux, Dispositifs de protection.
- épidémiologie : Grippe humaine.
- Adulte, Adulte d'âge moyen, Analyse multivariée, Enquêtes et questionnaires, Femelle, Humains, Japon, Modèles logistiques, Mâle, Odds ratio, Pandémies, Réserve stratégique, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
- Wicri :
- geographic : Japon.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Ambulatory Care Facilities (standards), Antiviral Agents (supply & distribution), Cross-Sectional Studies, Female, Health Planning (standards), Hospitals (standards), Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human (epidemiology), Japan, Logistic Models, Male, Middle Aged, Multivariate Analysis, Odds Ratio, Pandemics, Primary Health Care (standards), Protective Devices (supply & distribution), Strategic Stockpile, Surveys and Questionnaires.
- MESH :
- chemical , supply & distribution : Antiviral Agents.
- geographic : Japan.
- epidemiology : Influenza, Human.
- standards : Ambulatory Care Facilities, Health Planning, Hospitals, Primary Health Care.
- supply & distribution : Protective Devices.
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Influenza A Virus, H1N1 Subtype, Logistic Models, Male, Middle Aged, Multivariate Analysis, Odds Ratio, Pandemics, Strategic Stockpile, Surveys and Questionnaires.
Abstract
Cases of emerging infectious diseases, including H5N1 influenza, H7N9 influenza, and Middle East Respiratory Syndrome, have been reported in recent years, and the threat of pandemic outbreaks persists. In Japan, primary care is the frontline against emerging infectious diseases in communities. Although the importance of pandemic preparedness in primary care has been highlighted previously, few studies have thus far investigated the preparedness among primary care practices (PCPs) or differences in the preparedness of different institutional settings. We examined PCP preparedness and response to the 2009 influenza pandemic in Japan, and explored the role of a pandemic preparedness plan during the pandemic.
DOI: 10.1186/1471-2296-14-174
PubMed: 24252688
Affiliations:
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pubmed:24252688Le document en format XML
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Kantō</region></placeName></affiliation></author><author><name sortKey="Kanatani, Yasuhiro" sort="Kanatani, Yasuhiro" uniqKey="Kanatani Y" first="Yasuhiro" last="Kanatani">Yasuhiro Kanatani</name></author><author><name sortKey="Kawahara, Kazuo" sort="Kawahara, Kazuo" uniqKey="Kawahara K" first="Kazuo" last="Kawahara">Kazuo Kawahara</name></author></analytic><series><title level="j">BMC family practice</title><idno type="eISSN">1471-2296</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Ambulatory Care Facilities (standards)</term><term>Antiviral Agents (supply & distribution)</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Planning (standards)</term><term>Hospitals (standards)</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (epidemiology)</term><term>Japan</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Odds Ratio</term><term>Pandemics</term><term>Primary Health Care (standards)</term><term>Protective Devices (supply & distribution)</term><term>Strategic Stockpile</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse multivariée</term><term>Antiviraux (ressources et distribution)</term><term>Dispositifs de protection (ressources et distribution)</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Hôpitaux (normes)</term><term>Japon</term><term>Modèles logistiques</term><term>Mâle</term><term>Odds ratio</term><term>Pandémies</term><term>Planification en santé (normes)</term><term>Réserve stratégique</term><term>Soins de santé primaires (normes)</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Établissements de soins ambulatoires (normes)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="supply & distribution" xml:lang="en"><term>Antiviral Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Japan</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Hôpitaux</term><term>Planification en santé</term><term>Soins de santé primaires</term><term>Établissements de soins ambulatoires</term></keywords><keywords scheme="MESH" qualifier="ressources et distribution" xml:lang="fr"><term>Antiviraux</term><term>Dispositifs de protection</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Ambulatory Care Facilities</term><term>Health Planning</term><term>Hospitals</term><term>Primary Health Care</term></keywords><keywords scheme="MESH" qualifier="supply & distribution" xml:lang="en"><term>Protective Devices</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Odds Ratio</term><term>Pandemics</term><term>Strategic Stockpile</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse multivariée</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Japon</term><term>Modèles logistiques</term><term>Mâle</term><term>Odds ratio</term><term>Pandémies</term><term>Réserve stratégique</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Japon</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Cases of emerging infectious diseases, including H5N1 influenza, H7N9 influenza, and Middle East Respiratory Syndrome, have been reported in recent years, and the threat of pandemic outbreaks persists. In Japan, primary care is the frontline against emerging infectious diseases in communities. Although the importance of pandemic preparedness in primary care has been highlighted previously, few studies have thus far investigated the preparedness among primary care practices (PCPs) or differences in the preparedness of different institutional settings. We examined PCP preparedness and response to the 2009 influenza pandemic in Japan, and explored the role of a pandemic preparedness plan during the pandemic.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24252688</PMID><DateCompleted><Year>2014</Year><Month>07</Month><Day>09</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2296</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><PubDate><Year>2013</Year><Month>Nov</Month><Day>19</Day></PubDate></JournalIssue><Title>BMC family practice</Title><ISOAbbreviation>BMC Fam Pract</ISOAbbreviation></Journal><ArticleTitle>Insufficient preparedness of primary care practices for pandemic influenza and the effect of a preparedness plan in Japan: a prefecture-wide cross-sectional study.</ArticleTitle><Pagination><MedlinePgn>174</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2296-14-174</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Cases of emerging infectious diseases, including H5N1 influenza, H7N9 influenza, and Middle East Respiratory Syndrome, have been reported in recent years, and the threat of pandemic outbreaks persists. In Japan, primary care is the frontline against emerging infectious diseases in communities. Although the importance of pandemic preparedness in primary care has been highlighted previously, few studies have thus far investigated the preparedness among primary care practices (PCPs) or differences in the preparedness of different institutional settings. We examined PCP preparedness and response to the 2009 influenza pandemic in Japan, and explored the role of a pandemic preparedness plan during the pandemic.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We used a survey questionnaire to assess how well individual PCPs in Okinawa, Japan, were prepared for the 2009 influenza pandemic. The questionnaire was mailed to all eligible PCPs (N = 465) in Okinawa, regardless of their institutional setting. In addition, we assessed the differences in the preparedness of clinics and hospitals and determined whether the national preparedness plan affected individual preparedness and response. Data were analyzed using descriptive and logistic regression analyses.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 174 (37.4%) PCPs responded to our survey. In general, high-level personal protective equipment (PPE) such as N95 masks (45.4%), gowns (30.5%), and eye protection (21.3%) was stocked at a low rate. Clinic-based PCPs were significantly less prepared than hospital-based PCPs to provide N95 masks (OR 0.34), gowns (OR 0.15), and eye protection (OR 0.18). In addition, only 32.8% of PCPs adopted an adequate business continuity plan (BCP). After controlling for institutional setting, reading the national preparedness plan was significantly associated with establishment of a BCP (OR 5.86), and with knowledge of how to transfer a swab specimen to a local medical laboratory (OR 5.60).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">With regard to PPE availability, PCPs (especially clinic-based PCPs) were not adequately prepared for the influenza pandemic. Awareness of the national pandemic preparedness plan is likely to promote prefecture-wide implementation of BCPs and surveillance activity.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tomizuka</LastName><ForeName>Taro</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Health Policy Science, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan. ttarhcm@tmd.ac.jp.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kanatani</LastName><ForeName>Yasuhiro</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Kawahara</LastName><ForeName>Kazuo</ForeName><Initials>K</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>11</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Fam Pract</MedlineTA><NlmUniqueID>100967792</NlmUniqueID><ISSNLinking>1471-2296</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000998">Antiviral Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000554" MajorTopicYN="N">Ambulatory Care Facilities</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000998" MajorTopicYN="N">Antiviral Agents</DescriptorName><QualifierName UI="Q000600" MajorTopicYN="N">supply & distribution</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006285" MajorTopicYN="N">Health Planning</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006761" MajorTopicYN="N">Hospitals</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007564" MajorTopicYN="N" Type="Geographic">Japan</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011320" MajorTopicYN="N">Primary Health Care</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011482" MajorTopicYN="N">Protective Devices</DescriptorName><QualifierName UI="Q000600" MajorTopicYN="N">supply & distribution</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D062205" MajorTopicYN="N">Strategic Stockpile</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>08</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>11</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>11</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>11</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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IdType="pubmed">14006536</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement></list><tree><noCountry><name sortKey="Kanatani, Yasuhiro" sort="Kanatani, Yasuhiro" uniqKey="Kanatani Y" first="Yasuhiro" last="Kanatani">Yasuhiro Kanatani</name><name sortKey="Kawahara, Kazuo" sort="Kawahara, Kazuo" uniqKey="Kawahara K" first="Kazuo" last="Kawahara">Kazuo Kawahara</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Tomizuka, Taro" sort="Tomizuka, Taro" uniqKey="Tomizuka T" first="Taro" last="Tomizuka">Taro Tomizuka</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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