Health care workers’ ability and willingness to report to duty during catastrophic disasters
Identifieur interne : 001044 ( Ncbi/Merge ); précédent : 001043; suivant : 001045Health care workers’ ability and willingness to report to duty during catastrophic disasters
Auteurs : K. Qureshi [États-Unis] ; R. R. M. Gershon [États-Unis] ; M. F. Sherman [États-Unis] ; T. Straub [États-Unis] ; E. Gebbie [États-Unis] ; M. Mccollum [États-Unis] ; M. J. Erwin [États-Unis] ; S. S. Morse [États-Unis]Source :
- Journal of Urban Health : Bulletin of the New York Academy of Medicine [ 1099-3460 ] ; 2005.
Abstract
Catastrophic disasters create surge capacity needs for health care systems. This is especially true in the urban setting because the high population density and reliance on complex urban infrastructures (e.g., mass transit systems and high rise buildings) could adversely affect the ability to meet surge capacity needs. To better understand responsiveness in this setting, we conducted a survey of health care workers (HCWs) (N=6,428) from 47 health care facilities in New York City and the surrounding metropolitan region to determine their
Url:
DOI: 10.1093/jurban/jti086
PubMed: 16000654
PubMed Central: 3456052
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<series><title level="j">Journal of Urban Health : Bulletin of the New York Academy of Medicine</title>
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<front><div type="abstract" xml:lang="en"><p>Catastrophic disasters create surge capacity needs for health care systems. This is especially true in the urban setting because the high population density and reliance on complex urban infrastructures (e.g., mass transit systems and high rise buildings) could adversely affect the ability to meet surge capacity needs. To better understand responsiveness in this setting, we conducted a survey of health care workers (HCWs) (N=6,428) from 47 health care facilities in New York City and the surrounding metropolitan region to determine their <italic>ability and willingness</italic>
to report to work during various catastrophic events. A range of facility types and sizes were represented in the sample. Results indicate that HCWs were <italic>most able</italic>
to report to work for a mass casualty incident (MCI) (83%), environmental disaster (81%), and chemical event (71%) and <italic>least able</italic>
to report during a smallpox epidemic (69%), radiological event (64%), sudden acute respiratory distress syndrome (SARS) outbreak (64%), or severe snow storm (49%). In terms of <italic>willingness</italic>
, HCWs were <italic>most willing</italic>
to report during a snow storm (80%), MCI (86%), and environmental disaster (84%) and <italic>least willing</italic>
during a SARS outbreak (48%), radiological event (57%), smallpox epidemic (61%), and chemical event (68%). Barriers to ability included transportation problems, child care, eldercare, and pet care obligations. Barriers to willingness included fear and concern for family and self and personal health problems. The findings were consistent for all types of facilities. Importantly, many of the barriers identified are amenable to interventions.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Urban Health</journal-id>
<journal-id journal-id-type="iso-abbrev">J Urban Health</journal-id>
<journal-title-group><journal-title>Journal of Urban Health : Bulletin of the New York Academy of Medicine</journal-title>
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<issn pub-type="ppub">1099-3460</issn>
<issn pub-type="epub">1468-2869</issn>
<publisher><publisher-name>Springer-Verlag</publisher-name>
<publisher-loc>New York</publisher-loc>
</publisher>
</journal-meta>
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<article-id pub-id-type="publisher-id">412</article-id>
<article-id pub-id-type="doi">10.1093/jurban/jti086</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Health care workers’ ability and willingness to report to duty during catastrophic disasters</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Qureshi</surname>
<given-names>K.</given-names>
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<address><email>qureshi@adelphi.edu</email>
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<xref ref-type="aff" rid="Aff1">1</xref>
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<contrib contrib-type="author"><name><surname>Gershon</surname>
<given-names>R. R. M.</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
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<contrib contrib-type="author"><name><surname>Sherman</surname>
<given-names>M. F.</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
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<contrib contrib-type="author"><name><surname>Straub</surname>
<given-names>T.</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gebbie</surname>
<given-names>E.</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>McCollum</surname>
<given-names>M.</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Erwin</surname>
<given-names>M. J.</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Morse</surname>
<given-names>S. S.</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Mailman School of Public Health, Columbia University, New York, New York</aff>
<aff id="Aff4"><label>4</label>
Greater New York Hospital Association, New York, New York</aff>
<aff id="Aff3"><label>3</label>
Loyola College, Baltimore, Maryland</aff>
<aff id="Aff2"><label>2</label>
School of Nursing, Adelphi University, 1 South Avenue, 11530 Garden City, NY</aff>
</contrib-group>
<pub-date pub-type="ppub"><month>9</month>
<year>2005</year>
</pub-date>
<volume>82</volume>
<issue>3</issue>
<fpage>378</fpage>
<lpage>388</lpage>
<permissions><copyright-statement>© Oxford University Press on behalf of the New York Academy of Medicine 2005</copyright-statement>
</permissions>
<abstract id="Abs1"><p>Catastrophic disasters create surge capacity needs for health care systems. This is especially true in the urban setting because the high population density and reliance on complex urban infrastructures (e.g., mass transit systems and high rise buildings) could adversely affect the ability to meet surge capacity needs. To better understand responsiveness in this setting, we conducted a survey of health care workers (HCWs) (N=6,428) from 47 health care facilities in New York City and the surrounding metropolitan region to determine their <italic>ability and willingness</italic>
to report to work during various catastrophic events. A range of facility types and sizes were represented in the sample. Results indicate that HCWs were <italic>most able</italic>
to report to work for a mass casualty incident (MCI) (83%), environmental disaster (81%), and chemical event (71%) and <italic>least able</italic>
to report during a smallpox epidemic (69%), radiological event (64%), sudden acute respiratory distress syndrome (SARS) outbreak (64%), or severe snow storm (49%). In terms of <italic>willingness</italic>
, HCWs were <italic>most willing</italic>
to report during a snow storm (80%), MCI (86%), and environmental disaster (84%) and <italic>least willing</italic>
during a SARS outbreak (48%), radiological event (57%), smallpox epidemic (61%), and chemical event (68%). Barriers to ability included transportation problems, child care, eldercare, and pet care obligations. Barriers to willingness included fear and concern for family and self and personal health problems. The findings were consistent for all types of facilities. Importantly, many of the barriers identified are amenable to interventions.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Ability</kwd>
<kwd>Disaster</kwd>
<kwd>Emergency</kwd>
<kwd>Health care workers</kwd>
<kwd>Willingness</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The New York Academy of Medicine 2004</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
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