Assessment of the Capacity and Capability of Burn Centers to Respond to Burn Disasters in Belgium: A Mixed-Method Study
Assessment of the Capacity and Capability of Burn Centers to Respond to Burn Disasters in Belgium: A Mixed-Method Study
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DOI：
10.1093/jbcr/irz105
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发表时间：
2019-11-01
影响因子：
1.4
通讯作者：
Jennes, Serge
中科院分区：
文献类型：
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作者：
Al-Shamsi, Mustafa;Moitinho de Almeida, Maria;Jennes, Serge
烧伤灾难的定义是大量涌入的病人超过了烧伤中心的能力和能力。这项研究调查了比利时地面烧伤中心应对烧伤灾难的能力和能力。定量调查和定性半结构访谈问卷直接向烧伤中心的关键信息者发放。对两种方法收集的数据进行了比较，以更深入地了解这一问题。量化数据被转换为叙述，以丰富定性数据，并纳入专题分析。最后，对来自两种方法的数据进行了分析，并将其组织成五个主题。比利时烧伤协会(BABI)为烧伤灾难管理制定了具体的院前计划。一旦BABI计划被激活，所有烧伤中心将作为一个实体做出反应。烧伤小组(B-Team)是在紧急情况下组建的专业小组，被部署到现场或非烧伤的专科医院帮助救灾。应对烧伤灾害的挑战尤其出现在分诊、转移、沟通、筹资和培训领域。我们得出结论，烧伤中心的容量和能力存在差异。总体而言，烧伤灾害管理系统先进，可与其他高收入国家相媲美。尽管如此，在准备、分类、沟通和最后培训方面的进一步改进将使未来的灾害应对能力更强。因此，比利时的烧伤灾害管理仍有进一步改进的空间。
Burn disaster is defined as a massive influx of patients that exceeds a burn center's capacity and capability. This study investigates the capacity and capability of burn centers to respond to burn disasters in the Belgian ground. Quantitative survey and qualitative semistructured interview questionnaires were administered directly to key informants of burn centers. The data collected from both methods were compared to get a more in-depth overview of the issue. Quantitative data were converted into a narrative to enrich the qualitative data and included in the thematic analysis. Finally, data from both methods were analyzed and organized into five themes. The Belgian Association of Burn Injury (BABI) has a specific prehospital plan for burn disaster management. Once the BABI Plan is activated, all burn centers respond as one entity. Burn Team (B-Team) is a professional team that is formed in case of urgent need and it is deployed to a scene or to nonburn specialized hospitals to help in disaster relief. The challenges for burn disasters response occur particularly in the area of triage, transfer, communication, funding, and training. We conclude that there is a variation in the capacity and capability of burn centers. Overall, the system of burn disaster management is advanced and it is comparable to other high-income countries. Nevertheless, further improvement in the areas of preparation, triage, communication, and finally training would make disaster response more resilient in the future. Therefore, there is still space for further improvement of the management of burn disasters in Belgium.