Dentists' preparedness for responding to bioterrorism - A survey of Hawaii dentists

Dentists' preparedness for responding to bioterrorism - A survey of Hawaii dentists
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DOI:
10.14219/jada.archive.2006.0217
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发表时间:
2006-04-01
影响因子:
3.9
通讯作者:
Effler, PV
Effler, PV
中科院分区:
医学3区
文献类型:
--
作者:
Katz, AR;Nekorchuk, DM;Effler, PV

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背景。作者对夏威夷的牙医进行了一项调查,以评估他们对生物恐怖主义(BT)事件的知识、感知准备和反应意愿。采用横断面研究设计访问随机样本(n = 240),所有居住在夏威夷州的执业牙医(n = 1016),作者在2004年6月和7月期间向研究参与者邮寄了三次匿名调查。基于知识的问题取自经认证的基于互联网的免费继续医学教育项目。在234份可交付的调查中,133份得到了回复(回复率为56.8%)。只有2.3%的答复者报告曾接受过BT备灾培训。共有14.5%的人认为他们能够识别和识别BT事件,9.2%的人表示他们能够有效应对BT攻击。总共有73.8%的人表示愿意在发生BT攻击时向国家提供援助。在以客观知识为基础的问题上,牙医的平均正确率为62%(9道题中有5.6道)。先前培训的低流行率加上提供援助的高度意愿表明需要额外的BT准备培训。这应该作为继续教育提供执业牙医和纳入牙科学校的课程。临床意义。牙医有基本的知识和经验,在BT活动中扮演一些关键角色;但是,必须提供额外的培训以发展BT防范能力。
Background. The authors conducted a survey of dentists in Hawaii to assess their knowledge of, perceived readiness for and willingness to respond to bioterrorist (BT) events.Methods. Using a cross-sectional study design to access a random sample (n = 240) of all licensed dentists residing in the state of Hawaii (N = 1,016), the authors mailed study participants an anonymous survey up to three times during June and July 2004. Knowledge-based questions were taken from accredited Internet-based free continuing medical education offerings.Results. Of 234 deliverable surveys, 133 were returned (response rate of 56.8 percent). Only 2.3 percent of respondents reported having received prior BT preparedness training. A total of 14.5 percent felt able to identify and recognize a BT event, and 9.2 percent indicated they were able to respond effectively to a BT attack. A total of 73.8 percent expressed willingness to provide assistance to the state in the event of a BT attack. Dentists scored a mean of 62 percent correct (5.6 of nine questions) on the objective knowledge-based questions.Conclusions. A low prevalence of prior training coupled with a high degree of willingness to provide assistance indicates the need for additional BT preparedness training. This should be provided as continuing education offerings to practicing dentists and incorporated into the dental school curriculum.Clinical Implications. Dentists have the basic knowledge and experience to perform a number of key roles in a BT event; however, additional training must be provided to develop BT preparedness competencies.