Radiation Emergency Medical Preparedness in Japan: A Survey of Nuclear Emergency Core Hospitals
Radiation Emergency Medical Preparedness in Japan: A Survey of Nuclear Emergency Core Hospitals
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日本辐射应急医疗准备：核应急核心医院调查
DOI：
10.1017/dmp.2021.348
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发表时间：
2022
影响因子：
2.7
通讯作者：
Takashi Nagata
中科院分区：
文献类型：
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作者：
Takashi Nagata
目的 根据 2011 年东日本大地震和核电站事故的经验，核应急核心医院 (NECH) 被指定为日本辐射灾害管理中心。本研究旨在调查他们的现状并确定需要改进的领域。方法这项横断面研究于 2018 年 10 月进行。通过问卷调查收集人口统计数据，并以自由文本回答有关对 NECH 的态度。使用定性文本挖掘分析对辐射灾难期间风险沟通的考虑因素进行了分析。结果共有 36 家医院参与了这项研究。只有 31% 的 NECH 预计会发生辐射灾难。业务连续性计划和风险沟通的重要性得到了体现。文本分析确定了辐射灾难期间医护人员的 7 个重要类别，包括媒体反应、与医院工作人员的沟通、风险沟通、辐射对儿童的影响、该地区辐射灾难的规划、谣言以及在该地区的作用。结论对日本的辐射灾难医疗系统和 NECH 进行了调查。风险沟通的重要性、每个地区的辐射灾害规划以及在该地区的作用被确定为需要解决的问题。
ObjectiveBased on experiences following the Great East Japan Earthquake and nuclear power plant accident in 2011, Nuclear Emergency Core Hospitals (NECHs) were designated as centers for radiation disaster management in Japan. This study aimed to investigate their current status and identify areas for improvement.MethodsThis cross-sectional study was conducted in October 2018. Demographic data were collected by a questionnaire with free text responses about attitudes toward NECHs. Considerations regarding risk communications during a radiation disaster were analyzed using qualitative text mining analysis.ResultsA total of 36 hospitals participated in this study. Only 31% of NECHs anticipated a radiation disaster. The importance of business continuity plans and risk communications was shown. Text analysis identified 7 important categories for health care workers during a radiation disaster, including media response, communications to hospital staff, risk communications, radiation effects on children, planning for a radiation disaster in the region, rumors, and the role in the region.ConclusionThe radiation disaster medical system and NECHs in Japan were surveyed. The importance of risk communications, planning for a radiation disaster in each region, and the role in the region are identified as issues that need to be addressed.
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