Assessment of local public health workers' willingness to respond to pandemic influenza through application of the extended parallel process model.
Assessment of local public health workers' willingness to respond to pandemic influenza through application of the extended parallel process model.
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DOI：
10.1371/journal.pone.0006365
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发表时间：
2009-07-24
期刊：
影响因子：
3.7
通讯作者：
Links JM
中科院分区：
文献类型：
--
作者：
Barnett DJ;Balicer RD;Thompson CB;Storey JD;Omer SB;Semon NL;Bayer S;Cheek LV;Gateley KW;Lanza KM;Norbin JA;Slemp CC;Links JM
地方公共卫生机构在应对流感大流行中发挥着核心作用，因此了解其员工上班的意愿是流感大流行规划工作的一个关键相关问题。Witte的扩展并行过程模型（EPPM）已被发现有用的了解适应性行为，在面对未知的风险，从而提供了一个框架，检查特定的社区卫生组织的意愿，以应对当地的公共卫生工作者。因此，我们的目的是使用EPPM作为透镜，检查感知的威胁和效果对当地公共卫生工作者的大流行性流感的反应意愿的影响。2006年11月至2007年12月期间，我们对三个州的当地公共卫生雇员进行了一项基于EPPM的在线调查，内容是关于对应急响应的态度/信念（约翰霍普金斯大学公共卫生基础设施响应调查工具）。共收集了1835份回复，总体回复率为83%。在2006- 2007年，有16%的员工不愿意“对流感大流行的紧急情况做出反应，无论其严重程度如何”，这一比例存在一些地区差异。当地卫生部门的雇员认为高威胁和高效率-即，那些在EPPM分析中符合“关注和自信”特征的人--如果他们的机构要求，他们宣布愿意应对流感大流行的比率最高，比那些符合“低威胁/低效率”EPPM特征的人高31.7倍。在大流行性流感规划的背景下，EPPM提供了一个有用的框架，以告知对当地公共卫生工作者应对意愿的基线水平和差距的细微理解。在当地卫生部门，“关心和自信”的员工最有可能愿意做出回应。这一发现可能使公共卫生机构设计，实施和评估培训计划的重点是在卫生部门的应急反应的态度。
Local public health agencies play a central role in response to an influenza pandemic, and understanding the willingness of their employees to report to work is therefore a critically relevant concern for pandemic influenza planning efforts. Witte's Extended Parallel Process Model (EPPM) has been found useful for understanding adaptive behavior in the face of unknown risk, and thus offers a framework for examining scenario-specific willingness to respond among local public health workers. We thus aim to use the EPPM as a lens for examining the influences of perceived threat and efficacy on local public health workers' response willingness to pandemic influenza. We administered an online, EPPM-based survey about attitudes/beliefs toward emergency response (Johns Hopkins∼Public Health Infrastructure Response Survey Tool), to local public health employees in three states between November 2006 – December 2007. A total of 1835 responses were collected for an overall response rate of 83%. With some regional variation, overall 16% of the workers in 2006-7 were not willing to “respond to a pandemic flu emergency regardless of its severity”. Local health department employees with a perception of high threat and high efficacy – i.e., those fitting a ‘concerned and confident’ profile in the EPPM analysis – had the highest declared rates of willingness to respond to an influenza pandemic if required by their agency, which was 31.7 times higher than those fitting a ‘low threat/low efficacy’ EPPM profile. In the context of pandemic influenza planning, the EPPM provides a useful framework to inform nuanced understanding of baseline levels of – and gaps in – local public health workers' response willingness. Within local health departments, ‘concerned and confident’ employees are most likely to be willing to respond. This finding may allow public health agencies to design, implement, and evaluate training programs focused on emergency response attitudes in health departments.
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影响因子：
2.5
作者：
WITTE, K
通讯作者：
WITTE, K
DOI：
10.1089/bsp.2005.3.331
发表时间：
2005-01-01
期刊：
BIOSECURITY AND BIOTERRORISM-BIODEFENSE STRATEGY PRACTICE AND SCIENCE
影响因子：
--
作者：
DiMaggio, C;Markenson, D;Redlener, I
通讯作者：
Redlener, I
影响因子：
3.8
作者：
SANDMAN, PM;MILLER, PM;WEINSTEIN, ND
通讯作者：
WEINSTEIN, ND
DOI：
10.14219/jada.archive.2006.0217
发表时间：
2006-04-01
影响因子：
3.9
作者：
Katz, AR;Nekorchuk, DM;Effler, PV
通讯作者：
Effler, PV
影响因子：
3.9
作者：
Smith, Rachel A.;Ferrara, Merissa;Witte, Kim
通讯作者：
Witte, Kim