Public health emergency preparedness and response communications with health care providers: a literature review.

Public health emergency preparedness and response communications with health care providers: a literature review.
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DOI:
10.1186/1471-2458-11-337
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发表时间:
2011-05-18
期刊:
影响因子:
4.5
通讯作者:
Baseman J
Baseman J
中科院分区:
医学2区
文献类型:
--
作者:
Revere D;Nelson K;Thiede H;Duchin J;Stergachis A;Baseman J

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卫生保健提供者(HCPs)在突发公共卫生事件的准备和响应(PHEPR)中发挥着重要作用,因此需要了解公共卫生威胁和突发事件。为了向卫生服务提供者提供信息,公共卫生部门发布了公共卫生服务提供者信息,提供指南和最新情况,并促进监测,以便卫生服务提供者识别和控制传染病,防止过多死亡和减轻痛苦。公共卫生机构需要知道,向卫生保健专业人员发送的PHEPR信息能够达到其目标受众,并且是有效和信息丰富的。公共卫生机构需要知道,向卫生保健专业人员发送的PHEPR信息能够达到其目标受众,并且是有效和信息丰富的。我们进行了一项文献综述,以调查公共卫生用于向HCPs生成PHEPR通信的系统和工具,并确定可能与有效的PHEPR通信相关的消息传递机制和格式的特定特征。对同行和非同行评议的文献进行系统回顾,重点关注以下问题:1)现有哪些公共卫生系统可将PHEPR信息从公共卫生机构传达给医护人员?2)是否对这些系统进行了评估,如果是,使用了什么标准来评估这些系统?3)这些评估发现了公共卫生机构向医护人员传达PHEPR信息的最有效方式的特征?我们确定了25个系统或工具,用于从公共卫生机构向医护人员传达PHEPR信息。很少有文章评估PHEPR通信系统或消息传递方法或结果。只有一项研究比较了传递形式、设备或信息本身的有效性。我们还发现,由于多种格式和/或通过不同的传递系统的PHEPR消息冗余,hcp很有可能经历“消息过载”。我们发现,文献中很少有关于公共卫生部门向医护人员传递PHEPR信息的详细描述,即使有,也很少以任何系统的方式进行评估。为了满足当前和未来应急准备方面的信息需求,需要更加注意以科学严谨的方式评价这些系统的有效性。
Health care providers (HCPs) play an important role in public health emergency preparedness and response (PHEPR) so need to be aware of public health threats and emergencies. To inform HCPs, public health issues PHEPR messages that provide guidelines and updates, and facilitate surveillance so HCPs will recognize and control communicable diseases, prevent excess deaths and mitigate suffering. Public health agencies need to know that the PHEPR messages sent to HCPs reach their target audience and are effective and informative. Public health agencies need to know that the PHEPR messages sent to HCPs reach their target audience and are effective and informative. We conducted a literature review to investigate the systems and tools used by public health to generate PHEPR communications to HCPs, and to identify specific characteristics of message delivery mechanisms and formats that may be associated with effective PHEPR communications. A systematic review of peer- and non-peer-reviewed literature focused on the following questions: 1) What public health systems exist for communicating PHEPR messages from public health agencies to HCPs? 2) Have these systems been evaluated and, if yes, what criteria were used to evaluate these systems? 3) What have these evaluations discovered about characterizations of the most effective ways for public health agencies to communicate PHEPR messages to HCPs? We identified 25 systems or tools for communicating PHEPR messages from public health agencies to HCPs. Few articles assessed PHEPR communication systems or messaging methods or outcomes. Only one study compared the effectiveness of the delivery format, device or message itself. We also discovered that the potential is high for HCPs to experience "message overload" given redundancy of PHEPR messaging in multiple formats and/or through different delivery systems. We found that detailed descriptions of PHEPR messaging from public health to HCPs are scarce in the literature and, even when available are rarely evaluated in any systematic fashion. To meet present-day and future information needs for emergency preparedness, more attention needs to be given to evaluating the effectiveness of these systems in a scientifically rigorous manner.
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