Patient and family physician preferences for care and communication in the eventuality of anthrax terrorism
Patient and family physician preferences for care and communication in the eventuality of anthrax terrorism
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DOI：
10.1093/fampra/cmg419
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发表时间：
2003-08-01
期刊：
影响因子：
2.2
通讯作者：
Vinker, S
中科院分区：
文献类型：
--
作者：
Kahan, E;Fogelman, Y;Vinker, S
背景2001年9月11日在美国发生的恐怖袭击所带来的生物恐怖主义威胁，促使人们提出了主要通过医院的可持续性来改善医疗反应的建议。本研究的目的是调查这一时期的紧张局势对患者的第一选择的照顾和接收相关信息的影响，并对初级保健医生的责任感在炭疽袭击的可能性。在2001年10月11日至31日期间，以色列全国30个诊所的500名病人被要求填写一份关于他们对炭疽威胁的认识、为准备这种威胁而采取的措施以及首选的护理和信息来源的问卷。他们的30名医生和另外20名医生完成了一份关于炭疽知识和炭疽相关患者行为和诊所访问的调查问卷。一个突出的发现是，如果担心炭疽袭击或媒体报道袭击正在进行中，选择医院急诊室作为护理或信息首选的患者比例很低（30%）。另外三分之二的人更喜欢他们的家庭医生或卫生当局。大多数医生（89%）认为，这是他们的责任，治疗炭疽感染的病人，因此，他们应该提供适当的指南。这项研究表明，在以色列，一个国家的民防方面的认识程度很高，病人和初级保健医生都认为，家庭医生应该在生物恐怖袭击的情况下发挥重要作用。在制订有关的保健服务方案时，必须认真考虑这一点。
Background. The threat of bioterrorism consequent to the September 11, 2001 attack in the USA generated suggestions for improved medical response mainly through hospital preparedness.Objectives. The aim of the present study was to investigate the impact of this period of tension on patients' first choice for care and for receiving relevant information, and on primary care doctors' feelings of responsibility in the eventuality of an anthrax attack.Methods. During October 11-31, 2001, 500 patients from 30 clinics throughout Israel were asked to complete a questionnaire on their awareness of the anthrax threat, measures taken to prepare for it, and preferred sources of care and information. Their 30 physicians, and an additional 20, completed a questionnaire on knowledge about anthrax and anthrax-related patient behaviours and clinic visits.Results. The outstanding finding was the low rate (30%) of patients who chose the hospital emergency department as their first choice for care or information if they were worried about an anthrax attack or the media communicated that an attack was in progress. The other two-thirds preferred their family doctor or the health authorities. Most of the physicians (89%) felt it was their responsibility to treat anthrax-infected patients and that they should therefore be supplied with appropriate guidelines.Conclusion. This study suggests that in Israel, a country with a high degree of awareness of civil defence aspects, both patients and primary care doctors believe that family physicians should have a major role in the case of bioterrorist attacks. This must be seriously considered during formulation of relevant health services programmes.