Identifying weaknesses in national health emergency response skills and techniques with emergency responders: A cross-sectional study from China

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• 作者：Jiaojiao Ren ; MPH^a ; Qunhong Wu ; MD^a ; ^b ; ^{wuqunhong@163.com} ; Yanhua Hao ; MD^a ; ^b ; ^{hyhyjw@126.com} ; Adamm Ferrier ; MHA^c ; Hong Sun ; MD^a ; ^b ; Ding Ding ; MPH^a ; Ning Ning ; MD^a ; ^b ; Yu Cui ; MD^a ; ^b
• 关键词：Public health emergency ; Chinese Centers for Disease Control and Prevention
• 刊名：American Journal of Infection Control
• 出版年：2017
• 出版时间：1 January 2017
• 年：2017
• 卷：45
• 期：1
• 页码：e1-e6
• 全文大小：418 K
• 卷排序：45

文摘

After decades of investment in public health emergency response system in terms of infrastructure, equipment, inter-organizational communication and other areas, China has claimed that a sound public health emergency response system was established. Despite this, lack of qualified front-line staff that equipped with sufficient knowledge and emergency response skills has crippled the efficient action of emergency response. Although this problem is grave, there is paucity of studies in China exploring this issue. This study identified the weakest skill areas perceived by participants among key skills highly demanded during public health emergency response. Totally fourteen key emergency response skills and techniques were highlighted by responders. The five top weakest skill deficiency areas to be addressed were as follows: field epidemiological investigation skills, personal protective skills, nuclear and radioactive emergency handling skills, psychological intervention skills and risk assessment skills. Major obstacles hindering the efficient promotion and mastery of those key skills among front-line emergency responders were as follows: insufficient funding of technical application, lack of operability, disqualified training and drills, delays in skill updating. Determinants associated with the self-rated overall skill proficiency of public health emergency responders were explored: the multivariate logistic regression revealed personal protective skills as the most important factor contributing to self-rated overall skill proficiency of public health emergency responders (OR = 2.171), then field epidemiological investigation skills (OR = 1.510). Followed by emergency preparedness plan skills, coping with emergency drills, crisis communication skills, besides, field sampling skills and the professional title.