scholarly journals Awareness of family physician residents of their roles in disaster health management: a cross-sectional study in Turkey

2020 ◽  
Vol 21 ◽  
Author(s):  
Tarık Eren Yılmaz ◽  
Tuğba Yılmaz ◽  
Nüket Örnek Büken ◽  
Adem Özkara ◽  
Kerim Hakan Altıntaş
Keyword(s):  
Disaster Management ◽  
Family Physician ◽  
Role Models ◽  
Health Management ◽  
Family Physicians ◽  
Disaster Medicine ◽  
Specialty Training ◽  
Disaster Plan ◽  
Cross Sectional ◽  
Important Place

Abstract Aim: Family physicians are role models for their societies in disaster management and have an important place in it. This study was carried out during the specialty training of the residents, who are currently family physicians fighting against COVID-19 in the field, and was aimed to identify the awareness levels of residents regarding the roles and duties of family physicians before, during, and after disasters and to increase their awareness of disaster medicine and management. Background: The duties and responsibilities of a family physician in disasters should be a part of their specialty training. This study has contributed to the limited literature, increased awareness, and opened a new avenue of research for studies to be conducted with family physicians by demonstrating the current situation of family physicians in disaster management. Methods: This is an observational and descriptive study. The knowledge, experience, opinions, willingness, attitudes of the residents, and the awareness levels of the residents regarding their roles and duties in a disaster were evaluated along with their sociodemographic information. The surveys were applied in the family medicine clinics of the all residents by the interview method (n = 233). Findings: Only 9.2% of the residents stated that they had received training on disaster medicine where they currently work. The knowledge level of the residents on this subject was found as ‘Unsure’. In total, 80% of the residents stated that family physicians should have a role in disasters. It was found that 83.3% of the residents had never joined a disaster drill, 94.3% had never participated in making or applying a disaster plan, and 97.7% had never worked in any disaster. Conclusion: The residents participating in the study lacked not only information on disaster management but also experience. The residents’ willingness to receive training, work voluntarily, significantly question the curriculum, and specialize in disaster medicine were a positive outcome.

scholarly journals Awareness of Family Physician Residents of their Roles in Disaster Health Management: A Cross-Sectional Study in Saudi Arabia

2021 ◽  
pp. 254-261
Author(s):  
Fawaz Hassan Alamri ◽  
Faisal Dhahi Aldahash ◽  
Sa’ad Alqahtani
Keyword(s):  
Saudi Arabia ◽  
Disaster Management ◽  
Family Physician ◽  
Emergency Services ◽  
Health Management ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Disaster Medicine ◽  
Cross Sectional ◽  
The Family

Background: Family physicians have a pivotal role in responding to the medical community's needs and have a crucial role in disaster health management. Family physicians have several tasks and duties during and after the disaster, such as event detection, critical information’ collection and distribution, and rehabilitative activities. It is important to identify the level of awareness of the family physicians regarding their role in the management of disasters. Aim: To assess the awareness of family physician residents of their roles in disaster health management, Saudi Arabia. Methods: This study was cross-sectional; it was performed on Saudi family physician residents in family practice clinics and centers in Saudi Arabia. A self-administrated questionnaire has been sent electronically to the participants to investigate their awareness. IMB SPSS version 22 was used to analyze the collected data. Results: This study included 400 family physicians; more than one-half 52.75%were in the age of 28-30 years old. There were 61.5% worked previously at hospital emergency services. A few percentages reported receiving training on disaster medicine management in the clinic, 38.5%. 47.75% reported willingness to train on disaster management. There was 71% of physicians had high knowledge regarding their role in disaster management. Conclusion: There was high awareness among the family physicians regarding their role in the management of disaster with an acceptable attitude toward receiving training.

Increasing Emergency Medicine Residents’ Confidence in Disaster Management: Use of an Emergency Department Simulator and an Expedited Curriculum

2012 ◽  
Vol 27 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Jeffrey Michael Franc ◽  
Darren Nichols ◽  
Sandy L. Dong
Keyword(s):  
Emergency Medicine ◽  
Disaster Management ◽  
Medical Training ◽  
Faculty Evaluation ◽  
Computer Software ◽  
Disaster Medicine ◽  
Disaster Plan ◽  
Significant Difference ◽  
Simulation Based ◽  
Post Test

AbstractIntroduction: Disaster Medicine is an increasingly important part of medicine. Emergency Medicine residency programs have very high curriculum commitments, and adding Disaster Medicine training to this busy schedule can be difficult. Development of a short Disaster Medicine curriculum that is effective and enjoyable for the participants may be a valuable addition to Emergency Medicine residency training.Methods: A simulation-based curriculum was developed. The curriculum included four group exercises in which the participants developed a disaster plan for a simulated hospital. This was followed by a disaster simulation using the Disastermed.Ca Emergency Disaster Simulator computer software Version 3.5.2 (Disastermed.Ca, Edmonton, Alberta, Canada) and the disaster plan developed by the participants. Progress was assessed by a pre- and post-test, resident evaluations, faculty evaluation of Command and Control, and markers obtained from the Disastermed.Ca software.Results: Twenty-five residents agreed to partake in the training curriculum. Seventeen completed the simulation. There was no statistically significant difference in pre- and post-test scores. Residents indicated that they felt the curriculum had been useful, and judged it to be preferable to a didactic curriculum. In addition, the residents’ confidence in their ability to manage a disaster increased on both a personal and and a departmental level.Conclusions: A simulation-based model of Disaster Medicine training, requiring approximately eight hours of classroom time, was judged by Emergency Medicine residents to be a valuable component of their medical training, and increased their confidence in personal and departmental disaster management capabilities.

scholarly journals Satisfaction of Family Physician Plan: Viewpoint of Physicians and Health Service Consumers in Kerman, Southeast of Iran

2015 ◽  
Vol 4 (2) ◽  
pp. 96-102
Author(s):  
Batoul Ahmadi ◽  
Mohammad Hossein Pourebrahimi ◽  
Malihe Ram Bejandi ◽  
Ahmad Sadeghi ◽  
Mohammad Khammarnia ◽  
...  
Keyword(s):  
Health Service ◽  
Family Physician ◽  
Statistical Tests ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Staff Performance ◽  
Insurance Program ◽  
Health Insurance Program

Background: Family Physician plan is known as one of the most appropriate strategies to implement rural health insurance program in the form of referral system in Iran. This study aims to determine the satisfaction of family physicians and service consumers and its causes of dissatisfaction in the South of Iran. Materials and Methods: This cross-sectional study was performed in Kerman Health Network. Nineteen family physicians and 370 service consumers were selected using stratified random sampling. Data was gathered using two standardized questionnaires. Frequency tables, frequency percentage, mean graphs, Z and Freedman statistical tests were used to analyze the data. Results: Mean scores of physicians’ satisfaction were 9.10 and 4.12 in staff performance and payment system, respectively. Service consumers were satisfaction of physician delivery care (7.25), and para-medical (3.61). Moreover, most physicians were interested in per capita (31/6%). Conclusion: Family physician and health service consumers are highly satisfied. Satisfaction is an important factor for ensuring service quality and any ignorance in this regard can reduce the quantity and quality of delivered care. Physicians are recommended to respect their consumers and consider their waiting time. Meanwhile, health system managers should promote physicians’ payment. [GMJ.2015;4(2):96-102]

Hospitals Disaster Preparedness and Management in the Eastern Province of the Kingdom of Saudi Arabia: A Cross-sectional study

2021 ◽  
pp. 1-8
Author(s):  
Abdullah Alruwaili ◽  
Md Shahidul Islam ◽  
Kim Usher
Keyword(s):  
Saudi Arabia ◽  
Disaster Management ◽  
Disaster Preparedness ◽  
Ethical Issues ◽  
Holistic Approach ◽  
Cross Sectional Study ◽  
Eastern Region ◽  
Sectional Study ◽  
Disaster Plan ◽  
Cross Sectional

Abstract Objective: The current study was conducted to assess disaster preparedness of hospitals in the Eastern region of Saudi Arabia. Methods: A descriptive cross-sectional study of all hospitals in the Eastern Region of KSA was conducted between July 2017 and July 2018. The included hospitals were selected using convenience sampling. The questionnaire was distributed together with an official letter providing information about the aim and objectives of the study as well as ethical issues guiding their participation in the exercise. Results: All the included hospitals had a disaster plan that was completely accessible by all staff members. About 70% of the included hospitals established an educational program on disaster preparedness once per year. Assessment of hospital disaster preparedness was conducted using disaster drills in 62 (n= 98%) of the hospitals. However, only 9.5% of the hospitals had post-disaster recovery assistance programs like counseling and support services. Conclusion: Most hospitals involved in this study had sufficient resources for disaster management; however, the overall effectiveness of hospitals’ disaster preparedness was slight to moderate. Some recommendations to improve hospitals’ disaster preparedness should be proposed, including improved staff training and testing, better communications and safety procedures, and adoption of a holistic approach for disaster management.

scholarly journals Keeping doors open: A cross-sectional survey of family physician practice patterns during COVID-19, needs, and intentions

2021 ◽  
Author(s):  
Tara Kiran ◽  
Ri Wang ◽  
Curtis Handford ◽  
Nadine Laraya ◽  
Azza Eissa ◽  
...  
Keyword(s):  
Family Physician ◽  
Practice Patterns ◽  
Clinical Care ◽  
Family Physicians ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Policy Makers ◽  
Family Doctors ◽  
Future Practice

Objective: To determine the extent to which family physicians closed their doors altogether or for in-person visits during the pandemic, their future practice intentions, and related factors. Methods: Between March and June 2021, we conducted a cross-sectional survey using email, fax, and phone of 1,186 family doctors practicing comprehensive family medicine in Toronto, Ontario. We asked about practice patterns in January 2021, use of virtual care, and practice intentions. Results: Of the 1,016 (86%) that responded to the survey, 99.7% (1001/1004) indicated their practice was open in January 2021 with 94.8% (928/979) seeing patients in-person and 30.8% (264/856) providing in-person care to patients reporting COVID-19 symptoms. Respondents estimated spending 58.2% of clinical care time on phone visits and an additional 5.8% on video and 7.5% on email. 17.2% (77/447) were planning to close their current practice in the next five years. There was a higher proportion of physicians who worked alone in a clinic among those who did not see patients in-person (27.6% no vs 12.4% yes, p<0.05), did not see symptomatic patients (15.6% no vs 6.5 % yes, p<0.001), and those who planned to close their practice in the next 5 years (28.9% yes vs 13.9% no, p<0.01). Interpretation: The vast majority of family physicians in Toronto were open to in-person care in January 2021 but almost one-fifth are considering closing their practice in the next five years. Policy-makers need to prepare for a growing family physician shortage and better understand factors that support recruitment and retention.

scholarly journals The Impact of Patient’s Socio-Demographic Characterictics, Comorbidities and Attitudes on Flu Vaccination Uptake in Family Practice Settings / Vpliv Bolnikovih Psihosocialnih Značilnosti, Komorbidnosti In Stališč Na Odločitev O Cepljenju Proti Gripi V Ambulantah Družinske Medicine

2015 ◽  
Vol 54 (3) ◽  
pp. 204-211 ◽  
Author(s):  
Andrej Kravos ◽  
Lucija Kračun ◽  
Klara Kravos ◽  
Rade Iljaž
Keyword(s):  
Influenza Vaccination ◽  
Family Physician ◽  
Demographic Data ◽  
Family Physicians ◽  
Office Visits ◽  
Cross Sectional ◽  
Vaccination Rates ◽  
Flu Vaccination ◽  
The Impact ◽  
Beliefs And Attitudes

Abstract Objectives. In Slovenia, the role of family physicians in primary care and preventive procedures is very important. Influenza vaccination rates in Slovenia are low. The reasons for low vaccination rates in Slovenia were not clear. We suppose that patient’s beliefs and attitudes are important factors. We assessed patients’ opinions regarding the acceptance of flu vaccination by their family physicians and their beliefs and attitudes about flu and vaccination. The aim was to check out factors that influence the decision to take the vaccine in family physician offices. Methods. This was a cross-sectional, multicenter, observational study in the Styria region in Slovenia. We included patients from seven family physicians during regular office visits. They filled in a questionnaire about their general demographic data and attitudes regarding influenza and vaccination. The main outcome was the decision to be vaccinated. Results. The logistic regression model identified five predictors for influenza vaccination, namely: heart disease, previous vaccination, an agreement with the beliefs ‘the vaccination is an efficient measure to prevent influenza’, ‘after the vaccination there are usually no important side effects’ and ‘the vaccination is also recommended for a healthy adult person’. The belief that vaccinations harm the immune system is negatively associated with vaccination. Conclusions. Patients’ beliefs are an important factor to decide for vaccination or not. Family physician teams should discuss with patients their beliefs and concerns about vaccination.

Hubungan Pengetahuan Tentang Manajemen Bencana Dengan Prevention Masyarakat Dalam Menghadapi Bencana Gunung Meletus Pada Kepala Keluarga Di Rt 06/Rw 01 Dusun Puncu Desa Puncu Kecamatan Puncu-Kediri

1970 ◽  
Vol 5 (2) ◽  
pp. 01
Author(s):  
Didit Damayanti ◽  
Pria Wahyu R.G ◽  
Muhanni’ah Muhanni’ah
Keyword(s):  
Disaster Management ◽  
Volcanic Eruption ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Head Of Household ◽  
Correlational Research ◽  
Level Of Knowledge ◽  
Independent Variable ◽  
Negative Impacts

Introduction: Disaster management is a dynamic, continual, and integrated process as to increase the qualities of the actions which are relevant to the process of observation and analysis of disaster as well as minimalizing the negative impacts, mitigation, readiness, early warning, immediate emergency, rehabilitation and reconstruction. The aim of this research is to analyse theconnection between disaster management and the prevention of community breakdown in order to face a volcanic eruption for every head of household. Method: The design of this research is correlational research with a cross sectional approach. The demographic group that is used for this research is the head of households in Rt 06/Rw 01 dusun Puncu desa Puncu, by using the purposive sampling technique which has been collected from the sampling of the 33 heads of households. Independent variable is the knowledge of disaster management, and the dependent variable is the prevention of community breakdown in the handling of the disaster. The data has been received by using the questionnaire, and the results have been analysed by using spearman rho test. Result:  As according to the statistics test, it is found that p-value= 0,000 on the significant level (α) = 0,05 and r = 0,752. It is concluded that there is a connection between knowledge and the prevention of community breakdown in handling of the volcanic eruption in Rt 06/Rw 01. This research shows that the level of knowledge within the community about disaster management and prevention in handling volcanic eruption has been increasing. Conclution: This is shown by the capability of the community in mitigating the effects of the disaster. It is hoped that the community will further engage in training education and simulation to reduce the negative impacts of a disaster. The location where the participants resideis Kelud Volcano, and it is therefore hoped that the communities are willing to participate in better handling of any disaster by joining the education training and simulation; Kata kunci : Pengetahuan, Manajemen bencana, Prevention.

scholarly journals Inclusion of Children with Disabilities in Disaster Management

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 581
Author(s):  
Jeong-Hun Jang ◽  
Kyoo-Man Ha
Keyword(s):  
Disaster Management ◽  
International Organizations ◽  
Children With Disabilities ◽  
Qualitative Content Analysis ◽  
Disaster Medicine ◽  
Implementation Stages ◽  
The Individual ◽  
Comprehensive Framework ◽  
Developed Nations ◽  
Medicine Education

Disability inclusion of children in disaster management means to identify and then eliminate the challenges faced by children with disabilities during disaster occurrence. The present research aimed to explore how the challenges of children with disabilities can be resolved in disaster management. Qualitative content analysis was used to compare individual-stakeholder-based disaster management with all-stakeholder disaster management considering three stakeholders: developed nations, developing nations, and international organizations. A key finding is that these stakeholders must shift from the individual-stakeholder-based approach to the all-stakeholders approach while enhancing disaster medicine, education, monitoring, and implementation stages. A comprehensive framework of disability inclusion is proposed to reflect effective disaster management for these children.

scholarly journals Understanding the complexity of socioeconomic disparities in smoking prevalence in Sweden: a cross-sectional study applying intersectionality theory

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e042323
Author(s):  
Sten Axelsson Fisk ◽  
Martin Lindström ◽  
Raquel Perez-Vicente ◽  
Juan Merlo
Keyword(s):  
Public Health ◽  
Smoking Prevalence ◽  
Health Management ◽  
Educational Achievement ◽  
Smoking Habit ◽  
Household Composition ◽  
Socioeconomic Disparities ◽  
Cross Sectional ◽  
Intersectionality Theory ◽  
Discriminatory Accuracy

ObjectivesSocioeconomic disparities in smoking prevalence remain a challenge to public health. The objective of this study was to present a simple methodology that displays intersectional patterns of smoking and quantify heterogeneities within groups to avoid inappropriate and potentially stigmatising conclusions exclusively based on group averages.SettingThis is a cross-sectional observational study based on data from the National Health Surveys for Sweden (2004–2016 and 2018) including 136 301 individuals. We excluded people under 30 years of age, or missing information on education, household composition or smoking habits. The final sample consisted on 110 044 individuals or 80.7% of the original sample.OutcomeApplying intersectional analysis of individual heterogeneity and discriminatory accuracy (AIHDA), we investigated the risk of self-reported smoking across 72 intersectional strata defined by age, gender, educational achievement, migration status and household composition.ResultsThe distribution of smoking habit risk in the population was very heterogeneous. For instance, immigrant men aged 30–44 with low educational achievement that lived alone had a prevalence of smoking of 54% (95% CI 44% to 64%), around nine times higher than native women aged 65–84 with high educational achievement and living with other(s) that had a prevalence of 6% (95% CI 5% to 7%). The discriminatory accuracy of the information was moderate.ConclusionA more detailed, intersectional mapping of the socioeconomic and demographic disparities of smoking can assist in public health management aiming to eliminate this unhealthy habit from the community. Intersectionality theory together with AIHDA provides information that can guide resource allocation according to the concept proportionate universalism.

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