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Physician Emergency Preparedness: A National Poll of Physicians

  • Gillian K. SteelFisher (a1), Robert J. Blendon (a1) (a2), Amanda S. Brulé (a1), Keri M. Lubell (a3), Loretta Jackson Brown (a3), Dahna Batts (a3) and Eran Ben-Porath (a4)...

Abstract

Objective

To provide a more comprehensive view than previously available of US physician preparedness for public health emergencies, this study examined physicians’ assessments of their preparedness, training, participation in institutional activities, information practices, and experiences with patient education. Four kinds of public health emergencies were considered: natural disasters, major airborne infections, major foodborne illness outbreaks, and chemical, biological, radiological, nuclear, or explosives (CBRNE) incidents.

Methods

Between October 19, 2011, and January 11, 2012, researchers conducted a national poll among 1603 practicing physicians in a range of specialties in hospital and nonhospital settings.

Results

More than one-half of physicians felt prepared to handle a natural disaster, a major outbreak of an airborne infection, or a major foodborne illness outbreak, whereas one-third (34%) felt prepared to handle a CBRNE incident. About one-half of physicians (55%) had participated in training or a conference related to emergencies in the past 2 years. Sizable fractions of physicians were unaware of emergency response tools in their care setting. For example, nearly one-half in hospitals (44%) did not know whether their care setting had an emergency response plan, and less than one-quarter had participated in a drill using such a plan in the past 2 years. Less than one-third (31%) of physicians had signed up to receive alerts in the case of future emergencies. One in 10 reported sharing emergency information with patients at least “sometimes.”

Conclusions

Significant gaps remain in physician preparedness for public health emergencies, as well as in related training and participation in institutional activities. New efforts, with a focus on possible collaborations between public health institutions and health system leaders combined with effective use of online resources, are needed to bring more physicians on board and to develop relevant and useful key tools. New approaches, including those that rely on different types of care providers, may be needed to enhance patient education regarding emergency preparedness. (Disaster Med Public Health Preparedness. 2015;9:666–680)

Copyright

Corresponding author

Correspondence and reprint requests to Gillian K. SteelFisher, PhD, MSc, Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, 677 Huntington Avenue, 4th Floor, Boston, MA 02115 (e-mail: gsteel@hsph.harvard.edu).

References

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1. Bernstein, N, Hartocollis, A. Bellevue hospital evacuates patients after backup power fails. The New York Times. Nov 1, 2012:A26.
2. Hartocollis, A. With some hospitals closed after hurricane, E.R.’s at others overflow. The New York Times. Dec 4, 2012:A24.
3. Ofri, D. The storm and the aftermath. N Engl J Med. 2012;367(24):2265-2267.
4. Redlener, I, Reilly, MJ. Lessons from Sandy--preparing health systems for future disasters. N Engl J Med. 2012;367(24):2269-2277.
5. American College of Physicians. The Health Care Response to Pandemic Influenza. Ann Intern Med. 2006;145(2):135-137.
6. Barbera, JA, Yeatts, DJ, Macintyre, AG. Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009;3(2 suppl):S74-S82.
7. Hodge, JG Jr, Anderson, ED, Kirsch, TD, et al. Facilitating hospital emergency preparedness: introduction of a model memorandum of understanding. Disaster Med Public Health Prep. 2011;5(1):54-61.
8. Morton, MJ, Hsu, EB, Shah, SH, et al. Pandemic influenza and major disease outbreak preparedness in US emergency departments: a selected survey of emergency health professionals. Am J Disaster Med. 2011;6(3):187-195.
9. Sexton, KH, Alperin, LM, Stobo, JD. Lessons from Hurricane Rita: the University of Texas Medical Branch Hospital’s evacuation. Acad Med. 2007;82(8):792-796.
10. Alexander, GC, Wynia, MK. Ready and willing? Physicians’ sense of preparedness for bioterrorism. Health Aff (Millwood). 2003;22(5):189-197.
11. Chen, FM, Hickner, J, Fink, KS, et al. On the front lines: family physicians’ preparedness for bioterrorism. J Fam Pract. 2002;51(9):745-750.
12. Hsu, CE, Mas, FS, Jacobson, HE, et al. Public health preparedness of health providers: meeting the needs of diverse, rural communities. J Natl Med Assoc. 2006;98(11):1784-1791.
13. Kat, AR, Nekorchuk, DM, Holk, PS, et al. Hawaii Physician and Nurse Bioterrorism Preparedness Study. Prehosp Disaster Med. 2006;21(6):404-413.
14. Sheikh, S, McCormick, LC, Pevear, J, et al. Radiological preparedness-awareness and attitudes: a cross-sectional survey of emergency medicine residents and physicians at three academic institutions in the United States. Clin Toxicol (Phila). 2012;50(1):34-38.
15. Spranger, CB, Kazda, MJ, Harris, AM, et al. Assessment of physician preparedness and response capacity to bioterrorism or other public health emergency events in a major metropolitan area. Disaster Manag Response. 2007;5(3):82-86.
16. Alexander, GC, Larkin, GL, Wynia, MK. Physicians’ preparedness for bioterrorism and other public health priorities. Acad Emerg Med. 2006;13(11):1238-1241.
17. Niska, RW, Burt, CW. National Ambulatory Medical Care Survey: terrorism preparedness among office-based physicians, United States, 2003-2004. Adv Data. 2007;390:1-10.
18. McInerney, JE, Richter, A. Strengthening hospital preparedness for chemical, biological, radiological, nuclear, and explosive events: clinicians’ opinions regarding physician/physician assistant response and training. Am J Disaster Med. 2011;6(2):73-87.
19. The National Library of Medicine website. http://www.PubMed.gov. Accessed June 12, 2013.
20. Academic Search Premier website. http://www.ebscohost.com/academic/academic-search-premier. Accessed June 12, 2013.
21. M’ikanatha, NM, Lautenbach, E, Kunselman, AR, et al. Sources of bioterrorism information among emergency physicians during the 2001 anthrax outbreak. Biosecur Bioterror. 2003;1(4):259-265.
22. Olympia, RP, Rivera, R, Heverley, S, et al. Natural disasters and mass-casualty events affecting children and families: a description of emergency preparedness and the role of the primary care physician. Clin Pediatr (Phila). 2010;49(7):686-698.
23. Steelfisher, GK, Blendon, RJ, Sussman, T, et al. Physicians’ views of the Massachusetts Health Care Reform Law--a poll. N Engl J Med. 2009;361(19):e39.
24. Response Rate Calculator V3.1. American Association of Public Opinion Research (AAPOR) website. http://www.aapor.org/Standard_Definitions2.htm. Accessed May 20, 2013.
25. Blendon, RJ, Benson, JM, DesRoches, CM, Weldon, KJ. Using opinion surveys to track the public’s response to a bioterrorist attack. J Health Commun. 2003;8(suppl 1):83-92.
26. Keeter, S, Miller, C, Kohut, A, et al. Consequences of reducing non-response in a national telephone survey. Public Opin Q. 2000;64:125-148.
27. Keeter, S, Kennedy, C, Dimock, M, et al. Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Q. 2006;70(5):759-779.
28. Kohut, A, Keeter, S, Doherty, C, et al. Assessing the representativeness of public opinion surveys. The Pew Research Center for The People & The Press website. http://www.people-press.org/files/legacy-pdf/Assessing%20the%20Representativeness%20of%20Public%20Opinion%20Surveys.pdf. Published May 15, 2012. Accessed May 20, 2013.
29. Blendon, RJ, Kohut, A, Benson, JM, et al. Health system reform physicians’ views on the critical choices. JAMA. 1994;272(19):1546-1550.
30. Intergovernmental Panel on Climate Change. Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation. IPCC website. http://www.ipcc.ch/pdf/special-reports/srex/SREX_Full_Report.pdf. Published 2012. Accessed May 20, 2013.
31. Paturas, JL, Smith, D, Smith, S, Albanese, J. Collective response to public health emergencies and large-scale disasters: putting hospitals at the core of community resilience. J Bus Continuity Emerg Plann. 2010;4(3):286-295.
32. Hospital Preparedness Program (HPP), Office of the Assistant Secretary for Preparedness and Response, US Department of Health and Human Services. Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness. http://www.phe.gov/preparedness/planning/hpp/reports/documents/capabilities.pdf. Published January 2012. Accessed September 7, 2015.
33. Sugerman, D, Nadeau, KH, Lafond, K, et al. A survey of emergency department 2009 pandemic influenza A (H1N1) surge preparedness. Clin Infect Dis. 2011;52(suppl 1):S177-S182.
34. Bartley, BH, Stella, JB, Walsh, LD. What a disaster?! Assessing utility of simulated disaster exercise and associated educational process. Prehosp Disaster Med. 2006;21(4):249-255.
35. Gebbie, KM, Valas, J, Merrill, J, Morse, S. Role of exercises and drills in the evaluation of public health in emergency response. Prehosp Disaster Med. 2006;21(3):173-182.
36. Facts about hospital accreditation. The Joint Commission website. http://www.jointcommission.org/assets/1/18/Hospital_Accreditation_9_17_12.pdf. September 19, 2012. Accessed May 20, 2013.
37. Healthcare executives’ role in emergency preparedness. American College of Healthcare Executives (ACHE) website. http://www.ache.org/policy/emergency_preparedness.cfm. Revised November 2009. Accessed May 20, 2013.
38. Tierney, KJ. Emergency medical preparedness and response in disasters: the need for interorganizational coordination. Public Admin Rev. 1985(special issue):77-84.
39. Waeckerle, JF. Disaster Planning and Response. N Engl J Med. 1991;324:815-821.
40. Cicero, MX, Blake, E, Gallant, N, et al. Impact of an educational intervention on residents’ knowledge of pediatric disaster medicine. Pediatr Emerg Care. 2009;25(7):447-451.
41. Franc, JM, Nichols, D, Dong, SL. Increasing emergency medicine residents’ confidence in disaster management: use of an emergency department simulator and an expedited curriculum. Prehosp Disaster Med. 2012;27(1):31-35.
42. Blendon, RJ, Connolly, JM, Benson, JM, et al. Challenges faced by the chronically ill and disabled in high-risk hurricane areas. J Emerg Manag. 2009;7(6):19-28.
43. Walsh, L, Craddock, H, Gulley, K, et al. Building health care system capacity: training health care professionals in disaster preparedness health care coalitions. Prehosp Disaster Med. 2015;30(2):123-130.

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Physician Emergency Preparedness: A National Poll of Physicians

  • Gillian K. SteelFisher (a1), Robert J. Blendon (a1) (a2), Amanda S. Brulé (a1), Keri M. Lubell (a3), Loretta Jackson Brown (a3), Dahna Batts (a3) and Eran Ben-Porath (a4)...

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