A Qualitative Descriptive Study of Rural Primary Healthcare Professionals' Capacity for Disaster Health Management Before and During the COVID-19 Pandemic.

Ehmaidy Al Qaf'an, Stewart Alford, Holly A Mack, Ravneet Sekhon, Samuel Gray, Kiara Song, Katie Willson, Glynn Kelly, David Lim
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Abstract

Introduction: Rural areas face additional challenges in preventing, preparing for, responding to, and recovering from disasters. This study aimed to understand how rural primary healthcare professionals (PHCPs) perceive their roles, involvement, and capacity in disaster health management.

Methods: For this qualitative descriptive research, semi-structured interviews were carried out with convenience and purposive samples of rural PHCPs before and during the COVID-19 pandemic. Open, axial, and selective coding were employed to analyse the data inductively.

Results: Five interviews were conducted before the pandemic, and ten interviews were conducted during the second and third waves of the COVID-19 pandemic in Australia. The themes identified were similar between the two periods. Rural PHCPs were underutilised due to a lack of awareness of their capacity and a lack of infrastructure and support for greater involvement.

Conclusions: Rural PHCPs can be better integrated and supported in readiness for a whole-system response to future disasters. This study recommends empowering PHCPs in disaster management to promote the health and continuity of care in rural communities.

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农村初级卫生保健专业人员在COVID-19大流行之前和期间灾害卫生管理能力的定性描述性研究
农村地区在防灾、备灾、救灾和灾后恢复方面面临更多挑战。本研究旨在了解农村初级卫生保健专业人员(phcp)如何看待他们在灾害卫生管理中的角色、参与和能力。方法:采用半结构化访谈方法,在2019冠状病毒病大流行之前和期间对农村初级保健医院进行方便和有目的的抽样调查。采用开放编码、轴向编码和选择性编码对数据进行归纳分析。结果:在疫情前进行了5次访谈,在澳大利亚第二波和第三波COVID-19大流行期间进行了10次访谈。这两个时期确定的主题是相似的。由于缺乏对其能力的认识以及缺乏基础设施和对更多参与的支持,农村初级保健服务没有得到充分利用。结论:农村初级保健服务可以更好地整合和支持,为未来灾害的全系统应对做好准备。这项研究建议赋予初级保健医生灾害管理能力,以促进农村社区的保健和护理的连续性。
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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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