Effect of a joint incident management team response on health care providers' perceptions regarding the adequacy of pandemic H1N1 vaccination campaigns in Washington, USA, 2009 Pubblico
Kharod, Grishma (2011)
Abstract
Abstract
Effect of a joint incident management team response on health
care providers'
perceptions regarding the adequacy of pandemic H1N1 vaccination
campaigns in
Washington, USA, 2009
By
Grishma Kharod
In light of the H1N1 influenza spread, health care providers and
departments
implemented emergency preparedness and response plans and set up
systems to
efficiently allocate vaccines for prevention. Region 4 counties in
the state of
Washington executed a joint incident management team (IMT) system
to respond to
the pandemic. The objective of this study was to study the extent
to which use of a
joint IMT system affected health care providers' perceptions on the
adequacy of the
H1N1 pandemic vaccination campaigns. Health care providers (n=619)
from the
state of Washington who applied for H1N1 vaccine in 2009 from the
state
department of health were surveyed to determine their H1N1 pandemic
response
behaviors and perceptions. Zip codes and phone calls to regional
lead health
departments were used to determine which counties utilized the
joint IMT systems.
Logistic regression models were employed to assess associations
between IMT use
and health care providers' perceptions on vaccination campaign
adequacy.
Participants in a joint IMT system for H1N1 response were less
likely to find
information received from local health departments to be useful
than practices that
did not participate in joint IMT systems. Additionally, joint IMT
participants were
less likely than non-participants to be concerned about denying
vaccine to low-
priority groups. Results suggested better management of vaccination
supplies and
more effective management of vaccination campaigns with centralized
responses,
such as the IMT systems. The associations between joint IMT use and
health care
providers' perceptions of H1N1 vaccination campaign adequacy were
adjusted for
type of practice, number of physicians and pharmacists in practice,
and staff
participation in preparedness training drills and sessions. The
findings from this
study served as preliminary steps toward validating the
effectiveness of joint IMT
use, and can be used to implement centralized responses in more
regions.
Table of Contents
Table of contents
EMERGENCY PREPAREDNESS AND
RESPONSE 2
H1N1 AND THE IMPORTANCE OF
VACCINATION CAMPAIGNS 5
PANDEMIC H1N1 PREPAREDNESS AND
RESPONSE 6
SINGLE IMT USE IN THE STATE OF
WASHINGTON 8
INTRODUCTION 14
DATA AND METHODS
15
DISCUSSION AND CONCLUSION
21
Chapter 3: Public health implications
and future directions 29
APPENDIX I
33
APPENDIX II
38
About this Master's Thesis
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