Evaluation of emergency drills effectiveness by center of disease prevention and control staff in Heilongjiang Province, China: an empirical study using the logistic-ISM model

IntroductionEmergency drills are critical practices that can improve the preparedness for crisis situations. This study aims to comprehend the evaluation of emergency drill effectiveness by the staff at the Centers for Disease Control and Prevention (CDC) in Heilongjiang Province, China. It identifi...

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Main Authors: Ruiqian Zhuge, Adelina Ruzieva, Na Chang, Xing Wang, Xinye Qi, Qunkai Wang, Yuxuan Wang, Zheng Kang, Jingjing Liu, Qunhong Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1305426/full
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author Ruiqian Zhuge
Adelina Ruzieva
Na Chang
Xing Wang
Xinye Qi
Qunkai Wang
Yuxuan Wang
Zheng Kang
Jingjing Liu
Jingjing Liu
Jingjing Liu
Jingjing Liu
Qunhong Wu
author_facet Ruiqian Zhuge
Adelina Ruzieva
Na Chang
Xing Wang
Xinye Qi
Qunkai Wang
Yuxuan Wang
Zheng Kang
Jingjing Liu
Jingjing Liu
Jingjing Liu
Jingjing Liu
Qunhong Wu
author_sort Ruiqian Zhuge
collection DOAJ
description IntroductionEmergency drills are critical practices that can improve the preparedness for crisis situations. This study aims to comprehend the evaluation of emergency drill effectiveness by the staff at the Centers for Disease Control and Prevention (CDC) in Heilongjiang Province, China. It identifies potential factors that could influence the personnel’s appraisal of outcomes throughout the emergency drill procedure.MethodsA cross-sectional survey was conducted among public health professionals from various CDCs in Heilongjiang, a northeastern Chinese province. The binary logistic regression analysis identified the factors associated with the CDC staff’s assessment of emergency drill efficacy, while the Interpretative Structural Modeling (ISM) elucidated the hierarchical structure among the influencing factors.Results53.3% (95% CI = 50.6–55.4) of participants perceived the emergency drills’ effectiveness as low. Binary logistic regression analysis revealed that the following adverse factors associated with the emergency drills increased the risk of a lower evaluation: lack of equipment and poor facilities (OR = 2.324, 95% CI = 1.884–2.867), poor training quality (OR = 1.765, 95% CI = 1.445–2.115), low leadership focus (OR = 1.585, 95% CI = 1.275–1.971), insufficient training frequency (OR = 1.539, 95% CI = 1.258–1.882), low skill in designing emergency drill plans (OR = 1.494, 95% CI = 1.180–1.890), lack of funding (OR = 1.407, 95% CI = 1.111–1.781), and poor coordination between departments (OR = 1.335, 95% CI = 1.085–1.641). The ISM revealed the hierarchical relationship of the influential factors, which were classified into three levels: Surface, Middle and Bottom. The Surface Level factors were training frequency, training quality, leaders’ focus, and inter-departmental coordination. The Middle Level factors were equipment availability and skill in designing emergency drill plans. The Bottom Level factor was funding guarantee.DiscussionThis survey revealed that over half of the CDC staff rated the effectiveness of public health emergency drills as low. The Logistic-ISM Model results indicated that the evaluation of drill effectiveness was negatively influenced by insufficient facility and equipment support, financial constraints, lack of departmental coordination, and inadequate leadership attention. Among these factors, funding guarantee was the most fundamental one. Therefore, this calls for strategic decisions to increase funding for equipment, leadership training support, and effective emergency coordination.
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spelling doaj.art-e8a124dac0d240f49113276b6df6ebcb2024-02-27T04:53:49ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-02-011210.3389/fpubh.2024.13054261305426Evaluation of emergency drills effectiveness by center of disease prevention and control staff in Heilongjiang Province, China: an empirical study using the logistic-ISM modelRuiqian Zhuge0Adelina Ruzieva1Na Chang2Xing Wang3Xinye Qi4Qunkai Wang5Yuxuan Wang6Zheng Kang7Jingjing Liu8Jingjing Liu9Jingjing Liu10Jingjing Liu11Qunhong Wu12Department of Social Medicine, Health Management College, Harbin Medical University, Harbin, ChinaDepartment of Social Medicine, Health Management College, Harbin Medical University, Harbin, ChinaDepartment of Social Medicine, Health Management College, Harbin Medical University, Harbin, ChinaDepartment of Social Medicine, Health Management College, Harbin Medical University, Harbin, ChinaDepartment of Social Medicine, Health Management College, Harbin Medical University, Harbin, ChinaDepartment of Social Medicine, Health Management College, Harbin Medical University, Harbin, ChinaDepartment of Social Medicine, Health Management College, Harbin Medical University, Harbin, ChinaDepartment of Social Medicine, Health Management College, Harbin Medical University, Harbin, ChinaSchool of Public Health, Anhui University of Science and Technology, Huainan, Anhui, ChinaKey Laboratory of Industrial Dust Prevention and Control, Occupational Safety and Health, Ministry of Education, Anhui University of Science and Technology, Huainan, Anhui, ChinaAnhui Institute of Occupational Safety and Health, Anhui University of Science and Technology, Huainan, Anhui, ChinaJoint Research Center of Occupational Medicine and Health, Institute of Grand Health, Hefei Comprehensive National Science Center, Anhui University of Science and Technology, Huainan, Anhui, ChinaDepartment of Social Medicine, Health Management College, Harbin Medical University, Harbin, ChinaIntroductionEmergency drills are critical practices that can improve the preparedness for crisis situations. This study aims to comprehend the evaluation of emergency drill effectiveness by the staff at the Centers for Disease Control and Prevention (CDC) in Heilongjiang Province, China. It identifies potential factors that could influence the personnel’s appraisal of outcomes throughout the emergency drill procedure.MethodsA cross-sectional survey was conducted among public health professionals from various CDCs in Heilongjiang, a northeastern Chinese province. The binary logistic regression analysis identified the factors associated with the CDC staff’s assessment of emergency drill efficacy, while the Interpretative Structural Modeling (ISM) elucidated the hierarchical structure among the influencing factors.Results53.3% (95% CI = 50.6–55.4) of participants perceived the emergency drills’ effectiveness as low. Binary logistic regression analysis revealed that the following adverse factors associated with the emergency drills increased the risk of a lower evaluation: lack of equipment and poor facilities (OR = 2.324, 95% CI = 1.884–2.867), poor training quality (OR = 1.765, 95% CI = 1.445–2.115), low leadership focus (OR = 1.585, 95% CI = 1.275–1.971), insufficient training frequency (OR = 1.539, 95% CI = 1.258–1.882), low skill in designing emergency drill plans (OR = 1.494, 95% CI = 1.180–1.890), lack of funding (OR = 1.407, 95% CI = 1.111–1.781), and poor coordination between departments (OR = 1.335, 95% CI = 1.085–1.641). The ISM revealed the hierarchical relationship of the influential factors, which were classified into three levels: Surface, Middle and Bottom. The Surface Level factors were training frequency, training quality, leaders’ focus, and inter-departmental coordination. The Middle Level factors were equipment availability and skill in designing emergency drill plans. The Bottom Level factor was funding guarantee.DiscussionThis survey revealed that over half of the CDC staff rated the effectiveness of public health emergency drills as low. The Logistic-ISM Model results indicated that the evaluation of drill effectiveness was negatively influenced by insufficient facility and equipment support, financial constraints, lack of departmental coordination, and inadequate leadership attention. Among these factors, funding guarantee was the most fundamental one. Therefore, this calls for strategic decisions to increase funding for equipment, leadership training support, and effective emergency coordination.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1305426/fullemergency drillseffectiveness evaluationlogistic-ISM modelinfluencing factorscenter of disease prevention and control staff
spellingShingle Ruiqian Zhuge
Adelina Ruzieva
Na Chang
Xing Wang
Xinye Qi
Qunkai Wang
Yuxuan Wang
Zheng Kang
Jingjing Liu
Jingjing Liu
Jingjing Liu
Jingjing Liu
Qunhong Wu
Evaluation of emergency drills effectiveness by center of disease prevention and control staff in Heilongjiang Province, China: an empirical study using the logistic-ISM model
Frontiers in Public Health
emergency drills
effectiveness evaluation
logistic-ISM model
influencing factors
center of disease prevention and control staff
title Evaluation of emergency drills effectiveness by center of disease prevention and control staff in Heilongjiang Province, China: an empirical study using the logistic-ISM model
title_full Evaluation of emergency drills effectiveness by center of disease prevention and control staff in Heilongjiang Province, China: an empirical study using the logistic-ISM model
title_fullStr Evaluation of emergency drills effectiveness by center of disease prevention and control staff in Heilongjiang Province, China: an empirical study using the logistic-ISM model
title_full_unstemmed Evaluation of emergency drills effectiveness by center of disease prevention and control staff in Heilongjiang Province, China: an empirical study using the logistic-ISM model
title_short Evaluation of emergency drills effectiveness by center of disease prevention and control staff in Heilongjiang Province, China: an empirical study using the logistic-ISM model
title_sort evaluation of emergency drills effectiveness by center of disease prevention and control staff in heilongjiang province china an empirical study using the logistic ism model
topic emergency drills
effectiveness evaluation
logistic-ISM model
influencing factors
center of disease prevention and control staff
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1305426/full
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