What structural factors influencing emergency and disaster medical response teams? A comparative review study

نویسندگان

1 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences

2 Trauma and Injury Research Center, Iran University of Medical Sciences

3 Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

4 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden

doi
چکیده

INTRODUCTION: An important indicator increasing the survival chances of patients and injuredpeople immediately after emergency and disaster is the rapid access to medical services. Theestablishment of Emergency and Disaster Medical Response Teams (EDMRTs) is one of the mainstrategies to improve response capacity and capability in the field of EDMRT. This study aimed toprobe the structural factors influencing of EDMRTs.METHODOLOGY: In this study, a comparative review method was used. The current study wasconducted between March 2017 and September 2018. For this, articles, books, formal reports, andinformation concerning the available websites regarding the structure of EDMRTs were analyzed. Toaccess relevant scientific articles, an extensive search was carried out in several steps using divergentkeywords in the Scopus, ProQuest, PubMed, ScienceDirect, and Google Scholar databases. Afteraccessing the resources and documents, the process of analyzing and comparing different teamstructures was carried out using content analysis.RESULTS: Following the search of relevant databases and websites, the structure of EDMRTs in theUnited States, Australia, Japan, Turkey, New Zealand, Canada, and the World Health Organizationwere taken into consideration and compared. Two areas of “Organization and Management” as wellas “Capacity and Capability Development” were explored along with multiple subsets.CONCLUSION: The results of this study revealed that the model and structure of EDMRTs havedirect relationship with such elements as the structure of the disaster risk management system, riskassessment, impact of the hazards and medical needs of the affected area, population distribution,level of team activity, and timing of the teams’ presence after disasters. The research teamrecommends designing and conducting studies for determine the roles and responsibilities of theteams.