Determinants of emergency response responsibility perceptions in the local public health workforce after China's health sector restructuring

Mingli Jiao, Ning Ning, Qunhong Wu, David Peters, Yanhua Hao, Ye Li, Xingang Wei, Zheng Kang

Research output: Contribution to journalArticle

Abstract

Background: Local health departments are the backbone of public health emergency (PHE) response plans. The front line of emergency response preparedness is people. Role perceptions of individual staff members of a given organization strongly affect response probability and performance. Therefore, the aim of this study was to determine local public health employees' perceptions of emergency response responsibilities, identify factors that influence their perception, and indicate the challenges and bottlenecks of PHE response in the Health Inspection Institution (HII) after its separation from China's multiple Centers for Disease Control and Prevention (CDC). Methods: We used a stratified randomized sample survey to examine HII workers' knowledge of their own duties concerning PHE response in 17 facilities in Heilongjiang, a province in northeastern China. Data were collected from May to July 2010 using a 9-item combined question inquiring about the workers' statutory duties. Results: Of 348 administered surveys, 309 were returned for an overall response rate of 88.8 %. Overall, the correct recognition rate of PHE responsibilities was low. Some HII workers were confused about their responsibilities required by law, regulations, and emergency response plans. A quarter of all the respondents had the lowest knowledge for PHE responsibilities. Factors influencing their perceptions of responsibilities were department, work experience in a CDC, and PHE response experience. Conclusions: To improve preparedness for a PHE, efforts are needed to train, support, and monitor the workers' knowledge and competencies in PHEs as part of an organizational change; the worker's knowledge of their responsibilities should be measured and used as an indicator of preparedness for a PHE, and training should be undertaken where there are deficiencies. Management should also encourage workers in the departments of food hygiene/school health surveillance to be more involved in PHE preparedness and response issues.

Original languageEnglish (US)
Article number339
JournalBMC Health Services Research
Volume15
Issue number1
DOIs
StatePublished - Aug 21 2015

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Health Manpower
China
Emergencies
Public Health
Health
Civil Defense
Centers for Disease Control and Prevention (U.S.)
Organizational Innovation
School Health Services
Hygiene
Organizations

ASJC Scopus subject areas

  • Health Policy

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Determinants of emergency response responsibility perceptions in the local public health workforce after China's health sector restructuring. / Jiao, Mingli; Ning, Ning; Wu, Qunhong; Peters, David; Hao, Yanhua; Li, Ye; Wei, Xingang; Kang, Zheng.

In: BMC Health Services Research, Vol. 15, No. 1, 339, 21.08.2015.

Research output: Contribution to journalArticle

Jiao, Mingli ; Ning, Ning ; Wu, Qunhong ; Peters, David ; Hao, Yanhua ; Li, Ye ; Wei, Xingang ; Kang, Zheng. / Determinants of emergency response responsibility perceptions in the local public health workforce after China's health sector restructuring. In: BMC Health Services Research. 2015 ; Vol. 15, No. 1.
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abstract = "Background: Local health departments are the backbone of public health emergency (PHE) response plans. The front line of emergency response preparedness is people. Role perceptions of individual staff members of a given organization strongly affect response probability and performance. Therefore, the aim of this study was to determine local public health employees' perceptions of emergency response responsibilities, identify factors that influence their perception, and indicate the challenges and bottlenecks of PHE response in the Health Inspection Institution (HII) after its separation from China's multiple Centers for Disease Control and Prevention (CDC). Methods: We used a stratified randomized sample survey to examine HII workers' knowledge of their own duties concerning PHE response in 17 facilities in Heilongjiang, a province in northeastern China. Data were collected from May to July 2010 using a 9-item combined question inquiring about the workers' statutory duties. Results: Of 348 administered surveys, 309 were returned for an overall response rate of 88.8 {\%}. Overall, the correct recognition rate of PHE responsibilities was low. Some HII workers were confused about their responsibilities required by law, regulations, and emergency response plans. A quarter of all the respondents had the lowest knowledge for PHE responsibilities. Factors influencing their perceptions of responsibilities were department, work experience in a CDC, and PHE response experience. Conclusions: To improve preparedness for a PHE, efforts are needed to train, support, and monitor the workers' knowledge and competencies in PHEs as part of an organizational change; the worker's knowledge of their responsibilities should be measured and used as an indicator of preparedness for a PHE, and training should be undertaken where there are deficiencies. Management should also encourage workers in the departments of food hygiene/school health surveillance to be more involved in PHE preparedness and response issues.",
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