Background: Because of specific ecological and geographical location, our country is one of the most disaster prone countries in the world which requires reasonable and special attention to disaster management. Therefore, the role of hospital is essential as the center of disaster management programming and health & care activities in coping with disasters. Regarding the importance of accreditation in improving health system performance, this study aims to construct and design a national accreditation model for hospital with special focus on disaster management.
Methods: In this desc riptive study that done 2 years, after a vast literature review, researchers designed a systematic review in the best databa ses such as Ovid Medline, Pub Med and SID in order to identify and utilize and benchmark the pioneer and the best accreditation models both in the region and in the world. A questionnaire designed by using Delphi technique and gaining experts opinions in order to determine the best accreditation models, their standards especially disaster management standards. Thereafter, experts give scores to the standards in aspects of ‘importance’ and ‘performance’.
Findings: In the systematic review section, the health & care accreditation models such as JCAHO (USA), CCHSA (Canada), ACHS (Australia), ANAES (France) and QHNZ (New Zealand) were selected as the best models in order to utilize and benchmark in the world respectively. It should note that Canada model (CCHSA) is known as the most comprehensive one in disaster management. Also, Lebanon and Egypt accreditation models were chosen as the best local models (EMRO). The Delphi study was done in 2 rounds with high response rate and the standards was exerted in view of experts. However, for all selected model, 'content statement' and 'ob jective measurable components' were prepared regarding the most common and related model in disaster management. Finally, the designed model was completed by writing of essential parts of standards.
Conclusion: The final designed model has 15 standards with 'content statement' and 'ob jective measurable components'. This is an enrich accreditation model in number, range and diversion of standards according to various aspects of crisis management so that we can claim it is a most complete model in the world. After a preliminary study and final reform, this model will be able to improve the hospital performance especially in terms of crisis management and hospital preparedness in emergencies. There is no doubt that the application of this model in our health system leads to significant improvement in health system performance and clients' satisfaction.
Key words: disaster management, accreditation, systematic review, Delphi technique
Evaluation of environmental health experts' knowledge regarding health issues in natural disasters
Corresponding author: Ahmad Asl Hashemi A, lecturer of Department of Environmental Health Engineering, Tabriz University of Medical Sciences, Tabriz, Iran Email:email@example.com
Hassan Taghipour, Associate professor of Department of Environmental Health, Tabriz University of Medical Sciences, Tabriz, Iran
Iman Dianat, Assistant professor of Department of Occupational Health, Tabriz University of Medical Sciences, Tabriz, Iran
Received: 2011-12-01 Accepted: 2012-05-28
Background: Natural disasters are always one of the human health threatening factors in the worldwide which Iran provinces including East Azerbaijan are involved. This study aimed to assess awareness of environmental health experts in East Azerbaijan province about health problems during natural disasters.
Methods: In this desc riptive study, 144 environmental health experts were randomly selected and studied in East Azerbaijan province (including 52.1% from all Townships and 47.9% from Tabriz city). Questionnaires distributed among experts after validation by specialists; then the collected data was analyzed using SPSS.
Findings: According to the results, significant differences were found between the awareness of participants (45/5% experts and 53/5% technician of environmental health) in Tabriz and other Townships of province. Significant differences were also found between the level of education and workplace (P≤ 0/05). No significant difference was found between the age and history of employment in health centers (P≥ 0/05).
Conclusion: The results indicate that the effect of education on experts' awareness of environmental health in natural disasters. So, some measures should be taken such as: to promote employees scientific level by training courses or retraining programs; to provide facilities in order to continue their education and recruiting new experts. Thus, these measures can reduce injuries or mortality rate due to lack of awareness of the health issues in natural disasters.