Overcoming Barriers to Service Delivery in Disasters.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Disaster Medicine and Public Health Preparedness Pub Date : 2025-09-22 DOI:10.1017/dmp.2025.10184

Mohammad Hossein Panahi, Pirhossein Kolivand, Narjes Nikpey, Fatemeh Zahra Poudineh, Negin Nayerloo, Ali Delpisheh, Mehrdad Farrokhi

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引用次数: 0

Abstract

Background: The increasing frequency and severity of unexpected events in recent years underscore the need for more effective disaster management strategies. This study aimed to identify obstacles and solutions for serving affected groups, providing practical strategies for improved disaster response.

Methodology: This qualitative content analysis study of the conventional type, conducted in 2024, involved semi-structured face-to-face interviews and a focused group discussion with 17 participants, including university experts, executive bodies, and affected individuals. The method of "Granheim and Lundman" was used to analyze the data, and "Lincoln and Guba's" four criteria were used to establish the reliability of the data.

Results: A total of 348 themes were identified, ultimately refined to 245 themes after repetition analysis. These themes were categorized into eight main categories: "Management, Financial and Non-Financial Resources, Programs, Educational Affairs, Organizational Matters, Community Affairs, Participation, and Spiritual Affairs." Additionally, 29 subcategories were extracted.

Conclusion: This study reveals key obstacles in disaster service delivery, including inadequate management, resources, and coordination. Solutions such as enhancing communication, clarifying roles, and promoting community participation can address these challenges. Strengthening public education, updating regulations, and integrating local cultural and spiritual support systems are essential for improving crisis response.

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克服灾害中提供服务的障碍。

背景：近年来，意外事件的发生频率和严重程度日益增加，这突出表明需要制定更有效的灾害管理战略。这项研究旨在确定为受影响群体服务的障碍和解决办法，为改善灾害反应提供切实可行的战略。方法：这项传统类型的定性内容分析研究于2024年进行，包括半结构化的面对面访谈和17名参与者的焦点小组讨论，其中包括大学专家，执行机构和受影响的个人。采用“Granheim and Lundman”方法对数据进行分析，采用“Lincoln and Guba’s”四个标准建立数据的可靠性。结果：共识别出348个主题，经过重复分析，最终提炼出245个主题。这些主题被分为八个主要类别：“管理、财务和非财务资源、项目、教育事务、组织事务、社区事务、参与和精神事务。”此外，还提取了29个子类别。结论：本研究揭示了灾害服务提供的主要障碍，包括管理、资源和协调不足。诸如加强沟通、明确角色和促进社区参与等解决方案可以应对这些挑战。加强公众教育，更新法规，整合地方文化和精神支持系统，对于提高危机应对能力至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.