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Emergency Preparedness Law and Willingness to Respond in the EMS Workforce

Published online by Cambridge University Press:  21 July 2014

Lainie Rutkow ,
Jon S. Vernick ,
Carol B. Thompson ,
Ronald G. Pirrallo  and
Daniel J. Barnett
Lainie Rutkow*
Affiliation:
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland USA
Jon S. Vernick
Affiliation:
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland USA
Carol B. Thompson
Affiliation:
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland USA
Ronald G. Pirrallo
Affiliation:
Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin USA Milwaukee County Emergency Medical Services, Milwaukee, Wisconsin USA National Registry of EMTs Longitudinal Emergency Medical Technician Attributes & Demographics Study (LEADS) Committee Chairman, Columbus, Ohio USA
Daniel J. Barnett
Affiliation:
Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland USA
*
Correspondence: Lainie Rutkow, JD, PhD, MPH Johns Hopkins Bloomberg School of Public Health 624 N. Broadway, Room 513 Baltimore, MD 21205 USA E-mail hrutkow@jhsph.edu
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Abstract

Introduction

For effective responses to emergencies, individuals must have the ability to respond and also be willing to participate in the response. A growing body of research points to gaps in response willingness among several occupational cohorts with response duties, including the Emergency Medical Services (EMS) workforce. Willingness to respond is particularly important during an influenza or other pandemic, due to increased demands on EMS workers and the potential for workforces to be depleted if responders contract influenza or stay home to care for sick dependents. State emergency preparedness laws are one possible avenue to improve willingness to respond.

Hypothesis

Presence of certain state-level emergency preparedness laws (ie, ability to declare a public health emergency; requirement to create a public health emergency plan; priority access to health resources for responders) is associated with willingness to respond among EMS workers.

Methods

Four hundred twenty-one EMS workers from the National Registry of Emergency Medical Technicians’ (NREMT's) mid-year Longitudinal EMT Attributes and Demographics Study (LEADS) were studied. The survey, which included questions about willingness to respond during an influenza pandemic, was fielded from May through June 2009. Survey data were merged with data about the presence or absence of the three emergency preparedness laws of interest in each of the 50 US states. Unadjusted logistic regression analyses were performed with the presence/absence of each law and were adjusted for respondents’ demographic/locale characteristics.

Results

Compared to EMS workers in states that did not allow the government to declare a public health emergency, those in states that permitted such declarations were more likely to report that they were willing to respond during an influenza pandemic. In adjusted and unadjusted analyses, this difference was not statistically significant. Similar results were found for the other state-level emergency preparedness laws of interest.

Conclusion

While state-level emergency preparedness laws are not associated with willingness to respond, recent research suggests that inconsistencies between the perceived and objective legal environments for EMS workers could be an alternative explanation for this study's findings. Educational efforts within the EMS workforce and more prominent state-level implementation of emergency preparedness laws should be considered as a means to raise awareness of these laws. These types of actions are important steps toward determining whether state-level emergency preparedness laws have the potential to promote response willingness among EMS workers.

RutkowL , VernickJS , ThompsonCB , PirralloRG , BarnettDJ . Emergency Preparedness Law and Willingness to Respond in the EMS Workforce. Prehosp Disaster Med. 2014;29(4):1-6.

Keywords

disaster planninghealth policylegislationjurisprudencerescue workwillingness to respond
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 29 , Issue 4 , August 2014 , pp. 358 - 363
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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