title: Patient and family physician preferences for care and communication in the eventuality of anthrax terrorism.
abstract: BACKGROUND
  The threat of bioterrorism consequent to the September 11, 2001 attack in the USA generated suggestions for improved medical response mainly through hospital preparedness.
  
  
  OBJECTIVE
  The aim of the present study was to investigate the impact of this period of tension on patients' first choice for care and for receiving relevant information, and on primary care doctors' feelings of responsibility in the eventuality of an anthrax attack.
  
  
  METHODS
  During October 11-31, 2001, 500 patients from 30 clinics throughout Israel were asked to complete a questionnaire on their awareness of the anthrax threat, measures taken to prepare for it, and preferred sources of care and information. Their 30 physicians, and an additional 20, completed a questionnaire on knowledge about anthrax and anthrax-related patient behaviours and clinic visits.
  
  
  RESULTS
  The outstanding finding was the low rate (30%) of patients who chose the hospital emergency department as their first choice for care or information if they were worried about an anthrax attack or the media communicated that an attack was in progress. The other two-thirds preferred their family doctor or the health authorities. Most of the physicians (89%) felt it was their responsibility to treat anthrax-infected patients and that they should therefore be supplied with appropriate guidelines.
  
  
  CONCLUSIONS
  This study suggests that in Israel, a country with a high degree of awareness of civil defence aspects, both patients and primary care doctors believe that family physicians should have a major role in the case of bioterrorist attacks. This must be seriously considered during formulation of relevant health services programmes.
authors.affiliation: Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. ekahan@post.tau.ac.il
authors.forename: Ernesto
authors.initials: E
authors.lastname: Kahan
authors.forename: Yacov
authors.initials: Y
authors.lastname: Fogelman
authors.forename: Eliezer
authors.initials: E
authors.lastname: Kitai
authors.forename: Shlomo
authors.initials: S
authors.lastname: Vinker
mesh_terms: D000881:Anthrax; D023482:Bioterrorism; D002983:Clinical Competence; D003142:Communication; D004189:Disaster Planning; D005194:Family Practice; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination; D007557:Israel; D017060:Patient Satisfaction; D010821:Physicians, Family / Q000523:psychology*; D011320:Primary Health Care; D012941:Social Responsibility; D011795:Surveys and Questionnaires