title: Perception in relation to a potential influenza pandemic among healthcare workers in Japan: implications for preparedness.
abstract: Due to the potential for an influenza pandemic, preparedness for infection control in healthcare settings is essential from the standpoint of occupational health for healthcare workers. We conducted questionnaire surveys among Japanese hospitals to assess preparedness at the individual and institutional levels and their inter-relationship. Questionnaires were administered at 7 tertiary hospitals in Japan during the spring of 2006. We analyzed 7,378 individual responses of the 10,746 questionnaires administered and all seven institutional responses by hospital infection control committees. Healthcare workers assigned low importance to personal protective equipment and showed mixed attitudes (anxious but accepting) to the potential risk. Institutional gaps existed in preparedness across hospitals and most hospitals lacked the specificity to cope with a pandemic. A higher level of institutional preparedness, as determined by expertise as well as general and specific countermeasures, was an important predictor of individual recognition of preventive measures, perception of institutional measures, and attitude toward coping with risk. A higher level of institutional preparedness stood out to be an important predictor of individual preparedness. Considering the risk of a future influenza pandemic, hospitals should improve preparedness at all levels.
authors.affiliation: University of Occupational and Environmental Health, Fukuoka, Japan.
authors.forename: Teppei
authors.initials: T
authors.lastname: Imai
authors.forename: Ken
authors.initials: K
authors.lastname: Takahashi
authors.forename: Miwako
authors.initials: M
authors.lastname: Todoroki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kunishima
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Hoshuyama
authors.forename: Reiko
authors.initials: R
authors.lastname: Ide
authors.forename: Takashi
authors.initials: T
authors.lastname: Kawasaki
authors.forename: Nobuya
authors.initials: N
authors.lastname: Koyama
authors.forename: Kazuo
authors.initials: K
authors.lastname: Endo
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Fujita
authors.forename: Kentaro
authors.initials: K
authors.lastname: Iwata
authors.forename: Gerald
authors.initials: G
authors.lastname: Koh
authors.forename: Sin Eng
authors.initials: SE
authors.lastname: Chia
authors.forename: David
authors.initials: D
authors.lastname: Koh
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003625:Data Collection; D004189:Disaster Planning; D004196:Disease Outbreaks / Q000517:prevention & control*; D005260:Female; D006801:Humans; D017053:Infection Control; D007252:Influenza Vaccines / Q000627:therapeutic use; D007251:Influenza, Human / Q000453:epidemiology* / Q000517:prevention & control; D007564:Japan; D008297:Male; D010564:Personnel, Hospital; D011481:Protective Clothing; D016635:Universal Precautions
chemical_list: D007252:Influenza Vaccines