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Determining the Field Hospital Setting in Earthquake: Using RAND/UCLA Appropriateness Method

AUTHORS

A Loghmani 1 , * , N Jafari 2 , M Memarzadeh 2

AUTHORS INFORMATION

1 R & D Centre, Alzahra Hospital, Isfahan University of Medical Sciences, a_loghmani@yahoo.co.uk, Isfahan, Iran

2 R & D Centre, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

ARTICLE INFORMATION

Iranian Red Crescent Medical Journal: 10 (3); 184-192
Article Type: Research Article
Received: November 20, 2007
Accepted: April 4, 2008

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Abstract

Background: Dispatching field hospitals meeting the needs of the sufferers is the ideal response to disasters such as earth-quakes. The aim of this study is determining the settings of such a field hospital.

Methods: A twelve-member expert panel selected used the RAND Appropriateness Methodology to rate scenarios derived from best current evidence, and additional comments resulted from Nominal Group and Modified-Delphi Techniques. A 9-point rating scale was used that permits the categorization of the items as appropriate, uncertain, or inappropriate. A descriptive analysis was undertaken of the final results of the panel meeting.

Results: Of extracted evidence categorised as items in six chapters, 72.90% was considered appropriate, 15.89% uncertain and 11.21% inappropriate. In the first round, agreement was found for 87.06% of the 85 items. Following discussion on divergent ratings, much higher agreement was achieved, reaching 93.46% of the 107 final items.

Conclusion: Using RAND/UCLA Appropriateness Method, on the basis of the best current evidence, an expert panel assessed the items of Principal Tasks of Field Hospital, Staffing pattern and equipment as sufficient and appropriate in a multidisciplinary field hospital, developing updated and clear recommendations for rapid access to the setting of the field hospital in earthquakes.

Keywords

Hospital Earthquake RAND/UCLA Appropriateness Method Trauma

© 0, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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