Document Type : Research articles


1 Associate Professor of Health Services Management, Department of Health Management and Economics , School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Associate Professor of Health Economics, Department of Health Management and Economics , School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 Assistant Professor of Health Services Management, Department of Health Management and Economics , School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

4 Assistant Professor of Health in Disasters and Emergencies, Department of Health in Disasters and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

5 Associate Professor of Emergency Medicine, Department of Emergency Medicine, Faculty of Medicine, Poursina Hospital, Gilan University of Medical Sciences, Iran

6 Ph.D. in Medicine, Yazd Accident and Emergency Management Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

7 Professor of Biostatistics, Department of Statistics and Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

8 Postgraduate Student of Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran


Background: Hazards have always been considered a threat to human life and preparedness to deal with risks for pre-hospital emergency as the first line of care and treatment is highly significant. Pre-hospital emergency (clinical) deals with different natural and man-made hazards which cause various harms. Preservation of disaster preparedness is one of the pre-hospital emergency concerns.
Objectives: In this regard, the present study aimed to determine the priority of hazards and design preparedness programs based on health response.
Methods: The present study was based on a descriptive-analytical study that was conducted in Rasht, Iran in 2019. The method used in this study was a combination of quantitative and qualitative methods. In a qualitative method, the major threats and potential hazards of pre-hospital emergency were identified by reviewing the texts and searching for relevant articles. Afterward, its effectiveness and the significance of its risk or threat were evaluated using a researcher-made checklist. In total, 19 crisis liaisons from the organizations involved in crisis management in Rasht were questioned, 18 of whom responded to the checklist.
Results: The results obtained from the opinions of the experts showed that the risk of earthquakes (88.8%) and seasonal flood (83.3%), among all the risks investigated, have a higher priority than traffic accidents (77.7%) and heavy snowfall (72.2%) in the society. They had a review. The pre-hospital emergency is closely related to many various risks, among which the earthquake risk was chosen as the priority by the community of experts participating in this research. For the emergency of the earthquake, preparedness plans were produced based on the response plan of the health sector and the additional comments of the expert community.
Conclusion: Identification of high-priority risks and design of appropriate response plans will help those in charge to face and prepare in time and reduce damages.


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