ArticlePublic health2022
Preparedness in a public health emergency: determinants of willingness and readiness to respond in the onset of the COVID-19 pandemic.
Article in Public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The prevalence of burnout among pulmonologists or respiratory therapists pre- and post-COVID-19: a systematic review and meta-analysis.Annals of medicine · 2023Pooled it
- Article
- Complex Care Needs of People with Technology Dependence in Disaster Situations: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- The Willingness of Health Care Workers to Respond to a Pandemic in an LMIC Setting: Implications for Public Health Emergency Preparedness.Disaster medicine and public health preparedness · 2025Article
- Perceived work stressors and the transition to burnout among nurses in response to the pandemic: implications for healthcare organizations.Scandinavian journal of work, environment & health · 2024Article
- Preparedness, impacts, and responses of public health emergencies towards health security: qualitative synthesis of evidence.Archives of public health = Archives belges de sante publique · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesHealthcare professionals' high risk of infection and burnout in the first months of the COVID-19 pandemic probably hindered their much-needed preparedness to respond. We aimed to inform how individual and institutional factors contributed for the preparedness to respond during the first months of a public health emergency. STUDY
designCross-sectional study.
methodsWe surveyed healthcare workers from a Local Health Unit in Portugal, which comprises primary health care centers and hospital services, including public health units and intensive care units, in the second and third months of the COVID-19 epidemic in Portugal. The 460 answers, completed by 252 participants (about 10% of the healthcare workers), were analyzed using descriptive statistics and multiple logistic regressions. We estimated adjusted odds ratios for the readiness and willingness to respond.
resultsReadiness to respond was associated with the perception of adequate infrastructures (aOR = 4.04, P < 0.005), lack of access to personal protective equipment (aOR = 0.26, P < 0.05) and organization (aOR = 0.31, P < 0.05). The willingness to act was associated with the perception of not being able to make a difference (aOR = 0.05, P < 0.005), risk of work-related burnout (aOR = 21.21, P < 0.01) and experiencing colleagues or patients' deaths due to COVID-19 (aOR = 0.24, P < 0.05).
conclusionsAdequate organization, infrastructures, and access to personal protective equipment may be crucial for workers' preparedness in a new public health emergency, as well workers' understanding of their roles and expected impact. These factors, together with the risk of work-related burnout, shall be taken into account in the planning of the response of healthcare institutions in future public health emergencies.
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