Perceptions and Needs of Primary Healthcare Providers Regarding Electricity Shortages and Blackouts: A Qualitative Study Using a Realistic Narrative Approach.

Objectives: To understand how primary healthcare providers perceive a hypothetical electricity supply interruptions (ESI) situation (electricity shortages and blackouts), and their needs for a better preparation and response. Methods: In Canton of Vaud, Switzerland, interviews with 16 experts of 13 institutions/organisations involved in ESI management were conducted to develop a locally adapted ESI scenario. Perceived risk, knowledge, capacity to adapt, and needs of 8 private practice physicians and nurses were then explored through semi-structured, scenario-based interviews. Results: Although they considered ESI unlikely and were aware of their heavy dependence on electricity-powered administrative and medical tools, healthcare professionals were willing to continue treating their patients in their own practices or in suitable primary care centres. However, better communication with public health stakeholders, participation in training sessions and to the development of checklists closer to their needs, and a plan indicating them their best possible location would be necessary. Conclusion: Redefining the role of primary healthcare providers in crises through better training, information, and integration as cooperative partners could represent a key opportunity to enhance the resilience of the whole healthcare system.