Document Type : Original Article

Authors

1 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences

2 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences Department of Clinical Science and Education, Karolinska Institute, Stockholm, Sweden

3 Trauma and Injury Research Center, Iran University of Medical Sciences

4 Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Abstract

INTRODUCTION: An important indicator increasing the survival chances of patients and injured
people immediately after emergency and disaster is the rapid access to medical services. The
establishment of Emergency and Disaster Medical Response Teams (EDMRTs) is one of the main
strategies to improve response capacity and capability in the field of EDMRT. This study aimed to
probe the structural factors influencing of EDMRTs.
METHODOLOGY: In this study, a comparative review method was used. The current study was
conducted between March 2017 and September 2018. For this, articles, books, formal reports, and
information concerning the available websites regarding the structure of EDMRTs were analyzed. To
access relevant scientific articles, an extensive search was carried out in several steps using divergent
keywords in the Scopus, ProQuest, PubMed, ScienceDirect, and Google Scholar databases. After
accessing the resources and documents, the process of analyzing and comparing different team
structures was carried out using content analysis.
RESULTS: Following the search of relevant databases and websites, the structure of EDMRTs in the
United States, Australia, Japan, Turkey, New Zealand, Canada, and the World Health Organization
were taken into consideration and compared. Two areas of “Organization and Management” as well
as “Capacity and Capability Development” were explored along with multiple subsets.
CONCLUSION: The results of this study revealed that the model and structure of EDMRTs have
direct relationship with such elements as the structure of the disaster risk management system, risk
assessment, impact of the hazards and medical needs of the affected area, population distribution,
level of team activity, and timing of the teams’ presence after disasters. The research team
recommends designing and conducting studies for determine the roles and responsibilities of the
teams.

Keywords

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