Insufficient preparedness of primary care practices for pandemic influenza and the effect of a preparedness plan in Japan: a prefecture-wide cross-sectional study

Table 4 Comparison of clinic versus hospital pandemic influenza preparedness and response, Okinawa, Japan (N = 174)

		Institutional setting
		Clinic	Hospital
		n (%)	n (%)	Univariate	Multivariate
	Response	(N = 149)	(N = 25)	OR (95% CI)	OR (95% CI)*	*p value*
Healthcare staff protection
PPE supplies and storage
Gown	Stocked	36 (24.16)	17 (68.00)	0.15 (0.06–0.38)	0.15 (0.06–0.38)	<0.00
Mask: surgical mask	Stocked	124 (83.22)	23 (92.00)	0.43 (0.10–1.94)	0.44 (0.10–1.98)	0.28
N95 mask	Stocked	62 (41.61)	17 (68.00)	0.33 (0.14–0.83)	0.34 (0.14–0.84)	0.02
Eye protection	Stocked	24 (16.11)	13 (52.00)	0.18 (0.07–0.44)	0.18 (0.07–0.44)	<0.00
Gloves	Stocked	103 (69.13)	21 (84.00)	0.43 (0.14–1.31)	0.43 (0.14–1.33)	0.14
Hand sanitizer supplies	Stocked	130 (87.25)	22 (88.00)	0.93 (0.26–3.42)	0.95 (0.26–3.50)	0.94
Pharmaceutical arrangement
Storage of antiviral drugs	Stocked	120 (80.54)	24 (96.00)	0.17 (0.02–1.33)	0.17 (0.02–1.33)	0.10
Surveillance
Know how to transfer
A specimen to laboratory	Knew	121 (81.21)	17 (68.00)	2.03 (0.80–5.18)	2.42 (0.88–6.61)	0.09
Institutional management
Business continuity plan	Planned	47 (31.54)	10 (40.00)	0.69 (0.29–1.65)	0.71 (0.29–1.75)	0.45
Source control
Isolated ILI patients from
Other patients	Isolated	103 (69.13)	21 (84.00)	0.43 (0.14–1.31)	0.43 (0.14–1.32)	0.14
Pharmaceutical prevention
Provided vaccination service	Provided	141 (94.63)	24 (96.00)	0.73 (0.09–6.14)	0.70 (0.08–5.90)	0.74

N, n: number, CI: confidence interval, PPE: personal protective equipment, ILI: influenza-like illness.
*The multivariate odds ratio models included degree of familiarity with the national preparedness plan.

ISSN: 2731-4553