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題名:社區協力策略在大量傷患事件緊急救護的系統韌性
書刊名:警察行政管理學報
作者:李宗勳
作者(外文):Li, Tzung Shiun
出版日期:2017
卷期:13
頁次:頁91-117
主題關鍵詞:社區協力策略大量傷患事件緊急救護系統韌性Community collaborative strategyMass casualty incidentEmergency rescueSystem resilience
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:7
  • 點閱點閱:3
從相關文獻中發現,驗證協力過程中,「參與型」的社區協力防災治理的策略比「命令型」,更具系統韌性(Wang & Kuo,2014)。而協力內容中「前瞻型」與「防衛型」的社區協力防災治理的策略,比「回應型」更具系統韌性(Wang & Kuo,2014)。大量傷患事件(Multiple/Mass Casualty Incident,以下以簡稱 MCI 代表),是指一個事件同時產生多名傷患,而這些傷患無法以「一般」的方式來的處理,而必須做特殊的動員。所以,大量傷患事件雖然產生多名傷患, 量不見得是最主要參考,反而資源需求所導致的運作的流程改變才是判斷的重點。基本上,會影響流程改變的因素,主要為傷患的人 、傷患的嚴重 、當地的資源狀態(特別是緊急醫療救護及醫療機構)及特殊的危害(如燒燙傷、核生化及侷限空間救援)等,這幾項因素,皆為啟動大量傷患事件的主要依據。除了以大量傷患處理流程,分別依據現場處理、集結後送、急診與後續醫療、以及啟動大規模替代方案等模式進行研究外,本文現階段主要以政府相關實錄報告與文件資料作為分析對象,並重點進行三場焦點座談20人次與訪談關鍵人士5位,包括實際參與這次緊急救護的馬偕醫院淡水院區急診室及相關醫療志工、八里區公所區長與當地志工、民力組織以及新北市府警消、公衛、社福等局處代表等,本文最難能可貴的是同時也邀請到陽光基金會的執行長與傷友代表進行訪談,以了解掌握相關民間資源在事故發生現場、運送與急診過程、住院就醫後各階段相關行動者之協助方式與參與內容,從中了解其在協力過程中參與型與命令型及不同的協力治理策略內容(前瞻型、防衛型、回應型)在緊急救護系統的實際比例與影響,相對地同步檢視接受政府委託的非營利組織與當事人傷友的觀感。本文藉由三場焦點座談與深度訪談結果顯示,民間協助方式與參與內容有不同的效應與影響,參考研究發現提出粗淺建議。
Recent papers have adopted an alternative view of the strategy-based approach to examine how different strategic styles affect organizational capability during a crisis response. For example, Chun-yuan Wang and Ming-feng Kuo (2014) highlighted the relationships among strategic content (three variables: prospector, defender, and reactor stance), strategic process (two variables: participatory and command model), and crisis response capability. The results reveal that a higher organizational capability with a prospecting or defending stance may facilitate local government response to a crisis better than a reactor stance. The results also point out that participatory mode still significantly and positively affects the crisis response capability, more so than the command model. These detrimental disasters raise not only the evolution but also the re-examination of rescue modes for multiple casualty incidents (MCI) in both community collaborative participation and medical systems. The current paper first conducts a content analysis of government records about each stage of the rescue process, including all kinds of community collaborative groups. It then conducts interviews 5 persons and roundtable discussions among all kinds of community collaborative groups and cross-sector government representatives 20 persons. The paper synchronizes the use of qualitative interviews and quantitative assessment methods to assess how different strategic styles affect the community collaborative organizational capability for MCI, focusing on the case of the dust explosion in the water park in New Taipei City. The conclusions obtained through our research can benefit the emergent medical care in both practical and academic aspects.
期刊論文
1.李宗勳(20121200)。第三部門在災後復原重建的角色與功能--整合治理觀點。警政論叢,12,79-111。new window  延伸查詢new window
2.李宗勳(20150500)。制度韌性與協力治理--匹茲堡與內湖的跨國比較。涉外執法與政策學報,5,69-94。new window  延伸查詢new window
3.Fiksel, J.(2003)。Designing Resilient, Sustainable Systems。Environmental Science and Technology,37,5330-5339。  new window
4.Cutter, S. L.(1996)。Vulnerability to Environmental Hazards。Progress in Human Geography,20,529-539。  new window
5.Brand, F. S.、Jax, K.(2007)。Focusing the Meaning(s) of Resilience: Resilience as a descriptive Concept and a boundary Object。Ecology and Society,12。  new window
6.Gallopín, G. C.(2006)。Linkages between vulnerability, resilience, and adaptive capacity。Global Environmental Change,16,293-303。  new window
7.Redman, C. L.、Kinzig, A. P.(2003)。Resilience of past landscapes: resilience theory, society, and the longue durée。Conservation Ecology,7(1)。  new window
8.Tierney, Kathleen J.(2007)。From the margins to the mainstream? Disaster research at the crossroads。Annual Review of Sociology,33,503-525。  new window
9.Wang, C. Y.、Kuo, M. C.(2014)。Strategic styles and organizational capability in crisis response in local government。Administration & Society,49(6),798-826。  new window
10.Sheffi, Y.(2007)。Building a Resilient Organization。The Bridge,37(1),30-38。  new window
11.Klein, Richard J. T.、Nicholls, Robert J.、Thomalla, Frank(2003)。Resilience to natural hazards: How useful is this concept?。Global Environmental Change Part B: Environmental Hazards,5(1/2),35-45。  new window
12.Manyena, Siambabala Bernard(2006)。The concept of resilience revisited。Disasters,30(4),433-450。  new window
會議論文
1.國家災害防救科技中心(2005)。2005~2015年兵庫行動綱領:建構國家與社區的災害回復力。第三屆世界減災會議。宮城縣。  延伸查詢new window
2.林聖琪(2015)。2015-2030仙台減災綱領。第3屆世界減災會議。宮城縣。  延伸查詢new window
研究報告
1.謝承憲、蘇昭郎、吳佳容(2010)。災害風險評估技術指引 (計畫編號:NCDR98-T13)。新北市:國家災害防救科技中心。  延伸查詢new window
2.Longstaff, P. H.(2005)。Security, Resilience, and Communication in Unpredictable Environments Such as Terrorism, Natural Disasters, and Complex Technology。Cambridge:Center for Information Policy Research, Harvard University。  new window
3.Minkler, M.、Vásquez, V. B.、Chang, C.、Miller, J.、Rubin, V.、Blackwell, A. G.、Thompson, M.、Flournoy, R.、Bell, J.(2008)。Promoting healthy public policy through communitybased participatory research: Ten case studies。Berkeley:University of California。  new window
圖書
1.Butterfoss, F. D.(2007)。Coalitions and Partnerships in Community Health。San Francisco, CA:Jossey-Bass。  new window
2.Hämäläinen, R. P.、Saarinen, E.(2004)。Systems intelligence in leadership and everyday life。Helsinki University of Technology。  new window
3.Flynn, S. E.、Prieto, D. B.(2006)。Mobilizing the Private Sector to Support Homeland Security。Washington, DC:Council on Foreign Relations。  new window
4.Fligstein, N.、McAdam, D.(2012)。A theory of fields。NY:Oxford University Press。  new window
5.Magsino, S.(2009)。Applications of social network analysis for building community disaster resilience: Workshop summary。Washington, DC:The National Academies Press。  new window
6.Kapucu, N.、Hawkins, C.、Rivera, E.(2013)。Disaster resilience: Interdisciplinary perspectives。NY:Routledge。  new window
7.Kadlec, A.、Friedman, W.(2008)。Public Engagement: A Primer from Public Agenda。New York:Center for Advances in Public Engagement。  new window
8.Milward, H. B.、Provan, K. G.(2006)。A Manager's Guide to Choosing and Using Collaborative Networks。Washington, DC:The IBM Center for the Business of Government。  new window
9.Multihazard Mitigation Council(2005)。Natural Hazard Mitigation Saves: An Independent Study to Assess the Future Savings from Mitigation Activities。Washington, DC:National Institute of Building Sciences。  new window
10.National Research Council(2010)。Private-public sector collaboration to enhance community disaster resilience: a workshop report。Washington, DC:The National Academies Press。  new window
11.National Academy of Sciences(2012)。Disaster resilience: a national imperative。Washington, DC:The National Academies Press。  new window
12.The Infrastructure Security Partnership(2006)。Regional disaster resilience: a guide for developing an action plan。Reston, VA:American Society of Civil Engineers。  new window
13.Tierney, K. J.(2014)。The social roots of risk: producing disasters, promoting resilience。CA:Stanford University press。  new window
14.Swiss Re(2010)。Natural catastrophes and man-made disasters in 2009。Zurich:Swiss Reinsurance Company Ltd。  new window
15.Wachtendorf, T.、Connell, R.、Monahan, B.、Tierney, K. J.(2002)。Disaster Resistant Communities Initiative: Assessment of Ten Non-pilot Communities。Newark, DE:University of Delaware Disaster Research Center。  new window
16.Miles, Raymond E.、Snow, Charles C.(1978)。Organizational Strategy, Structure, and Process。McGraw-Hill。  new window
其他
1.Business Executives for National Security(20090303)。Building a Resilient America: A proposal to strengthen private-public collaboration,www.bens.org/PBOProposal_03_04_09.pdf。  new window
2.Stockholm Resilience Center(2007)。What is resilience?,http://www.stockholmresilience.org/21/research/what-is-resilience.html .。  new window
3.Vanbreda, A. D.(2001)。Resilience theory: a literature review. pretoria, south africa: south african military health service,https://docs.google.com/a/judywang.idv.tw/viewer?url=http://www.vanbr eda.org/adrian/resilience/resilience9.pdf。  new window
圖書論文
1.Arsenault, D.、Sood, A.(2007)。Resilience: A Systems Design Imperative。Critical Thinking: Moving from Infrastructure Protection to Infrastructure Resilience。Arlington:George Mason University。  new window
2.Woods, D. D.(2006)。Essential Characteristics of Resilience。Resilience Engineering, Concepts and Precepts。Aldershot:Ashgate。  new window
 
 
 
 
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