Brian Holt Buck1, Logan Cowan1, Lisa Smith2, Emily Duncan3, Jodi Bazemore4, Jessica S Schwind1. 1. Department of Biostatistics, Epidemiology, and Environmental Health Sciences, Jiann Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA. 2. Department of Research Services, Georgia Southern University, Statesboro, GA. 3. Yolo County Health and Human Services Agency, Emergency Medical Services and Emergency Preparedness, Woodland, CA. 4. South Central Health District, Dublin, GA.
Abstract
OBJECTIVE: Drive-through clinics (DTCs) are a novel type of point of dispensing where participants drive to a designated location and receive prophylaxis while remaining inside their vehicle. The objective of this review was to identify effective practices and recommendations for implementing DTCs for mass prophylaxis dispensing during emergency events. METHODS: A systematic review was conducted for articles covering DTCs published between 1990 and 2019. Inclusion criteria were peer-reviewed, written in English, and addressed DTCs sufficiently. Effective practices and recommendations identified in the literature were presented by theme. RESULTS: A total of 13 articles met inclusion criteria. The themes identified were (1) optimal DTC design and planning via decision support systems and decision support tools; (2) clinic layouts, locations, and design aspects; (3) staffing, training, and DTC communication; (4) throughput time; (5) community outreach methods; (6) DTC equipment; (7) infection prevention and personal protective equipment; and (8) adverse events prevention and traffic management. CONCLUSIONS: DTCs are an essential component of emergency preparedness and must be optimally designed and implemented to successfully dispense mass prophylaxis to a community within 48 hours. The effective practices and recommendations presented can be used for the development, implementation, and improvement of DTCs for their target populations.
OBJECTIVE: Drive-through clinics (DTCs) are a novel type of point of dispensing where participants drive to a designated location and receive prophylaxis while remaining inside their vehicle. The objective of this review was to identify effective practices and recommendations for implementing DTCs for mass prophylaxis dispensing during emergency events. METHODS: A systematic review was conducted for articles covering DTCs published between 1990 and 2019. Inclusion criteria were peer-reviewed, written in English, and addressed DTCs sufficiently. Effective practices and recommendations identified in the literature were presented by theme. RESULTS: A total of 13 articles met inclusion criteria. The themes identified were (1) optimal DTC design and planning via decision support systems and decision support tools; (2) clinic layouts, locations, and design aspects; (3) staffing, training, and DTC communication; (4) throughput time; (5) community outreach methods; (6) DTC equipment; (7) infection prevention and personal protective equipment; and (8) adverse events prevention and traffic management. CONCLUSIONS: DTCs are an essential component of emergency preparedness and must be optimally designed and implemented to successfully dispense mass prophylaxis to a community within 48 hours. The effective practices and recommendations presented can be used for the development, implementation, and improvement of DTCs for their target populations.
Entities:
Keywords:
capacity building; community health planning; emergency preparedness; public health; public health practice
Authors: Deborah Gurgel Smith; John Anthony Vanchiere; Michelle Raley; Andrew David Yurochko; Mohammad Alfrad Nobel Bhuiyan; Kevin Sean Murnane; Rona Scott; Jeremy Kamil; Jill Rush-Kolodzey; Martha Whyte; Kenneth Densmore; Maarten Van Diest; Christopher Kevil Journal: J La Public Health Assoc Date: 2022-05-30