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Effective Practices and Recommendations for Drive-Through Clinic Points of Dispensing: A Systematic Review

Published online by Cambridge University Press:  01 April 2020

Brian Holt Buck ,
Logan Cowan ,
Lisa Smith ,
Emily Duncan ,
Jodi Bazemore  and
Jessica S. Schwind Open the ORCID record for Jessica S. Schwind [Opens in a new window]
Brian Holt Buck
Affiliation:
Department of Biostatistics, Epidemiology, and Environmental Health Sciences, Jiann Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
Logan Cowan
Affiliation:
Department of Biostatistics, Epidemiology, and Environmental Health Sciences, Jiann Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
Lisa Smith
Affiliation:
Department of Research Services, Georgia Southern University, Statesboro, GA
Emily Duncan
Affiliation:
Yolo County Health and Human Services Agency, Emergency Medical Services and Emergency Preparedness, Woodland, CA
Jodi Bazemore
Affiliation:
South Central Health District, Dublin, GA
Jessica S. Schwind*
Affiliation:
Department of Biostatistics, Epidemiology, and Environmental Health Sciences, Jiann Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
*
Correspondence and reprint requests to Jessica Schwind, Department of Biostatistics, Epidemiology, and Environmental Health Sciences, Georgia Southern University, PO Box 8015, Statesboro, GA30460 (e-mail: jschwind@georgiasouthern.edu)
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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.

Keywords

capacity buildingcommunity health planningemergency preparednesspublic healthpublic health practice
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 3 , June 2021 , pp. 374 - 388
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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