Such events affect a large number of persons worldwide, and have devastating consequences for individuals, families and societies. Unmet health care needs are commonly reported. There is an urgent need for coordinated efforts to strengthen the health care outreach to affected individuals and communities. The unpredictability and devastating effects of terrorist attacks make it very challenging to conduct sound research in the wake of such events. PROTECT will develop an innovative method to be applied cross-nationally in the setting of several terrorist attacks. We will collect longitudinal register-based and administrative claims data on primary and specialized health service utilization and medication prescriptions from directly exposed individuals and the general population before and after terrorist attacks in Norway (Utøya 2011) and France (Paris 2015). Such data will also be linked with data from interview- and web-based studies of terror-exposed individuals’ self –reported perceived health, social support and other factors that may be important in the planning and implementation of post-disaster health services. The utilization of different types of health services and medication prescriptions before, and in the early and late aftermath of the attacks will be investigated. This may provide new and important insight into how health care needs change over time. The data generated through PROTECT may enable both a temporal and geographical comparative perspective, as it includes pre- and post-attack data from different attacks from two countries. PROTECT may thus generate new and important insight into the strengths and weaknesses of different health care systems in the context of terrorist attacks. A long-term goal is to establish a sound research methodology that allows for international comparisons of health care delivery in the context of trauma.
The primary objective of the proposed project is to generate knowledge that will improve the health services’ preparedness, resilience and response to terrorist attacks and other mass casualties.
An additional objective is to develop a new solid research methodology that allows for international comparisons of health care delivery in the context of trauma.
More specific secondary objectives are to examine how direct and indirect exposure to a terrorist attack impact
(a) utilization of primary and specialized mental and somatic health services
(b) medication prescriptions
The objectives will be investigated using a temporal and geographical comparative perspective by assessing health service utilization and medication prescriptions before and after attacks in Norway and France.
PROTECT is funded by the Research Council of Norway. The project is conducted in collaboration with NTNU (Norway), the French National Institute of Health and Medical Research (Inserm) and the French Public Health Agency (Santé publique France)