RESUMO
Increasingly frequent and costly disasters in the US have prompted the need for greater collaboration at the local level among healthcare facilities, public health agencies, emergency medical services, and emergency management agencies. We conducted a multiphase, mixed-method, qualitative study to uncover the extent and quality of existing collaborations, identify what factors impede or facilitate the integration of the preparedness community, and propose measures to strengthen collaboration. Our study involved a comprehensive literature review, 55 semistructured key-informant interviews, and a working group meeting. Using thematic analysis, we identified 6 key findings that will inform the development of tools to help coalitions better assess and improve their own preparedness community integration.
Assuntos
Serviços de Saúde Comunitária/organização & administração , Comportamento Cooperativo , Planejamento em Desastres/organização & administração , Serviços Médicos de Emergência/organização & administração , United States Public Health Service/organização & administração , Planejamento em Desastres/métodos , Humanos , Entrevistas como Assunto , Socorro em Desastres/organização & administração , Trabalho de Resgate/métodos , Trabalho de Resgate/organização & administração , Estados UnidosRESUMO
The events of the 2009 influenza pandemic sparked discussion regarding the need to optimize delivery of care to those most severely ill. We propose in this conceptual study that a tiered regionalization care system be instituted for patients with severe acute respiratory distress syndrome. Such system would be a component of national pandemic plans and could also be used in day-to-day operations.
Assuntos
Cuidados Críticos/normas , Atenção à Saúde/normas , Influenza Humana/epidemiologia , Influenza Humana/terapia , Pandemias , Regionalização da Saúde , Síndrome Respiratória Aguda Grave/epidemiologia , Síndrome Respiratória Aguda Grave/terapia , Oxigenação por Membrana Extracorpórea , Humanos , Telemedicina , Triagem , Estados Unidos/epidemiologiaRESUMO
Previous reports have identified the development of healthcare coalitions as the foundation for disaster response across the United States. This survey of acute care hospitals characterizes the current status of participation by US hospitals in healthcare coalitions for emergency preparedness planning and response. The survey results show the nearly universal nature of a coalition approach to disaster response. The results suggest a need for wide stakeholder involvement but also for flexibility in structure and organization. Based on the survey results, the authors make recommendations to guide the further development of healthcare coalitions and to improve local and national response to disasters.
