Military Response to Medical Crises-Consensus Recommendations for Military-Civilian Transitions of Care.

Autor:	Goolsby C; Department of Emergency Medicine, Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLA, Torrance, CA, USA., Schuler K; National Center for Disaster Medicine and Public Health Medicine, Rockville, MD, USA.; The Henry M Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, USA., Tilley L; Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, National Center for Disaster Medicine and Public Health, Bethesda, MD, USA., Zebrowski A; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.; Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Dacuyan-Faucher N; National Center for Disaster Medicine and Public Health Medicine, Rockville, MD, USA.; The Henry M Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, USA., Kim C; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Redlener M; Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jazyk:	angličtina
Zdroj:	Disaster medicine and public health preparedness [Disaster Med Public Health Prep] 2022 Dec 12; Vol. 17, pp. e281. Date of Electronic Publication: 2022 Dec 12.
DOI:	10.1017/dmp.2022.246
Abstrakt:	Objective: The threat that New York faced in 2020, as the COVID-19 pandemic unfolded, prompted an unprecedented response. The US military deployed active-duty medical professionals and equipment to NYC in a first of its kind response to a "medical" domestic disaster. Transitions of care for patients surfaced as a key challenge. Uniformed Services University and the Icahn School of Medicine at Mount Sinai hosted a consensus conference of civilian and military healthcare professionals to identify care transition best practices for future military-civilian responses. Methods: We performed individual interviews followed by a modified Delphi technique during a two-day virtual conference. Patient transitions of care emerged as a key theme from pre-conference interviews. Twelve participants attended the two-day virtual conference and generated best practice recommendations from an iterative process. Results: Participants identified 19 recommendations in 10 "sub-themes" related to patient transitions of care: needs assessment and capability analysis; unified command; equipment; patient handoffs; role of in-person facilitation; dynamic updates; patient selection; patient tracking; daily operations; and resource typing. Conclusions: The COVID-19 pandemic resulted in an unprecedented military response. This study created 19 consensus recommendations for care transitions between military and civilian healthcare assets that may be useful in future military-civilian medical engagements.
Databáze:	MEDLINE
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