Strategies for Strengthening the Resilience of Public Health Systems for Pandemics, Disasters, and Other Emergencies.

Autor:	Ryan B; Department of Environmental Science, Environmental Health Science Program, Baylor University, Waco, Texas, USA.; Department of Public Health, Baylor University, Waco, Texas, USA.; Frist College of Medicine, Belmont University, Nashville, Tennessee, USA., Kako M; Hiroshima University, School of Biomedical and Health Sciences, Division of Nursing Science, Hiroshima, Japan., Fink R; University of Ljubljana, Faculty of Health Sciences, Ljubljana, Slovenia., Şimşek P; Department of Emergency Aid and Disaster Management, Trabzon University, Trabzon, Turkey., Barach P; Thomas Jefferson University, Philadelphia, Pennsylvania, USA.; University of Queensland School of Medicine, Brisbane, Australia., Acosta J; Engineering and Computer Science, Baylor University, Waco, Texas, USA., Bhatia S; United Nations Office for Disaster Risk Reduction Global Education and Training Institute, Incheon, Republic of Korea., Brickhouse M; Project Manager, Baylor University, Waco, Texas, USA., Fendt M; Engineering and Computer Science, Baylor University, Waco, Texas, USA., Fontenot A; Department of Environmental Science, Environmental Health Science Program, Baylor University, Waco, Texas, USA.; Department of Public Health, Baylor University, Waco, Texas, USA., Arenas Garcia N; United Nations Office for Disaster Risk Reduction Regional Office for the Americas and Caribbean, Panama., Garner S; Gordon E. Inman College of Health Sciences and Nursing, Belmont University, Nashville, Tennessee, USA., Gunduz A; Karadeniz Technical University, Faculty of Medicine, Department of Emergency Medicine, Trabzon, Turkey., Hardin DM Jr; Waco Family Medicine, Waco, Texas, USA., Hatch T; Alabama Department of Public Health, Montgomery, Alabama, USA., Malrey-Horne L; Waco-McLennan County Public Health District, Waco, Texas, USA., MacDermot M; World Health Organization Centre of Health Development, Kobe, Japan., Kayano R; World Health Organization Centre of Health Development, Kobe, Japan., McKone J; Engineering and Computer Science, Baylor University, Waco, Texas, USA., Noel C; Department of Environmental Science, Environmental Health Science Program, Baylor University, Waco, Texas, USA., Nomura S; Department of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.; Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.; Tokyo Foundation for Policy Research, Tokyo, Japan., Novak J; Global Development College, Australia., Stricklin A; Department of Emergency Medicine, UT Southwestern, Dallas, Texas, USA., Swienton R; Department of Emergency Medicine, UT Southwestern, Dallas, Texas, USA., Tayfur I; Department of Emergency Medicine, University of Health Sciences, Istanbul, Turkey., Brooks B; Department of Environmental Science, Environmental Health Science Program, Baylor University, Waco, Texas, USA.; Department of Public Health, Baylor University, Waco, Texas, USA.
Jazyk:	angličtina
Zdroj:	Disaster medicine and public health preparedness [Disaster Med Public Health Prep] 2023 Sep 05; Vol. 17, pp. e479. Date of Electronic Publication: 2023 Sep 05.
DOI:	10.1017/dmp.2023.136
Abstrakt:	Objective: The aim of this study was to identify and prioritize strategies for strengthening public health system resilience for pandemics, disasters, and other emergencies using a scorecard approach. Methods: The United Nations Public Health System Resilience Scorecard (Scorecard) was applied across 5 workshops in Slovenia, Turkey, and the United States of America. The workshops focused on participants reviewing and discussing 23 questions/indicators. A Likert type scale was used for scoring with zero being the lowest and 5 the highest. The workshop scores were analyzed and discussed by participants to prioritize areas of need and develop resilience strategies. Data from all workshops were aggregated, analyzed, and interpreted to develop priorities representative of participating locations. Results: Eight themes emerged representing the need for better integration of public health and disaster management systems. These include: assessing community disease burden; embedding long-term recovery groups in emergency systems; exploring mental health care needs; examining ecosystem risks; evaluating reserve funds; identifying what crisis communication strategies worked well; providing non-medical services; and reviewing resilience of existing facilities, alternate care sites, and institutions. Conclusions: The Scorecard is an effective tool for establishing baseline resilience and prioritizing actions. The strategies identified reflect areas in most need for investment to improve public health system resilience.
Databáze:	MEDLINE
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