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

Benjamin Ryan; Mayumi Kako; Rok Fink; Perihan Şimşek; Paul Barach; Jose Acosta; Sanjaya Bhatia; Mark Brickhouse; Matthew Fendt; Alicia Fontenot; Nahuel Arenas Garcia; Shelby Garner; Abdülkadir Gunduz; D. Mike Hardin; Tim Hatch; Lashonda Malrey-Horne; Makiko Macdermot; Ryoma Kayano; Joshua McKone; Chaverle Noel; Shuhei Nomura; Jeremy Novak; Andrew Stricklin; Raymond Swienton; Ismail Tayfur; Bryan Brooks

doi:10.1017/dmp.2023.136

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

Benjamin Ryan, Mayumi Kako, Rok Fink, Perihan Şimşek, Paul Barach, Jose Acosta, Sanjaya Bhatia, Mark Brickhouse, Matthew Fendt, Alicia Fontenot, Nahuel Arenas Garcia, Shelby Garner, Abdülkadir Gunduz, D. Mike Hardin, Tim Hatch, Lashonda Malrey-Horne, Makiko Macdermot, Ryoma Kayano, Joshua McKone, Chaverle NoelShuhei Nomura, Jeremy Novak, Andrew Stricklin, Raymond Swienton, Ismail Tayfur, Bryan Brooks

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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.

Original language	English (US)
Article number	e479
Journal	Disaster Medicine and Public Health Preparedness
Volume	17
Issue number	5
DOIs	https://doi.org/10.1017/dmp.2023.136
State	Published - Sep 5 2023

Keywords

COVID-19 pandemic
health system
public policy
resilience
workshops

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

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10.1017/dmp.2023.136

Cite this

Ryan, B., Kako, M., Fink, R., Şimşek, P., Barach, P., Acosta, J., Bhatia, S., Brickhouse, M., Fendt, M., Fontenot, A., Arenas Garcia, N., Garner, S., Gunduz, A., Hardin, D. M., Hatch, T., Malrey-Horne, L., Macdermot, M., Kayano, R., McKone, J., ... Brooks, B. (2023). Strategies for Strengthening the Resilience of Public Health Systems for Pandemics, Disasters, and Other Emergencies. Disaster Medicine and Public Health Preparedness, 17(5), Article e479. https://doi.org/10.1017/dmp.2023.136

Ryan, B, Kako, M, Fink, R, Şimşek, P, Barach, P, Acosta, J, Bhatia, S, Brickhouse, M, Fendt, M, Fontenot, A, Arenas Garcia, N, Garner, S, Gunduz, A, Hardin, DM, Hatch, T, Malrey-Horne, L, Macdermot, M, Kayano, R, McKone, J, Noel, C, Nomura, S, Novak, J, Stricklin, A , Swienton, R, Tayfur, I & Brooks, B 2023, 'Strategies for Strengthening the Resilience of Public Health Systems for Pandemics, Disasters, and Other Emergencies', Disaster Medicine and Public Health Preparedness, vol. 17, no. 5, e479. https://doi.org/10.1017/dmp.2023.136

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title = "Strategies for Strengthening the Resilience of Public Health Systems for Pandemics, Disasters, and Other Emergencies",

abstract = "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.",

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note = "Publisher Copyright: {\textcopyright} The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health.",

year = "2023",

month = sep,

day = "5",

doi = "10.1017/dmp.2023.136",

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AU - Ryan, Benjamin

AU - Kako, Mayumi

AU - Fink, Rok

AU - Şimşek, Perihan

AU - Barach, Paul

AU - Acosta, Jose

AU - Bhatia, Sanjaya

AU - Brickhouse, Mark

AU - Fendt, Matthew

AU - Fontenot, Alicia

AU - Arenas Garcia, Nahuel

AU - Garner, Shelby

AU - Gunduz, Abdülkadir

AU - Hardin, D. Mike

AU - Hatch, Tim

AU - Malrey-Horne, Lashonda

AU - Macdermot, Makiko

AU - Kayano, Ryoma

AU - McKone, Joshua

AU - Noel, Chaverle

AU - Nomura, Shuhei

AU - Novak, Jeremy

AU - Stricklin, Andrew

AU - Swienton, Raymond

AU - Tayfur, Ismail

AU - Brooks, Bryan

PY - 2023/9/5

Y1 - 2023/9/5

N2 - 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.

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KW - health system

KW - public policy

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KW - workshops

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

Abstract

Keywords

ASJC Scopus subject areas

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