SARS: A Health System's Perspective

Beard, Leslie; Clark, Caroline

doi:10.12927/hcq..16483

Cited by 3 publications

(5 citation statements)

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“…Collaboration, Coordination, and Partnerships: A resilient health system collaborates and coordinates with partners within and outside of the health system [2, 29, 39, 45, 57, 66, 67]. Communication: A resilient health system has clear channels of communication between health system actors and other sectors, risk communication protocols, and robust engagement with patient populations [60, 68]. Flexible Plans and Management Structures: A resilient health system has flexible plans and management structures to cope with rapidly evolving circumstances [1, 69–71].…”

Section: Resultsmentioning

confidence: 99%

“…Communication: A resilient health system has clear channels of communication between health system actors and other sectors, risk communication protocols, and robust engagement with patient populations [60, 68].…”

Section: Resultsmentioning

confidence: 99%

“…Specifically, the JEE indicator on antimicrobial resistance does address IPC, but only within the context of healthcare-associated infections and associated IPC programs [12]. Additionally, the literature we collected emphasized the importance of communication between health system actors, other sectors, and the community during outbreaks [60, 68]. The JEE contains a very detailed section on communication that specifically calls out for the need for communication and coordination between stakeholders, including healthcare workers; for systems for rumor management through healthcare workers; and for formal communication mechanisms with the hospital and healthcare sector [12].…”

Section: Resultsmentioning

confidence: 99%

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What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping review

et al. 2019

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Background The 2014–2016 Ebola outbreak was a wake-up call regarding the critical importance of resilient health systems. Fragile health systems can become overwhelmed during public health crises, further exacerbating the human, economic, and political toll. Important work has been done to describe the general attributes of a health system resilient to these crises, and the next step will be to identify the specific capacities that health systems need to develop and maintain to achieve resiliency. Methods We conducted a scoping review of the literature to identify recurring themes and capacities needed for health system resiliency to infectious disease outbreaks and natural hazards and any existing implementation frameworks that highlight these capacities. We also sought to identify the overlap of the identified themes and capacities with those highlighted in the World Health Organization’s Joint External Evaluation. Sources of evidence included PubMed, Web of Science, OAIster, and the websites of relevant major public health organizations. Results We identified 16 themes of health system resilience, including: the need to develop plans for altered standards of care during emergencies, the need to develop plans for post-event recovery, and a commitment to quality improvement. Most of the literature described the general attributes of a resilient health system; no implementation frameworks were identified that could translate these elements into specific capacities that health system actors can employ to improve resilience to outbreaks and natural hazards in a variety of settings. Conclusions An implementation-oriented health system resilience framework could help translate the important components of a health system identified in this review into specific capacities that actors in the health system could work to develop to improve resilience to public health crises. However, there remains a need to further refine the concept of resilience so that health systems can simultaneously achieve sustainable transformations in healthcare practice and health service delivery as well as improve their preparedness for emergencies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping review

et al. 2019

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“…6 The Canadian experience with containment of the severe acute respiratory syndrome outbreak improved first-order triage by enhancing existing telephone hotlines to assist the population in determining the potential exposure risks, the need for medical attention, and the best places to seek care, and most important, in assuring people of the benefits of social distancing through remaining at home when clinical treatment was unnecessary. 7 This method was effective in that it informed the public and reduced unnecessary mixing and crowding at health care facilities, thereby reducing viral transmission and fulfilling the primary operational goal of triage management. 3 Ultimately, it proved to be an essential service in systemic outbreak control, investigation, and identification of best practices for triage management.…”

Section: Disaster-specific Triage As An Interconnected Frameworkmentioning

confidence: 99%

“…At the time of a crisis, the disaster management community must deliver targeted risk communications to inform affected individuals of potential risks, appropriate self-protection practices, and the proper indications and venues for seeking medical attention 6. The Canadian experience with containment of the severe acute respiratory syndrome outbreak improved first-order triage by enhancing existing telephone hotlines to assist the population in determining the potential exposure risks, the need for medical attention, and the best places to seek care, and most important, in assuring people of the benefits of social distancing through remaining at home when clinical treatment was unnecessary 7. This method was effective in that it informed the public and reduced unnecessary mixing and crowding at health care facilities, thereby reducing viral transmission and fulfilling the primary operational goal of triage management 3.…”

Section: Disaster-specific Triage As An Interconnected Frameworkmentioning

confidence: 99%

Disaster Triage Systems for Large-scale Catastrophic Events

Bostick¹,

Subbarao²,

Burkle³

et al. 2008

Disaster med. public health prep.

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Large-scale catastrophic events typically result in a scarcity of essential medical resources and accordingly necessitate the implementation of triage management policies to minimize preventable morbidity and mortality. Accomplishing this goal requires a reconceptualization of triage as a population-based systemic process that integrates care at all points of interaction between patients and the health care system. This system identifies at minimum 4 orders of contact: first order, the community; second order, prehospital; third order, facility; and fourth order, regional level. Adopting this approach will ensure that disaster response activities will occur in a comprehensive fashion that minimizes the patient care burden at each subsequent order of intervention and reduces the overall need to ration care. The seamless integration of all orders of intervention within this systems-based model of disaster-specific triage, coordinated through health emergency operations centers, can ensure that disaster response measures are undertaken in a manner that is effective, just, and equitable.

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