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Prioritizing Strategies for Building the Resilience of Public Health Systems to Disasters Across Multiple Communities and Countries

摘要The COVID-19 pandemic highlighted the urgent need to strengthen public health systems.In response,the United Nations Disaster Risk Reduction(UNDRR)Public Health System Resilience Scorecard(Scorecard)was applied in workshops across multiple countries.The aim of our research was to explore the workshop findings to develop priority strategies for strengthening public health system resilience.We conducted a workshop from 14 to 16 March 2023,at the UNDRR Global Education and Training Institute in Incheon,Republic of Korea.A sequential modified Delphi method was utilized to develop a set of prioritized resilience strategies.These were drawn from 70 strategies identified from 13 distinct workshops in eight countries.After two surveys,23 strategies were finalized.Ten received ratings of"High"or"Very High"from 89%of participants.These related to the inclusion of public health risks in emergency plans,integrating multidisciplinary teams into public health,enabling local transport mechanisms,and improving the ability to manage an influx of patients.The Scorecard provides an adaptable framework to identify and prioritize strategies for strengthening public health system resilience.By leveraging this methodology,our study demonstrated how resilience strategies could inform disaster risk reduction funding,policies,and actions.

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作者单位 Frist College of Medicine,Belmont University,Nashville,TN 37212,USA;Department of Environmental Science,Environmental Health Science Program,College of Arts and Sciences,Baylor University,Waco,TX 76798,USA [1] Division of Nursing Science,School of Biomedical and Health Sciences,Hiroshima University,Hiroshima 734-8553,Japan [2] Gordon E.Inman College of Health Sciences and Nursing,Belmont University,Nashville,TN 37212,USA [3] Faculty of Health Sciences,University of Ljubljana,1000 Ljubljana,Slovenia [4] Department of Emergency Medicine,University of Health Sciences,34668 Istanbul,Turkey [5] Monash University Accident Research Center,Melbourne,VIC 3800,Australia [6] Global Education and Training Institute,United Nations Office for Disaster Risk Reduction,Incheon 22004,Republic of Korea [7] Regional Office for the Americas and Caribbean,United Nations Office for Disaster Risk Reduction,Panama City 0843-03441,Panama [8] Engineering and Computer Science,Baylor University,Waco,TX 76798,USA [9] Department of Environmental Science,Environmental Health Science Program,College of Arts and Sciences,Baylor University,Waco,TX 76798,USA;Department of Public Health,Robbins College of Health and Human Sciences,Baylor University,Waco,TX 76798,USA [10] Alabama Department of Public Health,Montgomery,AL 36092,USA [11] World Health Organization Centre for Health Development(WHO Kobe Centre),Kobe 651-0073,Japan [12] Waco-McLennan County Public Health District,Waco,TX 76707,USA [13] Department of Environmental Science,Environmental Health Science Program,College of Arts and Sciences,Baylor University,Waco,TX 76798,USA [14] Department of Health Policy and Management,School of Medicine,Keio University,Tokyo 160-8582,Japan;Department of Global Health Policy,Graduate School of Medicine,The University of Tokyo,Tokyo 113-0033,Japan;Tokyo Foundation for Policy Research,Tokyo 106-6234,Japan [15] Global Development College,Brisbane,QLD 4000,Australia [16] Municipality of Pudahuel,13124 Pudahuel,Chile [17] City Hall of Porto Alegre,Porto Alegre 90010-170,Brazil [18] Ministry of Health and Family Welfare,Government of the People's Republic of Bangladesh,Dhaka 1000,Bangladesh [19] Department of Emergency Aid and Disaster Management,Trabzon University,61335 Trabzon,Turkey [20] Department of Emergency Medicine,UT Southwestern,Dallas,TX 75390,USA [21]
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DOI 10.1007/s13753-024-00537-x
发布时间 2024-05-15(万方平台首次上网日期,不代表论文的发表时间)
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