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

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

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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.

Health system resiliencePublic policyResilience scorecardWorkshops

Benjamin J.Ryan、Mayumi Kako、Shelby Garner、Rok Fink、Ismail Tayfur、Jonathan Abrahams、Sanjaya Bhatia、Adriana Campelo、Matthew Fendt、Alicia Fontenot、Nahuel Arenas Garcia、Tim Hatch、Ryoma Kayano、LaShonda Malrey-Horne、Makiko MacDermot、Md Moshiur Rahman、Chaverle Noel、Shuhei Nomura、Jeremy P.Novak、Maria Opazo、Kendell Oliver、Luciana Peters、Sohel Rahman、Perihan ?im?ek、Andrew Stricklin、Raymond Swienton、Bryan W.Brooks

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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

Division of Nursing Science,School of Biomedical and Health Sciences,Hiroshima University,Hiroshima 734-8553,Japan

Gordon E.Inman College of Health Sciences and Nursing,Belmont University,Nashville,TN 37212,USA

Faculty of Health Sciences,University of Ljubljana,1000 Ljubljana,Slovenia

Department of Emergency Medicine,University of Health Sciences,34668 Istanbul,Turkey

Monash University Accident Research Center,Melbourne,VIC 3800,Australia

Global Education and Training Institute,United Nations Office for Disaster Risk Reduction,Incheon 22004,Republic of Korea

Regional Office for the Americas and Caribbean,United Nations Office for Disaster Risk Reduction,Panama City 0843-03441,Panama

Engineering and Computer Science,Baylor University,Waco,TX 76798,USA

Department of Public Health,Robbins College of Health and Human Sciences,Baylor University,Waco,TX 76798,USA

Alabama Department of Public Health,Montgomery,AL 36092,USA

World Health Organization Centre for Health Development(WHO Kobe Centre),Kobe 651-0073,Japan

Waco-McLennan County Public Health District,Waco,TX 76707,USA

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

Global Development College,Brisbane,QLD 4000,Australia

Municipality of Pudahuel,13124 Pudahuel,Chile

City Hall of Porto Alegre,Porto Alegre 90010-170,Brazil

Ministry of Health and Family Welfare,Government of the People's Republic of Bangladesh,Dhaka 1000,Bangladesh

Department of Emergency Aid and Disaster Management,Trabzon University,61335 Trabzon,Turkey

Department of Emergency Medicine,UT Southwestern,Dallas,TX 75390,USA

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World Health Organization Centre for Health Development(WHO Kobe Centre)United Nations Office for Disaster Risk Reduction(UNDRR)Global Education and Training InstituteUNDRR Regional office for the Americas and CaribbeanWorld Health Organization Centre for Health Development(WHO Kobe Centre—WKC)Scientific and Technological Research Institution of Turkey(TüB?TA)

K21002

2024

10.1007/s13753-024-00537-x

国际灾害风险科学学报(英文版)

国际灾害风险科学学报(英文版)

ISSN：
年,卷(期)：2024.15(1)
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