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Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach

BACKGROUND: Disasters and emergencies from infectious diseases, extreme weather and anthropogenic events are increasingly common. While risks vary for different communities, disaster and emergency preparedness is recognized as essential for all nation-states. Evidence to inform measurement of prepar...

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Autores principales: Khan, Yasmin, Brown, Adalsteinn D., Gagliardi, Anna R., O’Sullivan, Tracey, Lacarte, Sara, Henry, Bonnie, Schwartz, Brian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6927653/
https://www.ncbi.nlm.nih.gov/pubmed/31869359
http://dx.doi.org/10.1371/journal.pone.0226489
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author Khan, Yasmin
Brown, Adalsteinn D.
Gagliardi, Anna R.
O’Sullivan, Tracey
Lacarte, Sara
Henry, Bonnie
Schwartz, Brian
author_facet Khan, Yasmin
Brown, Adalsteinn D.
Gagliardi, Anna R.
O’Sullivan, Tracey
Lacarte, Sara
Henry, Bonnie
Schwartz, Brian
author_sort Khan, Yasmin
collection PubMed
description BACKGROUND: Disasters and emergencies from infectious diseases, extreme weather and anthropogenic events are increasingly common. While risks vary for different communities, disaster and emergency preparedness is recognized as essential for all nation-states. Evidence to inform measurement of preparedness is lacking. The objective of this study was to identify and define a set of public health emergency preparedness (PHEP) indicators to advance performance measurement for local/regional public health agencies. METHODS: A three-round modified Delphi technique was employed to develop indicators for PHEP. The study was conducted in Canada with a national panel of 33 experts and completed in 2018. A list of indicators was derived from the literature. Indicators were rated by importance and actionability until achieving consensus. RESULTS: The scoping review resulted in 62 indicators being included for rating by the panel. Panel feedback provided refinements to indicators and suggestions for new indicators. In total, 76 indicators were proposed for rating across all three rounds; of these, 67 were considered to be important and actionable PHEP indicators. CONCLUSIONS: This study developed an indicator set of 67 PHEP indicators, aligned with a PHEP framework for resilience. The 67 indicators represent important and actionable dimensions of PHEP practice in Canada that can be used by local/regional public health agencies and validated in other jurisdictions to assess readiness and measure improvement in their critical role of protecting community health.
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spelling pubmed-69276532020-01-07 Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach Khan, Yasmin Brown, Adalsteinn D. Gagliardi, Anna R. O’Sullivan, Tracey Lacarte, Sara Henry, Bonnie Schwartz, Brian PLoS One Research Article BACKGROUND: Disasters and emergencies from infectious diseases, extreme weather and anthropogenic events are increasingly common. While risks vary for different communities, disaster and emergency preparedness is recognized as essential for all nation-states. Evidence to inform measurement of preparedness is lacking. The objective of this study was to identify and define a set of public health emergency preparedness (PHEP) indicators to advance performance measurement for local/regional public health agencies. METHODS: A three-round modified Delphi technique was employed to develop indicators for PHEP. The study was conducted in Canada with a national panel of 33 experts and completed in 2018. A list of indicators was derived from the literature. Indicators were rated by importance and actionability until achieving consensus. RESULTS: The scoping review resulted in 62 indicators being included for rating by the panel. Panel feedback provided refinements to indicators and suggestions for new indicators. In total, 76 indicators were proposed for rating across all three rounds; of these, 67 were considered to be important and actionable PHEP indicators. CONCLUSIONS: This study developed an indicator set of 67 PHEP indicators, aligned with a PHEP framework for resilience. The 67 indicators represent important and actionable dimensions of PHEP practice in Canada that can be used by local/regional public health agencies and validated in other jurisdictions to assess readiness and measure improvement in their critical role of protecting community health. Public Library of Science 2019-12-23 /pmc/articles/PMC6927653/ /pubmed/31869359 http://dx.doi.org/10.1371/journal.pone.0226489 Text en © 2019 Khan et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Khan, Yasmin
Brown, Adalsteinn D.
Gagliardi, Anna R.
O’Sullivan, Tracey
Lacarte, Sara
Henry, Bonnie
Schwartz, Brian
Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach
title Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach
title_full Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach
title_fullStr Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach
title_full_unstemmed Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach
title_short Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach
title_sort are we prepared? the development of performance indicators for public health emergency preparedness using a modified delphi approach
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6927653/
https://www.ncbi.nlm.nih.gov/pubmed/31869359
http://dx.doi.org/10.1371/journal.pone.0226489
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