RESUMO
State and territorial health officials (STHOs) play a critical role in leading public health emergency response in their respective states. Through an exploratory qualitative study with 21 current or former STHOs, we sought to understand the issues that impact STHO decision making in public health responses. Initial findings suggest the need for structured decision making tools for use by leaders responding to public health emergencies, including COVID-19. Such tools could lead to more systematic responses by STHOs during public health crises.
Assuntos
COVID-19 , Saúde Pública , Humanos , COVID-19/epidemiologia , Pesquisa Qualitativa , Tomada de Decisões , EmergênciasAssuntos
Defesa Civil/organização & administração , Intervenção em Crise/organização & administração , Planejamento em Desastres/organização & administração , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division/organização & administração , Sistema de Vigilância de Fator de Risco Comportamental , Emergências , Humanos , Técnicas de Planejamento , Saúde Pública/normas , Estados UnidosAssuntos
Serviços Médicos de Emergência/organização & administração , Instituições Filantrópicas de Saúde/organização & administração , Comunicação , Serviços Médicos de Emergência/normas , Humanos , Relações Interpessoais , Cultura Organizacional , Inovação Organizacional , Instituições Filantrópicas de Saúde/economia , Instituições Filantrópicas de Saúde/normasAssuntos
Planejamento em Desastres/organização & administração , Serviços Médicos de Emergência/organização & administração , Relações Interinstitucionais , Incidentes com Feridos em Massa , Planejamento em Desastres/métodos , Serviços Médicos de Emergência/normas , Humanos , Relações InterprofissionaisRESUMO
It has been a typically busy Saturday when dispatch comes across the radio: "EMS 6, Rescue 2, respond to 280 Prince St., fourth floor, for a woman who fell, unknown extent of injuries." Recognizing the address as a senior residence facility, you and your partner exchange looks that say, "Great, another little ol' lady call." A couple of minutes later, you arrive and enter the scene to find the crew of Rescue 2 gathered around an approximately 80-year-old female supine on the floor. Based on her position, it appears she fell from a standing position. The patient isn't moving, but her eyes are open, and she's following the activity of those around her. You're not sure why the fire department EMTs seem to have made no attempt to assess, move or immobilize the patient, so you turn to the company officer and ask him what's going on. Obviously frustrated, the lieutenant says, "We tried to do a patient assessment and get vitals, but every place we touch seems to hurt her."
