Context analysis for epidemic control in the Netherlands

Huizer, Y L; Kraaij-Dirkzwager, Marleen; Timen, Aura; Schuitmaker-Warnaar, Tjerk Jan; Steenbergen, Jim E. van

doi:10.1016/j.healthpol.2014.10.004

Cited by 10 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this case, a stakeholder was defined as ‘any group or organization that could affect or is affected by risk communication of zoonoses in the Netherlands’. Literature scan: In order to obtain an initial list of relevant stakeholders, an exploratory literature search concerning risk communication of zoonoses in the Netherlands was performed [ 22 , 24 – 26 ]. This consisted of both scientific literature, see [ 24 ] for an example, as gray literature such as official governmental reports [ 22 , 25 , 26 ].…”

Section: Methodsmentioning

confidence: 99%

Tackling wicked problems in infection prevention and control: a guideline for co-creation with stakeholders

Woezik

Braakman-Jansen

Kulyk

et al. 2016

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

BackgroundInfection prevention and control can be seen as a wicked public health problem as there is no consensus regarding problem definition and solution, multiple stakeholders with different needs and values are involved, and there is no clear end-point of the problem-solving process. Co-creation with stakeholders has been proposed as a suitable strategy to tackle wicked problems, yet little information and no clear step-by-step guide exist on how to do this. The objectives of this study were to develop a guideline to assist developers in tackling wicked problems using co-creation with stakeholders, and to apply this guideline to practice with an example case in the field of infection prevention and control.MethodsA mixed-method approach consisting of the integration of both quantitative and qualitative research was used. Relevant stakeholders from the veterinary, human health, and public health sectors were identified using a literature scan, expert recommendations, and snowball sampling. The stakeholder salience approach was used to select key stakeholders based on 3 attributes: power, legitimacy, and urgency. Key values of stakeholders (N = 20) were derived by qualitative semi-structured interviews and quantitatively weighted and prioritized using an online survey.ResultsOur method showed that stakeholder identification and analysis are prerequisites for understanding the complex stakeholder network that characterizes wicked problems. A total of 73 stakeholders were identified of which 36 were selected as potential key stakeholders, and only one was seen as a definite stakeholder. In addition, deriving key stakeholder values is a necessity to gain insights into different problem definitions, solutions and needs stakeholders have regarding the wicked problem. Based on the methods used, we developed a step-by-step guideline for co-creation with stakeholders when tackling wicked problems.ConclusionsThe mixed-methods guideline presented here provides a systematic, transparent method to identify, analyze, and co-create with stakeholders, and to recognize and prioritize their values, problem definitions, and solutions in the context of wicked problems. This guideline consists of a general framework and although it was applied in an eHealth context, may be relevant outside of eHealth as well.

show abstract

Section: Methodsmentioning

confidence: 99%

Tackling wicked problems in infection prevention and control: a guideline for co-creation with stakeholders

Woezik

Braakman-Jansen

Kulyk

et al. 2016

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

show abstract

“…In recent studies of disaster management, network governance of crisis response has gained considerable attention (Christensen & Lægreid, ; Comfort, ; Comfort & Kapucu, ; Galaz et al, ; Huizer et al, ; Kapucu et al, ; Kapucu, Augustin, & Garayev, ; Magsino, ; Moynihan & Theory, ; Nowell & Steelman, ; Nowell et al, ). As noted previously, Nohrstedt et al () produced a systematic literature review on Managing Crisis Collaboratively , Kuipers and Welsh appealed, in their Taxonomy of Crisis and Disaster literature , for more attention to be paid to inter alia “Networked Crisis Management” (Kuipers & Welsh, , p. 280), while Boin et al (, p. 32) claim in The Crisis Approach that “In fact, the crisis response in modern society is best characterized in terms of a network.” The current consensus thus appears to favour network governance, which in turn leads to the question: what type of network governance?…”

Section: Distinguishing Different Types Of Response For Multi‐actor Smentioning

confidence: 99%

“…In order to improve our capacity to respond to potentially catastrophic events, we need to move beyond this schism and ask ourselves the question which different, potentially effective options are available as crisis response arrangements. A rather recent and important argument in the crisis‐response literature is advancing the importance of “coordination.” This is not surprising, given the fact that crisis response, almost by definition, requires division of labour in which an assemblage of organizations collaborate (see Christensen & Lægreid, ; Galaz et al, ; Huizer, Kraaij‐Dirkzwager, Timen, Schuitmaker, & van Steenbergen, ; Kuipers & Welsh, ; Nohrstedt et al, ). Coordination is probably a good answer to a crisis threat but, from a contingency perspective, the question remains: what type of coordination is most appropriate for which type of threat?…”

Section: Introduction: Getting Preparedmentioning

confidence: 99%

Appropriate Governance Responses to Infectious Disease Threats: Developing Working Hypotheses

Kenis¹,

Schol²,

Kraaij-Dirkzwager³

et al. 2019

Risk Hazard & Crisis Pub Pol

Self Cite

View full text Add to dashboard Cite

Infectious diseases remain a threat to public health in today's interconnected world. There is an ongoing debate on how responses to threats of infectious diseases can best be coordinated, and the field remains nascent in understanding which specific structural governance arrangement will perform best. The present paper contributes to this discussion by demonstrating that it is possible to develop working hypotheses specifying the relationship between the type of infectious disease crisis and type of response to the crisis. For type of crises and type of response mechanisms there is still a lack of research, but the hypothesis combining these two provide a perspective for a future research and action agenda. It certainly prevents us from choosing between schism or hypes when it comes to crisis response. It provides instruments to realize that no single type of response is the most effective and that not all responses are equally effective in a concrete case.

show abstract

“…Guideline development is essential in preventing failures, especially in public health crises with high stakes [27]. Still, while we should adhere to guidelines to ensure good infectious disease control, these guidelines should not obstruct ad-hoc processes that respond to, and match, uncertain and fast changing situations [28, 29]. In crisis-management it has even been emphasised that ad hoc collaborations can, at times, be more important in the response to a disaster than formal structures [14].…”

Section: Discussionmentioning

confidence: 99%

Collaborative emergency preparedness and response to cross-institutional outbreaks of multidrug-resistant organisms: a scenario-based approach in two regions of the Netherlands

et al. 2019

Self Cite

View full text Add to dashboard Cite

BackgroundThe likelihood of large-scale outbreaks of multidrug-resistant organisms (MDRO) is growing. MDRO outbreaks can affect a wide range of healthcare institutions. Control of such outbreaks requires structured collaboration between professionals from all involved healthcare institutions, but guidelines for cross-institutional procedures are, however, often missing. Literature indicates that such multi-actor collaboration is most promising when effective network brokers are present, and when the collaborative actors have clarity about the different roles and responsibilities in the outbreak response network, including collaborative structures and coordination roles. Studying these factors in an imaginary MDRO outbreak scenario, we gained insights into the expectations that health professionals in the Netherlands have in regard to the procedures required to best respond to any future cross-institutional MDRO outbreaks.MethodsFor exploration purpose, a focus group discussion with ten healthcare professionals was held. Subsequently, an online-survey was conducted among 56 healthcare professionals in two Dutch regions. The survey data was analysed using social network analyses (clique analysis and centrality analysis), which provided insights into the collaborative structures and potential brokers in the outbreak response networks. Additionally, respondents were asked which healthcare institutions and which professions they would prefer as coordinating actors in the collaborative network.ResultsOur results show a relatively high level of perceived clarity about the roles and responsibilities that healthcare professionals have during a joint outbreak response. The regional outbreak response networks which were studied appeared inclusive and integrated, with many overlapping groups of fully-connected healthcare actors. Social network analyses resulted in the identification of several central actors from different healthcare institutions with the potential to take on a brokerage role in the collaboration. Actors in the outbreak response networks also showed to prefer several healthcare professionals to take on the coordination roles.ConclusionExpected collaborative structures during an imaginary regional MDRO outbreak response are relatively dense and integrated. In regard to the coordination of an MDRO outbreak response, based on both the network analysis results and the preferred coordination roles, our findings support a governance structure with several healthcare institutions involved in responding to future cross-institutional MDRO outbreaks.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6376-7) contains supplementary material, which is available to authorized users.

show abstract

Context analysis for epidemic control in the Netherlands

Cited by 10 publications

References 10 publications

Tackling wicked problems in infection prevention and control: a guideline for co-creation with stakeholders

Tackling wicked problems in infection prevention and control: a guideline for co-creation with stakeholders

Appropriate Governance Responses to Infectious Disease Threats: Developing Working Hypotheses

Collaborative emergency preparedness and response to cross-institutional outbreaks of multidrug-resistant organisms: a scenario-based approach in two regions of the Netherlands

Contact Info

Product

Resources

About