Distributing Local Resources for Public Health Preparedness Grants: A Data-Driven Approach

Abstract

Objectives: To simulate allocations of Public Health Emergency Preparedness funds to counties using alternative metrics of need, minimum allocation amounts, and the proportion earmarked for discretionary considerations. Design: We developed a county-level community resilience index of 57 New York State counties using publicly available indicators, which we incorporated into an interactive spreadsheet of 8 hypothetical allocation formulas with different combinations of population size, the index and its 5 domains, and population density. Simulations were compared with the 2013-2014 fiscal year grant allocation. Results: New York allocated $6.27 million to counties outside New York City, with a median allocation of $78 038, ranging from $50 825 to $556 789. These allocations would vary under different strategies, with the largest changes among sparsely populated counties that currently receive a minimum allocation of $50 825. Allocations were sensitive to changes in minimum allocation, amount earmarked for discretionary allocation, and need indicator. Conclusions: Population-based approaches are commonly used but ignore important dimensions of need. It is feasible to include robust local community resilience measures in formulas, and interactive spreadsheet models can help stakeholders evaluate the consequences of alternative funding strategies.

Exploring Large Community‐ and Clinically‐Generated Datasets to Understand Resilience Before and During the COVID‐19 Pandemic

“…Recent research has attempted to illuminate the complex aspects of resilience, both at individual and community levels (Zamboni & Martin, 2020). Individual resilience is a person's ability to persevere, heal, and transform in the face of challenges, setbacks, and conflicts (Abbott et al, 2009; Bradshaw et al, 2007; Caldeira & Timmins, 2016).…”

“…Individual resilience is a person's ability to persevere, heal, and transform in the face of challenges, setbacks, and conflicts (Abbott et al, 2009; Bradshaw et al, 2007; Caldeira & Timmins, 2016). Community resilience is the capacity to withstand external challenges of a disaster while continuing to function, and to provide and maintain essential services, economic development, social support, information and communication, and preparedness for future events (Ayyub, 2014; Links et al, 2018; Norris, Stevents, Pfefferbaum, Wyche, & Pfefferbaum, 2008; Zamboni & Martin, 2020). To date, no studies have addressed the notion of resilience at individual and community levels using large standardized nursing datasets.…”

“…The COVID‐19 pandemic of 2020 has illuminated the importance of understanding whole‐person health, including resilience and the social and behavioral determinants of health, in order to respond effectively in the global crisis (Van Bavel et al, 2020). Indeed, resilience during extreme social and health‐related events may be key to survival, adaptation, and transformation for individuals and communities (Abbott, Klein, Hamilton, & Rosenthal, 2009; Bradshaw, Hoelscher, & Richardson, 2007; Zamboni & Martin, 2020). Research has shown that large health datasets offer new opportunities to understand whole‐person health, including the social determinants of health (Monsen et al, 2017; Monsen, Peters, Schlesner, Vanderboom, & Holland, 2015).…”

Sistema Mystrengths+Myhealth (MSMH): Tecnologia auxiliar para prestação de cuidados de saúde

“…Já a resiliência, é dita como a capacidade de se recuperar da variedade de desafios que podem surgir na vida [Campbell-Sills e Stein 2007]. A resiliência durante eventos sociais extremos e relacionados a saúde, como por exemplo guerras e pandemias, pode ser a chave para a sobrevivência, adaptação e transformação para indivíduos e comunidades [Zamboni e Martin 2020].…”