Surge capacity: a proposed conceptual framework

Bonnett, Carl J.; Peery, Ben N.; Cantrill, Stephen V.; Pons, Peter T.; Haukoos, Jason S.; McVaney, Kevin; Colwell, Christopher B.

doi:10.1016/j.ajem.2006.08.011

Cited by 61 publications

(57 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4,5,7,74,75 Millin et al, documented the need for primary care management of chronic disease two-weeks following Hurricane Katrina; where more than 40% of cases treated at two temporary clinics were related to medication refills and receipt of medical supplies. 76 In the event of a public health disaster, receipt of primary care services is often fragmented.…”

Section: Introductionmentioning

confidence: 99%

Secondary Surge Capacity: A Framework for Understanding Long-Term Access to Primary Care for Medically Vulnerable Populations in Disaster Recovery

et al. 2012

View full text Add to dashboard Cite

Disasters create a secondary surge in casualties due to the sudden increase in need for long-term healthcare within the disaster population. Surging demands for medical care in the months after a disaster place excess strain on an overtaxed health care system operating at maximum or reduced capacity. Amplified demand met by diminishing supply likely disrupts the provision of and access to routine health services in the months post-disaster. Health disparities within vulnerable disaster populations present before the disaster are often exacerbated by systematic differences in access to primary care after the disaster. The following article applies a leading health services use model to identify areas of vulnerability that perpetuate health disparities for at-risk populations seeking entry into a frayed health system recovering from a disaster. We propose a framework to understand the role of the medical system in modifying the health impact of the secondary surge on vulnerable populations. Baseline assessment of existing needs and the anticipation of ballooning chronic health care needs following the acute response for at-risk populations are vulnerability gaps currently overlooked in national surge capacity plans.

show abstract

Section: Introductionmentioning

confidence: 99%

Secondary Surge Capacity: A Framework for Understanding Long-Term Access to Primary Care for Medically Vulnerable Populations in Disaster Recovery

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Bonnett et al would argue that the term "daily surge," is a contradiction in terms. 5 A system is either functioning under normal daily operations or it is not.…”

Section: Daily Surge Versus Extraordinary Surgementioning

confidence: 99%

“…5 A contained event is one that is geographically defined, discrete and focal. Examples of contained events include bombings, tornadoes, or other natural events.…”

Section: Surge Generating Eventsmentioning

confidence: 99%

Emergency Department Surge: Models and Practical Implications

Nager

Khanna

2009

Journal of Trauma: Injury, Infection &Amp; Critical Care

View full text Add to dashboard Cite

show abstract

“…They are forced to increase their capacity in order to respond effectively to disasters and handle large numbers of victims (1)(2)(3)(4). The first step in policy-making and planning for hospital surge capacity at the national level is to understand the present condition, and its challenges (5).…”

Section: Introductionmentioning

confidence: 99%

Hospital Surge Capacity in Disasters in a Developing Country: Challenges and Strategies

Gorgi¹,

Jafari²,

Shabanikiya³

et al. 2017

Trauma Mon

View full text Add to dashboard Cite

Background: The basic step in planning and policy-making for hospital surge capacity in disasters is the awareness of the current situation and problems. This issue is of greater importance in hospitals of developing countries that usually face many problems in ordinary situations; this paper aimed at identifying the status of hospitals in a developing country for surge capacity and the associated challenges at the time of disasters, and strategies to solve them. Methods: In this qualitative study, semi-structured interviews were conducted with 27 participants, who were mostly officials of hospitals and the authorities of the ministry of health in Iran. Thematic analysis was used for analyzing the data. Results: In this study, 40 subthemes and 12 themes under 4 main categories, including space, medication/supplies, manpower, and functional structures/plans, were identified. Some of these themes included shortage of space inside the structures, weakness in providing medication/emergency medical supplies, general shortage of manpower, weakness in maintaining and recalling staff at the time of hospital surge capacity in disasters, content defect in hospitals disaster preparedness plan, and weakness in training for disasters Conclusions: Generally, there are various challenges hospital surge capacity at the time of disasters, and hospitals are disadvantaged in this regard. However, implementing strategies recognized in this study may help resolve these challenges.

show abstract

Surge capacity: a proposed conceptual framework

Cited by 61 publications

References 28 publications

Secondary Surge Capacity: A Framework for Understanding Long-Term Access to Primary Care for Medically Vulnerable Populations in Disaster Recovery

Secondary Surge Capacity: A Framework for Understanding Long-Term Access to Primary Care for Medically Vulnerable Populations in Disaster Recovery

Emergency Department Surge: Models and Practical Implications

Hospital Surge Capacity in Disasters in a Developing Country: Challenges and Strategies

Contact Info

Product

Resources

About