ArticleJournal of public health management and practice : JPHMP
Ebola Preparedness in the Netherlands: The Need for Coordination Between the Public Health and the Curative Sector.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- A scoping review of the roles of stakeholders and coordination mechanisms for enhanced multi-sectoral and multi-level interventions in COVID-19 response in Nigeria.Health research policy and systems · 2025Article
- Defining and identifying the critical elements of operational readiness for public health emergency events: a rapid scoping review.BMJ global health · 2024Article
- Environmental and Socioeconomic Factors for Gastric Cancer in 14 Counties of the Huai River Basin from 2014 to 2018.International journal of environmental research and public health · 2022Article
- Preparedness of Our Emergency Department During the Coronavirus Disease Outbreak from the Nurses' Perspectives: A Qualitative Research Study.Journal of emergency nursing · 2020Article
- Qualitative Research: Institutional Preparedness During Threats of Infectious Disease Outbreaks.BioMed research international · 2020Article
- Collaborative emergency preparedness and response to cross-institutional outbreaks of multidrug-resistant organisms: a scenario-based approach in two regions of the Netherlands.BMC public health · 2019Article
- Ebola in the Netherlands, 2014-2015: costs of preparedness and response.The European journal of health economics : HEPAC : health economics in prevention and care · 2018Article
- Preparedness and the importance of meeting the needs of healthcare workers: a qualitative study on Ebola.The Journal of hospital infection · 2018Article
- Ebola Virus Disease Preparedness Assessment and Risk Mapping in Uganda, August-September 2018.Health securityArticle
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Authors and funding
6 authors.
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Abstract
contextDuring the Ebola outbreak in West Africa in 2014-2015, close cooperation between the curative sector and the public health sector in the Netherlands was necessary for timely identification, referral, and investigation of patients with suspected Ebola virus disease (EVD).
objectiveIn this study, we evaluated experiences in preparedness among stakeholders of both curative and public health sectors to formulate recommendations for optimizing preparedness protocols. Timeliness of referred patients with suspected EVD was used as indicator for preparedness.
designIn focus group sessions and semistructured interviews, experiences of curative and public health stakeholders about the regional and national process of preparedness and response were listed. Timeliness recordings of all referred patients with suspected EVD (13) were collected from first date of illness until arrival in the referral academic hospital.
resultsEbola preparedness was considered extensive compared with the risk of an actual patient, however necessary. Regional coordination varied between regions. More standardization of regional preparation and operational guidelines was requested, as well as nationally standardized contingency criteria, and the National Centre for Infectious Disease Control was expected to coordinate the development of these guidelines. For the timeliness of referred patients with suspected EVD, the median delay between first date of illness until triage was 2.0 days (range: 0-10 days), and between triage and arrival in the referral hospital, it was 5.0 hours (range: 2-7.5 hours). In none of these patients Ebola infection was confirmed.
conclusionsCoordination between the public health sector and the curative sector needs improvement to reduce delay in patient management in emerging infectious diseases. Standardization of preparedness and response practices, through guidelines for institutional preparedness and blueprints for regional and national coordination, is necessary, as preparedness for emerging infectious diseases needs a multidisciplinary approach overarching both the public health sector and the curative sector. In the Netherlands a national platform for preparedness is established, in which both the curative sector and public health sector participate, in order to implement the outcomes of this study.
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