Evidence map›Paper›PMID 30518348›Full record

ArticleBMC public health2018

Public health emergency preparedness: a framework to promote resilience.

Yasmin Khan, Tracey O'Sullivan, Adalsteinn Brown, Shannon Tracey, Jennifer Gibson, Mélissa Généreux, Bonnie Henry, Brian Schwartz

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 115 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

115 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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55 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yasmin KhanPublic Health Ontario, 480 University Avenue, Suite 300, Toronto, ON, M5G 1V2, Canada. yasmin.khan@oahpp.ca.ORCID http://orcid.org/0000-0001-5870-5546
Tracey O'SullivanUniversity of Ottawa, 25 University Pvt, Ottawa, ON, K1N 6N5, Canada.
Adalsteinn BrownDalla Lana School of Public Health, University of Toronto, Health Sciences Building, 155 College Street, 6th Floor, Toronto, ON, M5T 3M7, Canada.
Shannon TraceyPublic Health Ontario, 480 University Avenue, Suite 300, Toronto, ON, M5G 1V2, Canada.
Jennifer GibsonDalla Lana School of Public Health, University of Toronto, Health Sciences Building, 155 College Street, 6th Floor, Toronto, ON, M5T 3M7, Canada.
Mélissa GénéreuxUniversité de Sherbrooke, 3001 12 Ave N, Sherbrooke, QC, J1H 5N4, Canada.
Bonnie HenryOffice of the Provincial Health Officer, Ministry of Health, PO Box 9648, Victoria, BC, V8W 9P4, Canada.
Brian SchwartzPublic Health Ontario, 480 University Avenue, Suite 300, Toronto, ON, M5G 1V2, Canada.

Funding

Canadian Institutes of Health Research 142292
6 · The paper itself

Abstract

backgroundEmergencies and disasters impact population health. Despite the importance of upstream readiness, a persistent challenge for public health practitioners is defining what it means to be prepared. There is a knowledge gap in that existing frameworks lack consideration for complexity relevant to health systems and the emergency context. The objective of this study is to describe the essential elements of a resilient public health system and how the elements interact as a complex adaptive system.

methodsThis study used a qualitative design employing the Structured Interview Matrix facilitation technique in six focus groups across Canada. Focus group participants were practitioners from public health and related sectors. Data collection generated qualitative data on the essential elements, and interactions between elements, for a resilient public health system. Data analysis employed qualitative content analysis and the lens of complexity theory to account for the complex nature of public health emergency preparedness (PHEP). The unit of study was the local/regional public health agency. Ethics and values were considered in the development of the framework.

resultsA total of 130 participants attended the six focus groups. Urban, urban-rural and rural regions from across Canada participated and focus group size ranged from 15 to 33 across the six sites. Eleven elements emerged from the data; these included one cross-cutting element (Governance and leadership) and 10 distinct but interlinked elements. The essential elements define a conceptual framework for PHEP. The framework was refined to ensure practice and policy relevance for local/regional public health agencies; the framework has ethics and values at its core.

conclusionsThis framework describes the complexity of the system yet moves beyond description to use tenets of complexity to support building resilience. This applied public health framework for local/regional public health agencies is empirically-derived and theoretically-informed and represents a complex adaptive systems approach to upstream readiness for PHEP.

Indexed as

EmergenciesPublic HealthCanadaDisaster PlanningFocus GroupsHumansQualitative ResearchComplexity theoryDisaster risk reductionDisastersEmergency managementEmergency preparednessPublic healthQualitative researchResilience

Identifiers

PMID30518348
PMCPMC6280369

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.