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Prioritizing Strategies for Building the Resilience of Public Health Systems to Disasters Across Multiple Communities and Countries

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International Journal of Disaster Risk Science 2024年第1期15卷 1-17页

作者： Benjamin J.Ryan mayumi kako Shelby Garner Rok Fink Ismail Tayfur Jonathan Abrahams Sanjaya Bhatia Adriana Campelo Matthew Fendt Alicia Fontenot Nahuel Arenas Garcia Tim Hatch Ryoma Kayano LaShonda Malrey‑Horne Makiko MacDermot Md Moshiur Rahman Chaverle Noel Shuhei Nomura Jeremy P.Novak Maria Opazo Kendell Oliver Luciana Peters Sohel Rahman PerihanŞimşek Andrew Stricklin Raymond Swienton Bryan W.Brooks Frist College of Medicine Belmont UniversityNashvilleTN 37212USA Department of Environmental Science Environmental Health Science ProgramCollege of Arts and SciencesBaylor UniversityWacoTX 76798USA Division of Nursing Science School of Biomedical and Health SciencesHiroshima UniversityHiroshima 734-8553Japan Gordon E.Inman College of Health Sciences and Nursing Belmont UniversityNashvilleTN 37212USA Faculty of Health Sciences University of Ljubljana1000 LjubljanaSlovenia Department of Emergency Medicine University of Health Sciences34668 IstanbulTurkey Monash University Accident Research Center MelbourneVIC 3800Australia Global Education and Training Institute United Nations Ofce for Disaster Risk ReductionIncheon 22004Republic of Korea Regional Ofce for the Americas and Caribbean United Nations Ofce for Disaster Risk ReductionPanama City 0843-03441Panama Engineering and Computer Science Baylor UniversityWacoTX 76798USA Department of Public Health Robbins College of Health and Human SciencesBaylor UniversityWacoTX 76798USA Alabama Department of Public Health MontgomeryAL 36092USA World Health Organization Centre for Health Development(WHO Kobe Centre) Kobe 651-0073Japan Waco-McLennan County Public Health District WacoTX 76707USA Department of Health Policy and Management School of MedicineKeio UniversityTokyo 160-8582Japan Department of Global Health Policy Graduate School of MedicineThe University of TokyoTokyo 113-0033Japan Tokyo Foundation for Policy Research Tokyo 106-6234Japan Global Development College BrisbaneQLD 4000Australia Municipality of Pudahuel 13124 PudahuelChile City Hall of Porto Alegre Porto Alegre 90010-170Brazil Ministry of Health and Family Welfare Government of the People’s Republic of BangladeshDhaka 1000Bangladesh Department of Emergency Aid and Disaster Management Trabzon University61335 TrabzonTurkey Department of Emergency Medicine UT SouthwesternDallasTX 75390USA

The COVID-19 pandemic highlighted the urgent need to strengthen public health systems.In response,the United Nations Disaster Risk Reduction(UNDRR) Public Health System Resilience Scorecard(Scorecard) was applied in workshops across multiple countries.The aim of our research was to explore the workshop findings to develop priority strategies for strengthening public health system resilience.We conducted a workshop from 14 to 16 March 2023,at the UNDRR Global Education and Training Institute in Incheon,Republic of Korea.A sequential modified Delphi method was utilized to develop a set of prioritized resilience strategies.These were drawn from 70 strategies identified from 13 distinct workshops in eight countries.After two surveys,23 strategies were finalized.Ten received ratings of "High" or Very High" from89% of participants.These related to the inclusion of public health risks in emergency plans,integrating multidisciplinary teams into public health,enabling local transport mechanisms,and improving the ability to manage an influx of patients.The Scorecard provides an adaptable framework to identify and prioritize strategies for strengthening public health system resilience.By leveraging this methodology,our study demonstrated how resilience strategies could inform disaster risk reduction funding,policies,and actions.

关键词： Health system resilience Public policy Resilience scorecard Workshops

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Experiences of civilian nurses in triage during the Iran-Iraq War： An oral history

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Chinese Journal of Traumatology 2017年第5期20卷 288-292页

作者： Mohammadreza Firouzkouhi Ali Zargham-Boroujeni mayumi kako Abdolghani Abdollahimohammad School of Nursing and Midwifery Zabol University of Medical Sdences Zabol Iran Nursing and Midwifery Care Research Center School of Nursing and Midwifery Isfahan University of Medical Sciences Isfahan Iran School of Nursing and Midwifery Flinders University Adelaide Australia

PurposeNurses 在在伊朗伊拉克战争期间执行 triage 起了一个关键作用。然而，他们在 triage 的经验没被讨论。因此，当前的学习试图在伊朗伊拉克 War.MethodsOral 历史方法期间调查平民的护士的 triage 经验，深入的会见被用来收集数... 详细信息

PurposeNurses 在在伊朗伊拉克战争期间执行 triage 起了一个关键作用。然而，他们在 triage 的经验没被讨论。因此，当前的学习试图在伊朗伊拉克 War.MethodsOral 历史方法期间调查平民的护士的 triage 经验，深入的会见被用来收集数据获得护士在 triage.ResultsFour 主题的经验从数据被提取，它是 triage 的发展，执行 triage 的挑战性的环境，活动 triage 队的开发，和为 nurses.ConclusionTriage 的 triage 化学药品牺牲品的挑战是为到人的护士的重要技巧护士们不得不在执行 triage 能干。处于批评状况的参与帮助护士学习并且增加怎么管理意外事件上的更多的经验。

关键词：伊拉克战争分流护士伊朗历史临床经验危急情况突发事件

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