Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 40530, Gothenburg, Sweden; Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.
Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, 40100, Gothenburg, Sweden; USN School of Business, University of South-Eastern Norway, P.O. Box 235, 3603, Kongsberg, Norway; Gothenburg Emergency Medicine Research Group, Sahlgrenska Academy, Gothenburg University, 40530, Gothenburg, Sweden.
Public Health. 2022 Jul;208:46-51. doi: 10.1016/j.puhe.2022.04.012. Epub 2022 Jun 7.
This study aims to develop a theoretical framework for the flexible surge capacity, inspired by existing surge capacity, complexity theory, and collaborative theoretical frameworks, and discuss its implementation and use in emergencies.
This was a descriptive study.
Theoretical frameworks for surge capacity, the complexity and resilience theory, and collaboration were reviewed and combined to develop a theoretical framework for the flexible surge capacity, incorporated with standard practical tools used in disaster and emergency management as interconnecting collaborative factors.
The expanded number of disasters, public health emergencies, and the emergence of new risks and vulnerabilities indicate a complex situation and an apparent need to revisit the core of preparedness for unexpected incidents. Four crucial elements as parts of surge capacity, that is, staff, stuff, space, and systems, need to be considered in the planning and managing disasters and emergencies. Within the ordinary contingency plans, primary and secondary surges are planned and prepared. However, there are situations where those surges may not exist or are impossible to deliver. In such situations, available community resources should be used, described as flexible surge capacity. The flexible surge capacity framework incorporates a balanced and innovative process of integrating various resilience factors in complex incidents and collaboration among multiagency organizations.
The flexible surge capacity theoretical framework was developed. Nonetheless, further studies on the willingness of the medical and non-medical organizations to partake in the flexible surge capacity system are required.
本研究旨在以现有应急能力、复杂性理论和协作理论框架为基础，提出一个应急灵活能力的理论框架，并讨论其在紧急情况下的实施和应用。
这是一项描述性研究。
综述了应急能力、复杂性和弹性理论以及协作的理论框架，并将其结合起来，提出了一个应急灵活能力的理论框架，纳入了灾害和应急管理中常用的标准实用工具，作为相互关联的协作因素。
越来越多的灾害、突发公共卫生事件以及新风险和脆弱性的出现，表明情况复杂，显然需要重新审视应对突发事件的核心准备工作。在规划和管理灾害和紧急情况时，需要考虑应急能力的四个关键要素，即人员、物资、空间和系统。在普通应急计划中，计划和准备了主要和次要的应急能力。然而，在某些情况下，可能不存在或不可能提供这些应急能力。在这种情况下，应利用现有的社区资源，这被描述为灵活的应急能力。灵活的应急能力框架包含了一个平衡和创新的过程，即将各种弹性因素整合到复杂事件中，并促进多机构组织之间的协作。
提出了应急灵活能力的理论框架。然而，还需要进一步研究医疗和非医疗组织参与灵活应急能力系统的意愿。
