The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, 6720B Rockledge Drive Bethesda, Bethesda, MD, United States of America.
Center for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, United States of America.
Health Res Policy Syst. 2024 Aug 14;22(1):108. doi: 10.1186/s12961-024-01203-w.
The coronavirus disease 2019 (COVID-19) pandemic caused significant global disruptions to the healthcare system, which was forced to make rapid changes in healthcare delivery. The pandemic necessitated closer collaboration between the US civilian healthcare sector and the military health system (MHS), resulting in new and strengthened partnerships that can ultimately benefit public health and healthcare for the nation. In this study, we sought to understand the full range of partnerships in which the MHS engaged with the civilian sector during the COVID-19 pandemic and to elicit lessons for the future.
We conducted key informant interviews with MHS policymakers and advisers, program managers and providers who were affiliated with the MHS from March 2020 through December 2022. Key themes were derived using thematic analysis and open coding methods.
We conducted 28 interviews between December 2022 and March 2023. During the pandemic, the MHS collaborated with federal and local healthcare authorities and private sector entities through endeavours such as Operation Warp Speed. Lessons and recommendations for future pandemics were also identified, including investment in biosurveillance systems and integration of behavioural and social sciences.
The MHS rapidly established and fostered key partnerships with the public and private sectors during the COVID-19 pandemic. The pandemic experience showed that while the MHS is a useful resource for the nation, it also benefits from partnering with a variety of organizations, agencies and private companies. Continuing to develop these partnerships will be crucial for coordinated, effective responses to future pandemics.
2019 年冠状病毒病（COVID-19）大流行导致全球医疗体系受到重大干扰，迫使医疗服务迅速改变。大流行需要美国民用医疗保健部门与军事卫生系统（MHS）之间更密切的合作，从而建立新的、更强大的伙伴关系，最终有利于公共卫生和国家的医疗保健。在这项研究中，我们试图了解 MHS 在 COVID-19 大流行期间与民用部门建立的所有伙伴关系，并为未来汲取经验教训。
我们于 2020 年 3 月至 2022 年 12 月期间对 MHS 的政策制定者和顾问、与 MHS 有关联的项目管理人员和提供者进行了关键知情人访谈。使用主题分析和开放式编码方法得出主要主题。
我们在 2022 年 12 月至 2023 年 3 月期间进行了 28 次访谈。在大流行期间，MHS 通过“ warp speed”行动等努力与联邦和地方卫生当局以及私营部门实体合作。还确定了针对未来大流行的经验教训和建议，包括投资于生物监测系统以及整合行为和社会科学。
MHS 在 COVID-19 大流行期间迅速与公共和私营部门建立并培育了关键伙伴关系。大流行的经验表明，尽管 MHS 是国家的有用资源，但它也受益于与各种组织、机构和私营公司合作。继续发展这些伙伴关系对于协调、有效应对未来的大流行至关重要。
