Baumgartner Erin T, Shea Sophia Y, Stern Katie L, Bambrick Nora, Lookadoo Rachel, Knieser Lauren, Sauer Lauren M
Erin T. Baumgartner, MSPH, is a Research Associate, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Sophia Y. Shea, MPH, is a National Capital Region Project Manager III, and Katie L. Stern, MPH, is an Evaluation Specialist, Global Center for Health Security; and Rachel Lookadoo, JD, is an Assistant Professor, and Lauren M. Sauer, PhD, MSc, is an Associate Professor, Department of Environmental, Agricultural, and Occupational Health, College of Public Health; all at the University of Nebraska Medical Center, Omaha, NE. Nora Bambrick, MPH, BSN, is a Program Evaluator, School of Nursing, Johns Hopkins University, Baltimore, MD. Lauren Knieser, DrPH, MPH, is a Senior Director, Market Access, PointClickCare, Baltimore, MD.
Health Secur. 2025 Jan-Feb;23(1):9-23. doi: 10.1089/hs.2023.0175.
The National Disaster Medical System (NDMS) is a US federally coordinated healthcare system that aims to strengthen its capacity for surge management. We conducted a literature review to aid in the development of a research landscape analysis and strategy for the ongoing NDMS Pilot Program. The review was performed to identify surge management literature published from 2001 to spring 2023. Articles were screened using eligibility criteria and selected for analysis based on a consensus process. The search yielded 504 unique articles after deduplications. After abstract screening, 100 articles were screened for relevance. The final sample included 28 articles that were analyzed using themes relevant to the NDMS Pilot Program. This article discusses lessons learned and recommendations for program leadership to optimize outcomes during a surge event. NDMS should consider methods for improving situational awareness during surge events and should include stakeholders in planning and evaluation of the NDMS Pilot Program. Priority recommendations include strengthening operational coordination and leadership, enhancing information-sharing capabilities, and addressing funding and resource allocation. Findings from this review highlight current practices in surge management as well as gaps in current operational research areas. Addressing these gaps has the potential to strengthen the capacity of the NDMS Pilot Program and health system disaster preparedness more broadly across the United States.
国家灾难医疗系统（NDMS）是一个由美国联邦政府协调的医疗系统，旨在加强其应对激增情况的管理能力。我们进行了一项文献综述，以协助开展针对正在进行的NDMS试点项目的研究态势分析和制定策略。此次综述旨在识别2001年至2023年春季发表的有关激增情况管理的文献。文章通过纳入标准进行筛选，并基于共识过程选择进行分析。去重后搜索得到504篇独特的文章。经过摘要筛选，100篇文章被筛选以确定相关性。最终样本包括28篇文章，这些文章使用与NDMS试点项目相关的主题进行了分析。本文讨论了经验教训以及对项目领导层的建议，以便在激增事件期间优化结果。NDMS应考虑在激增事件期间提高态势感知的方法，并应让利益相关者参与NDMS试点项目的规划和评估。优先建议包括加强运营协调和领导、增强信息共享能力以及解决资金和资源分配问题。本次综述的结果突出了激增情况管理的当前实践以及当前运营研究领域的差距。解决这些差距有可能加强NDMS试点项目的能力，并更广泛地增强美国卫生系统的灾难准备能力。
