Planning for Pandemic Influenza: Lessons from the Experiences of Thirteen Indiana Counties

Avery George H, Lawley Mark, Garrett Sandra, Caldwell Barrett, Durr Marshall P, Abraham Dulcy, Lin Feng, DeLaurentis Po-Ching C, Peralta Maria L, Russell Alice, Kopach-Conrad Renata A, Ignacio Lalaine M, Sandino Rebeca and Staples Deanna J
Additional contact information
Avery George H: Purdue University
Lawley Mark: Purdue University
Garrett Sandra: Clemson University
Caldwell Barrett: Purdue University
Durr Marshall P: Purdue University
Abraham Dulcy: Purdue University
Lin Feng: Purdue University
DeLaurentis Po-Ching C: Purdue University
Peralta Maria L: Purdue University
Russell Alice: Covance CLS
Kopach-Conrad Renata A: Purdue University
Ignacio Lalaine M: Purdue University
Sandino Rebeca: Purdue University
Staples Deanna J: Purdue University

Journal of Homeland Security and Emergency Management, 2008, vol. 5, issue 1, 26

Abstract: Significant concerns exist over the ability of the healthcare and public health systems to meet the surge demands that would result from an event such as an influenza pandemic. Current guidance for public health planners is largely based on expert opinion and may lack connection to the problems of street-level public health practice. To identify the problems of local planners and prepare a state-level planning template for increasing health care surge capacity that accounted for these issues, a study was conducted of local pandemic planning efforts in thirteen counties, finding that cognitive biases, coordination problems, institutional structures in the healthcare system, and resource shortfalls are significant barriers to preparing and implementing a surge capacity plan. In addition, local planners identify patient demand management through triage and education efforts as a viable means of ensuring adequate capacity, in contrast to guidance proposing an increased supply of care as a primary tool.

Keywords: pandemic influenza; hospital surge capacity; emergency planning; public health preparedness; cognitive biases (search for similar items in EconPapers)
Date: 2008
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DOI: 10.2202/1547-7355.1430

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