Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach.

<h4>Background</h4>Disasters and emergencies from infectious diseases, extreme weather and anthropogenic events are increasingly common. While risks vary for different communities, disaster and emergency preparedness is recognized as essential for all nation-states. Evidence to inform me...

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Main Authors: Yasmin Khan, Adalsteinn D Brown, Anna R Gagliardi, Tracey O'Sullivan, Sara Lacarte, Bonnie Henry, Brian Schwartz
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226489&type=printable
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author Yasmin Khan
Adalsteinn D Brown
Anna R Gagliardi
Tracey O'Sullivan
Sara Lacarte
Bonnie Henry
Brian Schwartz
author_facet Yasmin Khan
Adalsteinn D Brown
Anna R Gagliardi
Tracey O'Sullivan
Sara Lacarte
Bonnie Henry
Brian Schwartz
author_sort Yasmin Khan
collection DOAJ
description <h4>Background</h4>Disasters and emergencies from infectious diseases, extreme weather and anthropogenic events are increasingly common. While risks vary for different communities, disaster and emergency preparedness is recognized as essential for all nation-states. Evidence to inform measurement of preparedness is lacking. The objective of this study was to identify and define a set of public health emergency preparedness (PHEP) indicators to advance performance measurement for local/regional public health agencies.<h4>Methods</h4>A three-round modified Delphi technique was employed to develop indicators for PHEP. The study was conducted in Canada with a national panel of 33 experts and completed in 2018. A list of indicators was derived from the literature. Indicators were rated by importance and actionability until achieving consensus.<h4>Results</h4>The scoping review resulted in 62 indicators being included for rating by the panel. Panel feedback provided refinements to indicators and suggestions for new indicators. In total, 76 indicators were proposed for rating across all three rounds; of these, 67 were considered to be important and actionable PHEP indicators.<h4>Conclusions</h4>This study developed an indicator set of 67 PHEP indicators, aligned with a PHEP framework for resilience. The 67 indicators represent important and actionable dimensions of PHEP practice in Canada that can be used by local/regional public health agencies and validated in other jurisdictions to assess readiness and measure improvement in their critical role of protecting community health.
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spelling doaj-art-da11136696ad413c8584798a2e45be0b2025-08-20T02:55:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011412e022648910.1371/journal.pone.0226489Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach.Yasmin KhanAdalsteinn D BrownAnna R GagliardiTracey O'SullivanSara LacarteBonnie HenryBrian Schwartz<h4>Background</h4>Disasters and emergencies from infectious diseases, extreme weather and anthropogenic events are increasingly common. While risks vary for different communities, disaster and emergency preparedness is recognized as essential for all nation-states. Evidence to inform measurement of preparedness is lacking. The objective of this study was to identify and define a set of public health emergency preparedness (PHEP) indicators to advance performance measurement for local/regional public health agencies.<h4>Methods</h4>A three-round modified Delphi technique was employed to develop indicators for PHEP. The study was conducted in Canada with a national panel of 33 experts and completed in 2018. A list of indicators was derived from the literature. Indicators were rated by importance and actionability until achieving consensus.<h4>Results</h4>The scoping review resulted in 62 indicators being included for rating by the panel. Panel feedback provided refinements to indicators and suggestions for new indicators. In total, 76 indicators were proposed for rating across all three rounds; of these, 67 were considered to be important and actionable PHEP indicators.<h4>Conclusions</h4>This study developed an indicator set of 67 PHEP indicators, aligned with a PHEP framework for resilience. The 67 indicators represent important and actionable dimensions of PHEP practice in Canada that can be used by local/regional public health agencies and validated in other jurisdictions to assess readiness and measure improvement in their critical role of protecting community health.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226489&type=printable
spellingShingle Yasmin Khan
Adalsteinn D Brown
Anna R Gagliardi
Tracey O'Sullivan
Sara Lacarte
Bonnie Henry
Brian Schwartz
Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach.
PLoS ONE
title Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach.
title_full Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach.
title_fullStr Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach.
title_full_unstemmed Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach.
title_short Are we prepared? The development of performance indicators for public health emergency preparedness using a modified Delphi approach.
title_sort are we prepared the development of performance indicators for public health emergency preparedness using a modified delphi approach
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0226489&type=printable
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