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14 - Healthcare systems planning

from Part IV - Special topics

Published online by Cambridge University Press:  09 August 2009

By
Brain W. Flynn
Edited by
Robert J. Ursano ,
Carol S. Fullerton ,
Lars Weisaeth  and
Beverley Raphael
Brain W. Flynn
Affiliation:
Adjunct Psychiatry Professor Department of Psychiatry Center for the Study of Traumatic Stress Uniformed Services University of the Health Sciences P.O. Box 1205 Severna Park, MD21146, USA
Robert J. Ursano
Affiliation:
Uniformed Services University of the Health Sciences, Maryland
Carol S. Fullerton
Affiliation:
Uniformed Services University of the Health Sciences, Maryland
Lars Weisaeth
Affiliation:
Universitetet i Oslo
Beverley Raphael
Affiliation:
University of Western Sydney
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Summary

Introduction

Few things are axiomatic in the field of disaster mental health. The need to plan and value of preparation for extraordinary events are on this short list. This level of consensus probably stems more from the demonstrated value of preparation inherent in seemingly unrelated areas such as national defense, community and personal protection, and the anthropological legacy, at least in the European context, of needing to preserve and store food for winter. Being prepared seems to work better than not being prepared. There is little argument about the value of anticipating what is possible and probable, identifying what needs to be done and who is to do it, and setting about the task of getting ready. Then why is it so difficult to design and implement sound disaster preparedness to address psychosocial issues in general, and in healthcare systems specifically?

This chapter will attempt to identify some of these obstacles to effective planning, describe components of sound approaches to preparedness, and suggest strategies to implement viable and sustainable plans. The chapter concludes with describing implications for public health, clinical care, and research.

The healthcare systems have many diverse components. In addition, across governmental lines, especially across national and regional boundaries, these systems may look quite different. This chapter assumes a healthcare system that is, at minimum, composed of public health, hospital and community medical services, emergency medical services, and specialty health and medical care.

Keywords

all-hazards planningcommunity partnershipsdisaster planninghealthcare systems planningnational response planpatient care providersincident managementmental healthpublic health
Type
Chapter
Information
Textbook of Disaster Psychiatry , pp. 284 - 308
Publisher: Cambridge University Press
Print publication year: 2007

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References

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  • Healthcare systems planning
    • By Brain W. Flynn, Adjunct Psychiatry Professor Department of Psychiatry Center for the Study of Traumatic Stress Uniformed Services University of the Health Sciences P.O. Box 1205 Severna Park, MD21146, USA
  • Edited by Robert J. Ursano, Uniformed Services University of the Health Sciences, Maryland, Carol S. Fullerton, Uniformed Services University of the Health Sciences, Maryland, Lars Weisaeth, Universitetet i Oslo, Beverley Raphael, University of Western Sydney
  • Book: Textbook of Disaster Psychiatry
  • Online publication: 09 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544415.015
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Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Healthcare systems planning
    • By Brain W. Flynn, Adjunct Psychiatry Professor Department of Psychiatry Center for the Study of Traumatic Stress Uniformed Services University of the Health Sciences P.O. Box 1205 Severna Park, MD21146, USA
  • Edited by Robert J. Ursano, Uniformed Services University of the Health Sciences, Maryland, Carol S. Fullerton, Uniformed Services University of the Health Sciences, Maryland, Lars Weisaeth, Universitetet i Oslo, Beverley Raphael, University of Western Sydney
  • Book: Textbook of Disaster Psychiatry
  • Online publication: 09 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544415.015
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Healthcare systems planning
    • By Brain W. Flynn, Adjunct Psychiatry Professor Department of Psychiatry Center for the Study of Traumatic Stress Uniformed Services University of the Health Sciences P.O. Box 1205 Severna Park, MD21146, USA
  • Edited by Robert J. Ursano, Uniformed Services University of the Health Sciences, Maryland, Carol S. Fullerton, Uniformed Services University of the Health Sciences, Maryland, Lars Weisaeth, Universitetet i Oslo, Beverley Raphael, University of Western Sydney
  • Book: Textbook of Disaster Psychiatry
  • Online publication: 09 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544415.015
Available formats
×