Extreme weather events | |||||||
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First author (year) (citation) | Emergency (year) | Types of challenges | Types of strategies | Provider groups | Organizational setting | Type of article | Types of evaluations |
Albahari (2017) [21] | Sudan Floods (2013) | Unmet health and social needs | Increase numbers: Volunteer aid including healthcare and dental care Increase support: training and psychological support for volunteers | Volunteers | Community health services, other | Analytical–qualitative Case Study | Quality of response measured against a framework (Sphere Handbook) |
Broz (2009) [22] | Hurricane Katrina (2005) | Unmet health and social needs | Increase numbers: cross-sector staff deployments, auxiliary health clinic | Physicians, nurses, public health workers, students | Community health services, primary health care | Analytical–mixed methods case study | Lessons learned |
Buajaroen (2013) [23] | Thailand flooding (2011) | Damaged/reduced/insufficient facilities, unmet health and social needs | Increase numbers: solidarity staffing (e.g., deployments to/from other jurisdictions), cross-sector staff deployments | Physicians, nurses, students, volunteers | Community health services, critical care, emergency medical services, hospitals, primary health care, public health | Analytical–qualitative case study | Data about workforce; data about services; data about cost |
Comeau (2014) [24] | Hurricane Ike (2008) | Damaged/reduced/insufficient facilities | Increase flexibility: rapid upskilling/reskilling existing and available workers (e.g., laid off), longer term upskilling/reskilling other workers, alternative deployments for health workers whose normal duties are temporarily suspended, new roles, expanded roles | Physicians, nurse specialists | Critical care, hospitals | Observational–descriptive | Data on patients/procedures (outcomes), enablers |
Connelly (2006) [25] | Hurricane Katrina (2005) | Damaged/reduced/insufficient facilities, mass casualty/patient surge, unmet health and social needs | Increase numbers: solidarity staffing (e.g., deployments to/from other jurisdictions) Increase support: Enabling communication with home, immunization services for volunteer medical providers | Physicians, nurses, paramedics | Critical care, emergency medical services, hospitals | Observational–descriptive | Lessons learned |
Currier (2006) [26]; Bailey (2008) [27] | Hurricane Katrina (2005) | Unmet health and social needs | Increase numbers: solidarity staffing (e.g., deployments to/from other jurisdictions), cross-sector staff deployments, interjurisdictional mobility, medical volunteerism Increase support: Provision of child care services for front-line workers, gasoline | Physicians, nurses, dental workers, mental health workers, midwives, pharmacists | Primary health care, other | Analytical–multiple method case review | Data about patients/procedures, lessons learned |
D'Amore (2005) [28] | Tropical Storm Allison (2001) | Damaged/reduced/insufficient facilities, mass casualty/patient surge, unmet health and social needs | Increase numbers: solidarity staffing (e.g., deployments to/from other jurisdictions), emergency relief field hospital Increase support: Mental health services, Housing for front-line workers | Physicians, nurses, medical imaging workers, medical laboratory workers, mental health workers, military health workers, pharmacists, public health workers | Critical care, diagnostic services, emergency medical services, hospitals, public health, other | Observational–descriptive | Data about patients/procedures, challenges (problems), lessons learned |
Deal (2006) [29] | Hurricane Rita (2005) | Unmet health and social needs | Increase numbers: cross-sector staff deployments Increase flexibility: task shifting/delegation | Nurses, community health workers, personal support workers, students, volunteers | Long-term care, other | Observational–descriptive | Challenges/enablers (opportunities), lessons learned |
Edwards (2007) [30] | Hurricane Katrina (2005) | Unmet health and social needs | Increase numbers: cross-sector staff deployments, Staffing a triage center Increase flexibility: cross-sector deployment | Physicians, nurses, mental health providers, pharmacists, students, volunteers | Community health services, diagnostic services, emergency medical services, mental health services, primary health care, public health | Observational–descriptive | Data about patients/procedures, data about workforce, lessons learned |
Grover (2020) [31] | Hurricane Florence | Unmet health and social needs | Increase flexibility: telehealth/virtual care, task shifting/delegation, expanded roles | Physicians, nurses, paramedics | Community health services, other | Analytical–quantitative | Data about patients/procedures; effectiveness of approach |
Klein (2007) [32] | Hurricane Katrina (2005) | Damaged/reduced/insufficient facilities, mass casualty/patient surge, unmet health and social needs | Increase numbers: solidarity staffing (e.g., deployments to/from other jurisdictions), Emergency medical relief, field hospital | Physicians, nurses, paramedics, pharmacy workers | Critical care, diagnostic services, emergency medical services, hospitals, primary health care, public health | Observational–descriptive | Data about workforce, challenges (problems) |
Lawlor (2014) [33] | Tropical Cyclone Yasi (2011) | Mass casualty/patient surge | Increase flexibility: alternative deployments for health workers whose normal duties are temporarily suspended Increase support: Provision of child care services for front-line workers | Nurses, volunteers | Hospitals | Analytical–survey | Data about services, perceptions of services |
Parak (2019) [34] | Hurricane Maria (2017) | Damaged/reduced/insufficient facilities, mass casualty/patient surge, unmet health and social needs | Increase flexibility: alternative deployments for health workers whose normal duties are temporarily suspended, task shifting/delegation, new roles, cross-sector deployment, expanded roles | Physicians, nurses | Emergency medical services, hospitals | Observational–descriptive | Data on patients/procedures, (enablers) what went well |
Read (2016) [35] | Typhoon Haiyan (2013) | Damaged/reduced/insufficient facilities, mass casualty/patient surge, unmet health and social needs | Increase numbers: solidarity staffing (e.g., deployments to/from other jurisdictions), international emergency medical relief, field hospital; | Physicians, nurses, paramedics | Critical care, diagnostic services, emergency medical services, hospitals | Analytical–prospective case study | Data about patients/procedures, |
Taylor (2007) [36] | Hurricane Wilma (2005) | Mass casualty/patient surge, unmet health and social needs | Increase numbers: mobile medical vans | Physicians, nurses, pharmacists, public health workers, social workers | Community health services, mental health services, primary health care, other | Observational–descriptive | data about patients/procedures |
Waisman (2003) [37] | Hurricane Mitch (1998) | Mass casualty/patient surge, unmet health and social needs, reduced workforce | Increase numbers: solidarity staffing (e.g., deployments to/from other jurisdictions), international emergency relief | Physicians | Emergency medical services, hospitals, primary health care | Observational–descriptive | Data about patients/procedures, enablers/challenges |
Weeks (2007) [38] | Hurricane Katrina (2005) | Unmet health and social needs | Increase numbers: cross-sector staff deployments, shelter volunteering Increase support: mental health services | Nurses, mental health providers, social workers, students | Emergency medical services, mental health services, primary health care | Observational–descriptive | Lessons learned |
Wyte-Lake (2018) [39] | Superstorm Sandy (2012) | Excess staff within unit | Increase numbers: cross-sector staff deployments Increase flexibility: alternative deployments for health workers whose normal duties are temporarily suspended, cross-sector deployment Increase support: housing for front-line workers, Home support for front-line workers, Transportation for redeployed workers | All hospital workers | Critical care, diagnostic services, emergency medical services, hospitals, mental health services | Analytical–qualitative case study | Lessons learned |