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Regional Flexible Surge Capacity—A Flexible Response System

Author

Listed:
  • Viktor Glantz

    (Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 40010 Gothenburg, Sweden)

  • Phatthranit Phattharapornjaroen

    (Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 40010 Gothenburg, Sweden
    Department of Emergency Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand)

  • Eric Carlström

    (Institute of Healthcare Sciences, Sahlgrenska Academy, Gothenburg University, 40010 Gothenburg, Sweden
    USN School of Business, University of South-Eastern Norway, P.O. Box 235, 3603 Kongsberg, Norway)

  • Amir Khorram-Manesh

    (Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, Gothenburg University, 40010 Gothenburg, Sweden
    Department of Research and Development, The Swedish Armed Forces Center for Defense Medicine, 40010 Gothenburg, Sweden)

Abstract

Surge capacity is the ability to manage the increased influx of critically ill or injured patients during a sudden onset crisis. During such an event, all ordinary resources are activated and used in a systematic, structured, and planned way to cope with the situation. There are, however, occasions where conventional healthcare means are insufficient, and additional resources must be summoned. In such an event, the activation of existing capabilities within community resources can increase regional surge capacity in a flexible manner. These additional resources together represent the concept of Flexible Surge Capacity. This study aims to investigate the possibility of establishing a Flexible Surge Capacity response system to emergencies by examining the main components of surge capacity (Staff, Stuff, Structure, System) within facilities of interest present in the Western Region of Sweden. Through a mixed-method and use of (A) questionnaires and (B) semi-structured key-informant interviews, data was collected from potential alternative care facilities to determine capacities and capabilities and barriers and limitations as well as interest to be included in a flexible surge capacity response system. Both interest and ability were found in the investigated primary healthcare centers, veterinary and dental clinics, schools, and sports and hotel facilities to participate in such a system, either by receiving resources and/or drills and exercises. Barriers limiting the potential participation in this response system consisted of a varying lack of space, beds, healthcare materials, and competencies along with a need for clear organizational structure and medical responsibility. These results indicate that the concept of flexible surge capacity is a feasible approach to emergency management. Educational initiatives, drills and exercises, layperson empowerment, organizational and legal changes and sufficient funding are needed to realize the concept.

Suggested Citation

  • Viktor Glantz & Phatthranit Phattharapornjaroen & Eric Carlström & Amir Khorram-Manesh, 2020. "Regional Flexible Surge Capacity—A Flexible Response System," Sustainability, MDPI, vol. 12(15), pages 1-15, July.
    • Handle: RePEc:gam:jsusta:v:12:y:2020:i:15:p:5984-:d:389539
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    References listed on IDEAS

    as
    1. Runkle, J.D. & Brock-Martin, A. & Karmaus, W. & Svendsen, E.R., 2012. "Secondary surge capacity: A framework for understanding long-term access to primary care for medically vulnerable populations in disaster recovery," American Journal of Public Health, American Public Health Association, vol. 102(12), pages 24-32.
    2. Krzysztof Goniewicz & Amir Khorram-Manesh & Attila J. Hertelendy & Mariusz Goniewicz & Katarzyna Naylor & Frederick M. Burkle, 2020. "Current Response and Management Decisions of the European Union to the COVID-19 Outbreak: A Review," Sustainability, MDPI, vol. 12(9), pages 1-12, May.
    3. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
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    1. Phatthranit Phattharapornjaroen & Viktor Glantz & Eric Carlström & Lina Dahlén Holmqvist & Yuwares Sittichanbuncha & Amir Khorram-Manesh, 2021. "The Feasibility of Implementing the Flexible Surge Capacity Concept in Bangkok: Willing Participants and Educational Gaps," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    2. Amir Khorram-Manesh & Frederick M. Burkle, 2020. "Disasters and Public Health Emergencies—Current Perspectives in Preparedness and Response," Sustainability, MDPI, vol. 12(20), pages 1-5, October.
    3. Changmin Tang & Xin Chen & Cuiling Guan & Pengqian Fang, 2022. "Attitudes and Response Capacities for Public Health Emergencies of Healthcare Workers in Primary Healthcare Institutions: A Cross-Sectional Investigation Conducted in Wuhan, China, in 2020," IJERPH, MDPI, vol. 19(19), pages 1-11, September.

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