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How to Choose? Using the Delphi Method to Develop Consensus Triggers and Indicators for Disaster Response.
Rebecca Lis1, Vicki Sakata1, Onora Lien1
11Northwest Healthcare Response Network,Tukwila,Washington.
Disaster Medicine and Public Health Preparedness
|February 4, 2017
Summary
This study identified key decision triggers for public health and health care emergency responses. Consensus on these indicators improves situational awareness and decision-making during disasters.
Area of Science:
- Public Health
- Emergency Medicine
- Health Care Management
Background:
- Effective emergency response requires clear decision-making frameworks.
- Identifying triggers and data for public health and health care is crucial during crises.
- Existing frameworks may lack consensus on critical indicators for disaster response.
Purpose of the Study:
- To identify key decisions and critical triggers for health care and public health emergency responses.
- To establish consensus on indicators informing decision-making across care continua (conventional, contingency, crisis).
- To support situational awareness and standardized response protocols.
Main Methods:
- Utilized a classic Delphi method with clinicians to identify regional disaster response triggers.
- Employed a modified Delphi method, including a workshop and survey, with public health and health care coalition panelists for state-level consensus.
- Focused on consensus-building for triggers and indicators in emergency preparedness.
Main Results:
- Regional survey: 122 of 223 (43.7%) proposed triggers/indicators reached consensus for disaster decision-making.
- State-level survey: 110 of 140 (78.6%) proposed triggers/indicators reached consensus.
- Significant agreement was found on indicators crucial for health care and public health emergency management.
Conclusions:
- Consensus triggers and indicators are vital for health care emergency response situational awareness.
- Standardized questions can be developed to support decision-making among health care, public health, and partner agencies.
- This research aids in developing more robust and coordinated emergency response strategies.
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