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Understanding Factors Influencing Decision Making by State Health Officials in a Public Health Emergency
Raphael M Barishansky1, Michael R Fraser
1Association of State and Territorial Health Officials (ASTHO), Arlington, Virginia (Dr Fraser). Dr Barishansky is a consultant in Harrisburg, Pennsylvania.
Journal of Public Health Management and Practice : JPHMP
|April 27, 2023
Summary
State and Territorial Health Officials need better tools for public health emergencies. Structured decision-making aids can improve responses during crises like COVID-19.
Area of Science:
- Public Health Leadership
- Emergency Preparedness
Background:
- State and Territorial Health Officials (STHOs) are vital leaders during public health emergencies.
- Effective decision-making by STHOs is crucial for managing crises.
Purpose of the Study:
- To explore factors influencing STHO decision-making in public health responses.
- To identify needs for improved leadership support during emergencies.
Main Methods:
- Qualitative exploratory study.
- Interviews conducted with 21 current or former STHOs.
Main Results:
- STHOs face challenges impacting their decision-making processes.
- A need for structured decision-making tools was identified.
Conclusions:
- Implementing structured tools can enhance systematic public health emergency responses.
- These tools are particularly relevant for crises such as COVID-19.
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