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Related Experiment Video

Updated: Jun 12, 2025

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Decision Making in a Strategic Medical Command and Control Team During the Covid-19 Pandemic: A Case Study.

Jenny Pettersson1, Erik Prytz1,2, Marc Friberg1,2

  • 1Center for Disaster Medicine and Traumatology, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

Disaster Medicine and Public Health Preparedness
|September 18, 2024
PubMed
Summary

Decision-making in medical command and control during the COVID-19 pandemic was influenced by organizational factors, adaptation, and the common operational picture. Understanding these factors enhances disaster resilience and training for major incidents.

Keywords:
Covid-19Disaster Medicinecrisis managementdecision makingorganizationalpandemics

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Area of Science:

  • Public Health
  • Disaster Medicine
  • Healthcare Management

Background:

  • Effective incident response requires coordinating processes and resources to manage changes.
  • Resilience in major incidents depends on timely, adequate, and resilience-oriented decisions.
  • The early COVID-19 pandemic presented unprecedented challenges for medical command and control.

Purpose of the Study:

  • To identify and describe factors influencing decision-making within a medical command and control team during the initial phase of the COVID-19 pandemic.
  • To provide insights into enhancing the resilience of healthcare systems during public health emergencies.

Main Methods:

  • Qualitative study involving 13 interviews with individuals from a regional public healthcare system.
  • Semi-structured interviews were conducted to gather in-depth information.
  • Qualitative content analysis was employed to analyze the interview data.

Main Results:

  • Decision-making was influenced by five key themes: organization, adaptation, decision-making processes, analysis, and the common operational picture.
  • Organizational structure and adaptability played crucial roles in navigating the complexities of the pandemic response.
  • A clear and shared understanding of the operational situation (common operational picture) was vital for effective coordination.

Conclusions:

  • Medical command and control decision-making encounters significant challenges during pandemic responses.
  • The findings offer valuable knowledge for improving disaster resilience in healthcare.
  • The results can inform the development of educational and training programs for medical command and control teams.