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Consensus on key domains for emergency medical teams deployment evaluation: a Delphi method study.
Tiffany Yeung1, Daniel G Bausch2,3, Arlinda Cerga Pashoja4
1Department of Disease Control, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. tiffany.yeung@lshtm.ac.uk.
A Delphi study developed a preliminary structure for evaluating Emergency Medical Teams (EMTs) deployments, aiming to standardize urgent care assessments after disasters. This framework will improve global disaster response effectiveness.
Area of Science:
- Disaster medicine
- Public health preparedness
- International humanitarian aid
Background:
- Emergency Medical Teams (EMTs) provide critical care during disasters.
- The World Health Organization has standards for EMTs, but lacks a unified evaluation framework for deployments.
Purpose of the Study:
- To develop a standardized evaluation framework for EMT deployments.
- To establish a common set of criteria for assessing EMT performance.
Main Methods:
- A modified Delphi method was used with key stakeholders (EMT members, researchers, funders, government representatives, host organizations).
- Participants rated evaluation themes and questions using a four-point Likert scale.
- Consensus was defined as 75% agreement on suitability.
Main Results:
- Two Delphi rounds involved 15-16 participants.
- Consensus was reached on all 23 themes and 162 of 165 questions (98%).
- 17 themes and 55 questions achieved 100% consensus.
Conclusions:
- A preliminary structure for EMT deployment evaluation was proposed based on consensus findings.
- This structure can inform the design of a standardized evaluation framework.
- Further refinement through testing and consultation is recommended.
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