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Strengths, weaknesses, opportunities, and threats that impact disaster health research

Thomas D. Kirsch, MD, MPH, Paul Reed, MD, Kandra Strauss-Riggs, MPH, Lauren Sauer, MS

Abstract


Objective: To characterize the strengths and weaknesses of the current status of disaster research evidence; and to identify potential interventions specific to the disciplines of medicine, public health, and social sciences.

Design: A mixed method study using nominal group technique and a strengths, weaknesses, opportunities, and threats (SWOT) analysis.

Participants: Subject matter experts (SMEs) in the fields of medicine, public health, and social sciences who are engaged in disaster research.

Results: The nominal group technique achieved 100 percent response rate. After coding and analysis, ten distinct disaster research evidence themes were identified: awareness; evidence quality; funding; human resources; interdisciplinary studies; politics; research process; research topics; sectoral collaboration; and “other.” Strengths in each area were limited but focused on quality and workforce pipeline. Weaknesses were limited funding and low research quality. Opportunities included improving methods and increased interdisciplinary collaboration. The threats most consistently identified were limited funding and political influences on disaster research funding.

Conclusions: Disaster research experts from three disciplines identified a number of barriers and facilitators to improving disaster-related research. The limited, inconsistent, and episodic funding and the politics related to it were the greatest and most common barriers. This weakness needs to be strategically addressed to significantly advance the field of disaster research.


Keywords


disaster research, disaster research funding, SWOT analysis

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References


The Swiss Re Group: Global catastrophes caused USD 56 billion insured losses in 2019, estimates Swiss Re Institute. Available at https://www.swissre.com/media/news-releases/nr-20191219-globalcatastrophes-estimate.html. Accessed April 25, 2020.

NOAA National Centers for Environmental Information (NCEI) U.S.: Billion-dollar weather and climate disasters (2020). Available at https://www.ncdc.noaa.gov/billions/summary-stats/US/2010-2020. Accessed April 25, 2020.

Centers for Disease Control and Prevention: Public health emergency preparedness (PHEP) cooperative agreement. Available at https://www.cdc.gov/phpr/readiness/phep.htm. Accessed February 25, 2020.

U.S. Dept of Health and Human Services: Public health and social services emergency fund-justification of estimates for appropriations committees, 2016. Available at https://www.hhs.gov/sites/default/files/budget/fy2016/fy2016-public-health-social-services-emergencybudget-justification.pdf. Accessed February 25, 2020.

Kirsch TD, Keim M: US Governmental spending for disaster-related research, 2011-2016: Characterizing the state of science funding across 5 professional disciplines. Disaster Med Public Health Prep. 2019; 13(5-6): 912-919. doi:10.1017/dmp.2019.14.

Birnbaum ML, Adibhatla S, Dudek O, et al.: Categorization and analysis of disaster health publications: An inventory. Prehosp Disaster Med. 2017; 32(5): 473-482. doi:10.1017/S1049023X17006525.

West S, King V, Carey TS, et al.: Systems to rate the strength of scientific evidence. Evid Rep Technol Assess (Summ). 2002 Mar; (47): 1-11.

Osita I, Onyebuchi RI, Justina N: Organization’s stability and productivity: The role of SWOT analysis an acronym for strength, weakness, opportunities and threat. Int J Innovative Appl Res. 2014; 2(9): 22-32.

Watson C, Watson M, Kirk Sell T: Federal funding for health security in FY2018. Health Secur. 2017; 15(4): 351-372.

National Institutes of Health: Estimates of funding for various research, condition, and disease categories (RCDC). Available at https://report.nih.gov/categorical_spending.aspx. Accessed June 25, 2019.

Timbie JW, Ringel JS, Fox DS, et al.: Systematic review of strategies to manage and allocate scarce resources during mass casualty events. Ann Emerg Med. 2013; 61(6): 677-689. doi:10.1016/j.annemergmed.2013.02.005.

Institute of Medicine: Research Priorities in Emergency Preparedness and Response for Public Health Systems: a Letter Report. Washington, D.C.: National Academies Press; 2008.

Savoia E, Lin L, Bernard D, et al.: Public health system research in public health emergency preparedness in the United States (2009-2015): Actionable knowledge base. Am J Public Health. 2017; 107(S2): e1-e6. doi:10.2105/AJPH.2017.304051.

Centers for Disease Control and Prevention: Advancing the nation’s health: A guide to public health research needs, 2006-2015. Available at https://stacks.cdc.gov/view/cdc/11428. Accessed March 28, 2020.

Forum on Medical and Public Health Preparedness for Catastrophic Events, Board on Health Sciences Policy, Institute of Medicine: Enabling Rapid and Sustainable Public Health Research During Disasters: Summary of a Joint Workshop by the Institute of Medicine and the U.S. Department of Health and Human Services. Washington DC: National Academies Press (US); 2015.

U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response: Call to Action: Include scientific investigations as an integral component of disaster planning and response: A report from the National Biodefense Science Board. Available at https://www.hsdl.org/?abstract&did=691199. Accessed June 25, 2020.

Colwell R, Machlis G: Science During Crisis: Best Practices, Research Needs, and Policy Priorities. Cambridge, Massachusetts: American Academy of Arts and Sciences; 2019.

U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response: Biomedical advanced research and development authority. Available at https://www.phe.gov/about/barda/Pages/default.aspx. Accessed February 25, 2020.

Shelton SR, Connor K, Uscher-Pines L, et al.: Bioterrorism and biological threats dominate federal health security research; other priorities get scant attention. Health Aff (Millwood). 2012; 31(12): 2755-2763.

Shultz JM, Galea S: Preparing for the next Harvey, Irma, or Maria—Addressing research gaps. N Engl J Med. 2017; 377(19): 1804-1806.

Lurie N, Manolio T, Patterson AP, et al.: Research as a part of public health emergency response. N Engl J Med. 2013; 368(13): 1251-1255.




DOI: https://doi.org/10.5055/ajdm.2020.0366

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