Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research
Identifieur interne : 001F97 ( Istex/Corpus ); précédent : 001F96; suivant : 001F98Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research
Auteurs : Samantha K. Watson ; James W. Rudge ; Richard CokerSource :
- Milbank Quarterly [ 0887-378X ] ; 2013-03.
Abstract
Context: Over the past decade, a number of high‐impact natural hazard events, together with the increased recognition of pandemic risks, have intensified interest in health systems’ ability to prepare for, and cope with, “surges” (sudden large‐scale escalations) in treatment needs. In this article, we identify key concepts and components associated with this emerging research theme. We consider the requirements for a standardized conceptual framework for future research capable of informing policy to reduce the morbidity and mortality impacts of such incidents. Here our objective is to appraise the consistency and utility of existing conceptualizations of health systems’ surge capacity and their components, with a view to standardizing concepts and measurements to enable future research to generate a cumulative knowledge base for policy and practice. Methods: A systematic review of the literature on concepts of health systems’ surge capacity, with a narrative summary of key concepts relevant to public health. Findings: The academic literature on surge capacity demonstrates considerable variation in its conceptualization, terms, definitions, and applications. This, together with an absence of detailed and comparable data, has hampered efforts to develop standardized conceptual models, measurements, and metrics. Some degree of consensus is evident for the components of surge capacity, but more work is needed to integrate them. The overwhelming concentration in the United States complicates the generalizability of existing approaches and findings. Conclusions: The concept of surge capacity is a useful addition to the study of health systems’ disaster and/or pandemic planning, mitigation, and response, and it has far‐reaching policy implications. Even though research in this area has grown quickly, it has yet to fulfill its potential to generate knowledge to inform policy. Work is needed to generate robust conceptual and analytical frameworks, along with innovations in data collection and methodological approaches that enhance health systems’ readiness for, and response to, unpredictable high‐consequence surges in demand.
Url:
DOI: 10.1111/milq.12003
Links to Exploration step
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research</title><author><name sortKey="Watson, Samantha K" sort="Watson, Samantha K" uniqKey="Watson S" first="Samantha K." last="Watson">Samantha K. Watson</name><affiliation><mods:affiliation>London School of Hygiene and Tropical Medicine</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: samantha.watson@lshtm.ac.uk</mods:affiliation></affiliation></author><author><name sortKey="Rudge, James W" sort="Rudge, James W" uniqKey="Rudge J" first="James W." last="Rudge">James W. Rudge</name><affiliation><mods:affiliation>London School of Hygiene and Tropical Medicine</mods:affiliation></affiliation></author><author><name sortKey="Coker, Richard" sort="Coker, Richard" uniqKey="Coker R" first="Richard" last="Coker">Richard Coker</name><affiliation><mods:affiliation>London School of Hygiene and Tropical Medicine</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:C9C39A6701DDAC72D64D80A2936F5908A65BD1F6</idno><date when="2013" year="2013">2013</date><idno type="doi">10.1111/milq.12003</idno><idno type="url">https://api.istex.fr/ark:/67375/WNG-ZZ7T8W6T-V/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">001F97</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001F97</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research</title><author><name sortKey="Watson, Samantha K" sort="Watson, Samantha K" uniqKey="Watson S" first="Samantha K." last="Watson">Samantha K. Watson</name><affiliation><mods:affiliation>London School of Hygiene and Tropical Medicine</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: samantha.watson@lshtm.ac.uk</mods:affiliation></affiliation></author><author><name sortKey="Rudge, James W" sort="Rudge, James W" uniqKey="Rudge J" first="James W." last="Rudge">James W. Rudge</name><affiliation><mods:affiliation>London School of Hygiene and Tropical Medicine</mods:affiliation></affiliation></author><author><name sortKey="Coker, Richard" sort="Coker, Richard" uniqKey="Coker R" first="Richard" last="Coker">Richard Coker</name><affiliation><mods:affiliation>London School of Hygiene and Tropical Medicine</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Milbank Quarterly</title><title level="j" type="alt">MILBANK QUARTERLY</title><idno type="ISSN">0887-378X</idno><idno type="eISSN">1468-0009</idno><imprint><biblScope unit="vol">91</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="78">78</biblScope><biblScope unit="page" to="122">122</biblScope><biblScope unit="page-count">45</biblScope><date type="published" when="2013-03">2013-03</date></imprint><idno type="ISSN">0887-378X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0887-378X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Context: Over the past decade, a number of high‐impact natural hazard events, together with the increased recognition of pandemic risks, have intensified interest in health systems’ ability to prepare for, and cope with, “surges” (sudden large‐scale escalations) in treatment needs. In this article, we identify key concepts and components associated with this emerging research theme. We consider the requirements for a standardized conceptual framework for future research capable of informing policy to reduce the morbidity and mortality impacts of such incidents. Here our objective is to appraise the consistency and utility of existing conceptualizations of health systems’ surge capacity and their components, with a view to standardizing concepts and measurements to enable future research to generate a cumulative knowledge base for policy and practice. Methods: A systematic review of the literature on concepts of health systems’ surge capacity, with a narrative summary of key concepts relevant to public health. Findings: The academic literature on surge capacity demonstrates considerable variation in its conceptualization, terms, definitions, and applications. This, together with an absence of detailed and comparable data, has hampered efforts to develop standardized conceptual models, measurements, and metrics. Some degree of consensus is evident for the components of surge capacity, but more work is needed to integrate them. The overwhelming concentration in the United States complicates the generalizability of existing approaches and findings. Conclusions: The concept of surge capacity is a useful addition to the study of health systems’ disaster and/or pandemic planning, mitigation, and response, and it has far‐reaching policy implications. Even though research in this area has grown quickly, it has yet to fulfill its potential to generate knowledge to inform policy. Work is needed to generate robust conceptual and analytical frameworks, along with innovations in data collection and methodological approaches that enhance health systems’ readiness for, and response to, unpredictable high‐consequence surges in demand.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>surge capacity</json:string><json:string>kelen</json:string><json:string>health system</json:string><json:string>barbera</json:string><json:string>coker</json:string><json:string>rudge</json:string><json:string>hick</json:string><json:string>preparedness</json:string><json:string>koenig</json:string><json:string>kaji</json:string><json:string>rubinson</json:string><json:string>disaster 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RUDGE</name><affiliations><json:string>London School of Hygiene and Tropical Medicine</json:string></affiliations></json:item><json:item><name>RICHARD COKER</name><affiliations><json:string>London School of Hygiene and Tropical Medicine</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>surge capacity</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>disease outbreaks</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>disaster planning/organization and administration</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>disaster medicine/manpower</value></json:item></subject><articleId><json:string>MILQ12003</json:string></articleId><arkIstex>ark:/67375/WNG-ZZ7T8W6T-V</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Context: Over the past decade, a number of high‐impact natural hazard events, together with the increased recognition of pandemic risks, have intensified interest in health systems’ ability to prepare for, and cope with, “surges” (sudden large‐scale escalations) in treatment needs. In this article, we identify key concepts and components associated with this emerging research theme. We consider the requirements for a standardized conceptual framework for future research capable of informing policy to reduce the morbidity and mortality impacts of such incidents. Here our objective is to appraise the consistency and utility of existing conceptualizations of health systems’ surge capacity and their components, with a view to standardizing concepts and measurements to enable future research to generate a cumulative knowledge base for policy and practice. Methods: A systematic review of the literature on concepts of health systems’ surge capacity, with a narrative summary of key concepts relevant to public health. Findings: The academic literature on surge capacity demonstrates considerable variation in its conceptualization, terms, definitions, and applications. This, together with an absence of detailed and comparable data, has hampered efforts to develop standardized conceptual models, measurements, and metrics. Some degree of consensus is evident for the components of surge capacity, but more work is needed to integrate them. The overwhelming concentration in the United States complicates the generalizability of existing approaches and findings. Conclusions: The concept of surge capacity is a useful addition to the study of health systems’ disaster and/or pandemic planning, mitigation, and response, and it has far‐reaching policy implications. Even though research in this area has grown quickly, it has yet to fulfill its potential to generate knowledge to inform policy. Work is needed to generate robust conceptual and analytical frameworks, along with innovations in data collection and methodological approaches that enhance health systems’ readiness for, and response to, unpredictable high‐consequence surges in demand.</abstract><qualityIndicators><score>10</score><pdfWordCount>13561</pdfWordCount><pdfCharCount>88165</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>45</pdfPageCount><pdfPageSize>432 x 648 pts</pdfPageSize><pdfWordsPerPage>301</pdfWordsPerPage><pdfText>true</pdfText><refBibsNative>true</refBibsNative><abstractWordCount>306</abstractWordCount><abstractCharCount>2155</abstractCharCount><keywordCount>4</keywordCount></qualityIndicators><title>Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research</title><pmid><json:string>23488712</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Milbank Quarterly</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1468-0009</json:string></doi><issn><json:string>0887-378X</json:string></issn><eissn><json:string>1468-0009</json:string></eissn><publisherId><json:string>MILQ</json:string></publisherId><volume>91</volume><issue>1</issue><pages><first>78</first><last>122</last><total>45</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Original Article</value></json:item><json:item><value>Original Articles</value></json:item></subject></host><namedEntities><unitex><date><json:string>2009</json:string><json:string>2001</json:string><json:string>2006</json:string><json:string>1970s</json:string><json:string>2003</json:string><json:string>2012-12-29</json:string><json:string>2010</json:string></date><geogName></geogName><orgName><json:string>Research Priorities Summary of Future Research Priorities Health Systems</json:string><json:string>Department of Homeland Security</json:string><json:string>WHO</json:string><json:string>WHO (World Health Organization)</json:string><json:string>UN (United Nations)</json:string><json:string>United Kingdom’s Department of Health</json:string><json:string>DoH (Department of Health)</json:string><json:string>Research Priorities TABLE</json:string><json:string>Inter-Action, International</json:string><json:string>Hospital Emergency Response Checklist</json:string><json:string>Institute of Medicine</json:string><json:string>Mercy Corps, MSF, NRC, Oxfam, People</json:string><json:string>Aristotle</json:string><json:string>CARE Australia, CARE International, CRS, ECB</json:string><json:string>HRSA (Health Resource and Service Administration)</json:string><json:string>ADRC (Asian Disaster Reduction Centre)</json:string><json:string>Standards and Guidelines for Healthcare Surge during Emergencies: Roles to Be Played by Hospital Security</json:string><json:string>Coker Health Systems</json:string><json:string>NCBI (National Center for Biotechnology Information)</json:string><json:string>Communicable Diseases Policy Research Group, Faculty of Public Health</json:string><json:string>Wiley Periodicals Inc.</json:string><json:string>American College of Emergency Physicians</json:string><json:string>AHRQ (Agency for Healthcare Research and Quality)</json:string><json:string>Hospital Administrators and Emergency</json:string><json:string>Mechem</json:string><json:string>National Incident Management System</json:string><json:string>Health Systems</json:string><json:string>ECRI Institute</json:string><json:string>Research Priorities Content TABLE</json:string><json:string>World Vision International</json:string><json:string>UNISDR (United Nations International Strategy for Disaster Reduction)</json:string><json:string>WHA (World Health Assembly)</json:string><json:string>Continued Health Systems</json:string><json:string>EU (European Union)</json:string><json:string>World Health Organization</json:string><json:string>Strengthening National Health Emergency and Disaster</json:string><json:string>BEH (Bundnis Entwicklung Hilft)</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Samantha Watson</json:string><json:string>Research</json:string><json:string>R. 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Systems’ “Surge Capacity”</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">SAMANTHA K.</forename><surname>WATSON</surname></persName><affiliation><orgName type="institution">London School of Hygiene and Tropical Medicine</orgName></affiliation></author><author xml:id="author-0001"><persName><forename type="first">JAMES W.</forename><surname>RUDGE</surname></persName><affiliation><orgName type="institution">London School of Hygiene and Tropical Medicine</orgName></affiliation></author><author xml:id="author-0002"><persName><forename type="first">RICHARD</forename><surname>COKER</surname></persName><affiliation><orgName type="institution">London School of Hygiene and Tropical Medicine</orgName></affiliation></author><idno type="istex">C9C39A6701DDAC72D64D80A2936F5908A65BD1F6</idno><idno type="ark">ark:/67375/WNG-ZZ7T8W6T-V</idno><idno type="DOI">10.1111/milq.12003</idno><idno type="unit">MILQ12003</idno><idno 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<ref target="http://www.tei-c.org/">We use TEI</ref></desc></application></appInfo></encodingDesc><profileDesc><abstract style="main"><head>Context</head><p>Over the past decade, a number of high‐impact natural hazard events, together with the increased recognition of pandemic risks, have intensified interest in health systems’ ability to prepare for, and cope with, “surges” (sudden large‐scale escalations) in treatment needs. In this article, we identify key concepts and components associated with this emerging research theme. We consider the requirements for a standardized conceptual framework for future research capable of informing policy to reduce the morbidity and mortality impacts of such incidents. Here our objective is to appraise the consistency and utility of existing conceptualizations of health systems’ surge capacity and their components, with a view to standardizing concepts and measurements to enable future research to generate a cumulative knowledge base for policy and practice.</p><head>Methods</head><p>A systematic review of the literature on concepts of health systems’ surge capacity, with a narrative summary of key concepts relevant to public health.</p><head>Findings</head><p>The academic literature on surge capacity demonstrates considerable variation in its conceptualization, terms, definitions, and applications. This, together with an absence of detailed and comparable data, has hampered efforts to develop standardized conceptual models, measurements, and metrics. Some degree of consensus is evident for the components of surge capacity, but more work is needed to integrate them. The overwhelming concentration in the United States complicates the generalizability of existing approaches and findings.</p><head>Conclusions</head><p>The concept of surge capacity is a useful addition to the study of health systems’ disaster and/or pandemic planning, mitigation, and response, and it has far‐reaching policy implications. Even though research in this area has grown quickly, it has yet to fulfill its potential to generate knowledge to inform policy. Work is needed to generate robust conceptual and analytical frameworks, along with innovations in data collection and methodological approaches that enhance health systems’ readiness for, and response to, unpredictable high‐consequence surges in demand.</p></abstract><textClass><keywords><term xml:id="milq12003-kwd-0001">surge capacity</term><term xml:id="milq12003-kwd-0002">disease outbreaks</term><term xml:id="milq12003-kwd-0003">disaster planning/organization and administration</term><term xml:id="milq12003-kwd-0004">disaster medicine/manpower</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-ZZ7T8W6T-V/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en" xml:id="MILQ12003"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1468-0009</doi><issn type="print">0887-378X</issn><issn type="electronic">1468-0009</issn><idGroup><id type="product" value="MILQ"></id></idGroup><titleGroup><title type="main" sort="MILBANK QUARTERLY">Milbank Quarterly</title><title type="short">MILBANK QUARTERLY</title></titleGroup></publicationMeta><publicationMeta level="part" position="03101"><doi>10.1111/milq.2013.91.issue-1</doi><copyright ownership="thirdParty"><i>Copyright</i> © 2013 Milbank Memorial Fund</copyright><numberingGroup><numbering type="journalVolume" number="91">91</numbering><numbering type="journalIssue">1</numbering></numberingGroup><coverDate startDate="2013-03">March 2013</coverDate></publicationMeta><publicationMeta level="unit" position="40" type="article" status="forIssue"><doi origin="wiley">10.1111/milq.12003</doi><idGroup><id type="unit" value="MILQ12003"></id></idGroup><countGroup><count type="pageTotal" number="45"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">Original Articles</title></titleGroup><copyright ownership="thirdParty">© 2013 Milbank Memorial Fund</copyright><eventGroup><event type="xmlCreated" agent="Aptara" date="2012-12-29"></event><event type="publishedOnlineFinalForm" date="2013-03-14"></event><event type="firstOnline" date="2013-03-14"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2013-12-27"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-01"></event></eventGroup><numberingGroup><numbering type="pageFirst">78</numbering><numbering type="pageLast">122</numbering></numberingGroup><correspondenceTo><i>Address correspondence to</i>: Samantha Watson, Communicable Diseases Policy Research Group, Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, 15–17 Tavistock Place, London WC1H 9SH, United Kingdom (email: <email>samantha.watson@lshtm.ac.uk</email>).</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MILQ.MILQ12003.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research</title><title type="shortAuthors">S.K. Watson, J.W. Rudge, and R. Coker</title><title type="short">Health Systems’ “Surge Capacity”</title></titleGroup><creators><creator xml:id="milq12003-cr-0001" creatorRole="author" affiliationRef="#milq12003-aff-0001" corresponding="yes"><personName><givenNames>SAMANTHA K.</givenNames><familyName>WATSON</familyName></personName></creator><creator xml:id="milq12003-cr-0002" creatorRole="author" affiliationRef="#milq12003-aff-0001"><personName><givenNames>JAMES W.</givenNames><familyName>RUDGE</familyName></personName></creator><creator xml:id="milq12003-cr-0003" creatorRole="author" affiliationRef="#milq12003-aff-0001"><personName><givenNames>RICHARD</givenNames><familyName>COKER</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="milq12003-aff-0001"><orgName>London School of Hygiene and Tropical Medicine</orgName></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="milq12003-kwd-0001">surge capacity</keyword><keyword xml:id="milq12003-kwd-0002">disease outbreaks</keyword><keyword xml:id="milq12003-kwd-0003">disaster planning/organization and administration</keyword><keyword xml:id="milq12003-kwd-0004">disaster medicine/manpower</keyword></keywordGroup><fundingInfo><fundingAgency>Deutsche Gesellschaft für Internationale Zusammenarbeit</fundingAgency></fundingInfo><abstractGroup><abstract type="main"><section xml:id="milq12003-sec-0010"><title type="main">Context</title><p>Over the past decade, a number of high‐impact natural hazard events, together with the increased recognition of pandemic risks, have intensified interest in health systems’ ability to prepare for, and cope with, “surges” (sudden large‐scale escalations) in treatment needs. In this article, we identify key concepts and components associated with this emerging research theme. We consider the requirements for a standardized conceptual framework for future research capable of informing policy to reduce the morbidity and mortality impacts of such incidents. Here our objective is to appraise the consistency and utility of existing conceptualizations of health systems’ surge capacity and their components, with a view to standardizing concepts and measurements to enable future research to generate a cumulative knowledge base for policy and practice.</p></section><section xml:id="milq12003-sec-0020"><title type="main">Methods</title><p>A systematic review of the literature on concepts of health systems’ surge capacity, with a narrative summary of key concepts relevant to public health.</p></section><section xml:id="milq12003-sec-0030"><title type="main">Findings</title><p>The academic literature on surge capacity demonstrates considerable variation in its conceptualization, terms, definitions, and applications. This, together with an absence of detailed and comparable data, has hampered efforts to develop standardized conceptual models, measurements, and metrics. Some degree of consensus is evident for the components of surge capacity, but more work is needed to integrate them. The overwhelming concentration in the United States complicates the generalizability of existing approaches and findings.</p></section><section xml:id="milq12003-sec-0040"><title type="main">Conclusions</title><p>The concept of surge capacity is a useful addition to the study of health systems’ disaster and/or pandemic planning, mitigation, and response, and it has far‐reaching policy implications. Even though research in this area has grown quickly, it has yet to fulfill its potential to generate knowledge to inform policy. Work is needed to generate robust conceptual and analytical frameworks, along with innovations in data collection and methodological approaches that enhance health systems’ readiness for, and response to, unpredictable high‐consequence surges in demand.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Health Systems’ “Surge Capacity”</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research</title></titleInfo><name type="personal"><namePart type="given">SAMANTHA K.</namePart><namePart type="family">WATSON</namePart><affiliation>London School of Hygiene and Tropical Medicine</affiliation><affiliation>E-mail: samantha.watson@lshtm.ac.uk</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">JAMES W.</namePart><namePart type="family">RUDGE</namePart><affiliation>London School of Hygiene and Tropical Medicine</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">RICHARD</namePart><namePart type="family">COKER</namePart><affiliation>London School of Hygiene and Tropical Medicine</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-03</dateIssued><dateCreated encoding="w3cdtf">2012-12-29</dateCreated><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Context: Over the past decade, a number of high‐impact natural hazard events, together with the increased recognition of pandemic risks, have intensified interest in health systems’ ability to prepare for, and cope with, “surges” (sudden large‐scale escalations) in treatment needs. In this article, we identify key concepts and components associated with this emerging research theme. We consider the requirements for a standardized conceptual framework for future research capable of informing policy to reduce the morbidity and mortality impacts of such incidents. Here our objective is to appraise the consistency and utility of existing conceptualizations of health systems’ surge capacity and their components, with a view to standardizing concepts and measurements to enable future research to generate a cumulative knowledge base for policy and practice. Methods: A systematic review of the literature on concepts of health systems’ surge capacity, with a narrative summary of key concepts relevant to public health. Findings: The academic literature on surge capacity demonstrates considerable variation in its conceptualization, terms, definitions, and applications. This, together with an absence of detailed and comparable data, has hampered efforts to develop standardized conceptual models, measurements, and metrics. Some degree of consensus is evident for the components of surge capacity, but more work is needed to integrate them. The overwhelming concentration in the United States complicates the generalizability of existing approaches and findings. Conclusions: The concept of surge capacity is a useful addition to the study of health systems’ disaster and/or pandemic planning, mitigation, and response, and it has far‐reaching policy implications. Even though research in this area has grown quickly, it has yet to fulfill its potential to generate knowledge to inform policy. Work is needed to generate robust conceptual and analytical frameworks, along with innovations in data collection and methodological approaches that enhance health systems’ readiness for, and response to, unpredictable high‐consequence surges in demand.</abstract><note type="funding">Deutsche Gesellschaft für Internationale Zusammenarbeit</note><subject><genre>keywords</genre><topic>surge capacity</topic><topic>disease outbreaks</topic><topic>disaster planning/organization and administration</topic><topic>disaster medicine/manpower</topic></subject><relatedItem type="host"><titleInfo><title>Milbank Quarterly</title></titleInfo><titleInfo type="abbreviated"><title>MILBANK QUARTERLY</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic><topic>Original Articles</topic></subject><identifier type="ISSN">0887-378X</identifier><identifier type="eISSN">1468-0009</identifier><identifier type="DOI">10.1111/(ISSN)1468-0009</identifier><identifier type="PublisherID">MILQ</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>91</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>78</start><end>122</end><total>45</total></extent></part></relatedItem><relatedItem type="references" displayLabel="milq12003-cit-0001"><titleInfo><title>“Public Health Investigation”: Focus Group Study of a Regional Infectious Disease Exercise</title></titleInfo><name type="personal"><namePart type="given">E.</namePart><namePart type="family">Ablah</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.</namePart><namePart type="family">Nickels</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Hodle</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.J.</namePart><namePart type="family">Wolf</namePart><role><roleTerm type="text">author</roleTerm></role></name><genre>journal-article</genre><note type="citation/reference">Ablah, E., D. Nickels, A. Hodle, and D.J. Wolf. 2008. “Public Health Investigation”: Focus Group Study of a Regional Infectious Disease Exercise. Public Health Nursing 25:546–53.</note><part><date>2008</date><detail type="volume"><caption>vol.</caption><number>25</number></detail><extent unit="pages"><start>546</start><end>53</end></extent></part><relatedItem type="host"><titleInfo><title>Public Health Nursing</title></titleInfo><part><date>2008</date><detail type="volume"><caption>vol.</caption><number>25</number></detail><extent unit="pages"><start>546</start><end>53</end></extent></part></relatedItem></relatedItem><relatedItem type="references" displayLabel="milq12003-cit-0002"><titleInfo><title>ACEP (American College of Emergency Physicians). 2006. Healthcare System Surge Capacity Recognition, Preparedness, and Response. Irving, TX.</title></titleInfo><name type="corporate"><namePart>ACEP (American College of Emergency Physicians)</namePart></name><note type="citation/reference">ACEP (American College of Emergency Physicians). 2006. Healthcare System Surge Capacity Recognition, Preparedness, and Response. 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