Establishing Research Priorities for Public Health Emergency Preparedness in Canada: Results of a...

Establishing Research Priorities for Public Health Emergency Preparedness in Canada: Results of a Scoping Review and Priority-Setting Meeting

Yasmin Khan, MD MPH FRCPC

Consultant Physician, Public Health Ontario

http://www.publichealthontario.ca/

PublicHealthOntario.ca

Objectives• To briefly describe the methods applied in a scoping review of

the literature on PHEP

• To share the results of PHEP themes in the literature, based on the review and survey

• To describe the meeting held to set priorities for PHEP research in Canada

• To share the results of the priority-setting discussions

2



Begin with list

of themes

Add missing themes

Prioritize themes

or topics

Think about

research ideas

Develop research

questions

Prioritize research

questions

Develop research proposals

Goals for the process



Scoping review and pre-meeting survey• Used scoping review methodology

• Focus on public health sector and evidence-based literature in last 15 years

• Mapped key themes in the literature based on search results

• Sought consultation via survey on the emergent themes from the international panel of meeting participants

• Refined themes based on survey results

4


PublicHealthOntario.ca 5

Results



Results

CROSS-CUTTING THEMES

Theme

Equity

Gender considerations

Resilience

Vulnerable/high-risk populations



Results

STAND-ALONE THEMES

Theme

Attitudes and beliefs

Capacity assessment and capacity-building

Collaboration and system integration

Communicable disease control

Communication

Education, training and exercises



Results

STAND-ALONE THEMESTheme

Ethical considerations

Planning

Psychosocial impacts of emergencies

Public health considerations for sheltering and evacuation

Quality improvement and performance standards

Surveillance, epidemiology and public health information



Begin with list

of themes

Add missing themes

Prioritize themes

or topics

Think about

research ideas

Develop research

questions

Prioritize research

questions





Research priority-setting meeting• Held in April 2013

• Attended by an international panel of public health practitioners at multiple levels, health-care practitioners, researchers and policymakers

• Knowledge exchange through large and small group discussions

• Priority setting occurred after confirming criteria for the process

10



Priority-setting criteria1. Relevance and impact

2. Originality

3. Feasibility

11



Communication and Education• Internal/ external communication

• Social media

• Education/competencies

• Technical/ non-technical skills

• Attitudes

12



Defining & Measuring Emergency Preparedness• Needs assessment

• Capacity – business continuity

• Resilience

• Vulnerability

• Disaster risk reduction

• Evaluation/metrics

• Modeling (standards)

13



Integration and Collaboration• Systems

• Mechanism of decision-making and policy

• Decision science

• Evaluation/metrics

• Modeling (standards)

14



Final prioritized themes• Communication

• Defining and measuring emergency preparedness

• Critical decision-making in complex public health emergencies

15



Begin with list

of themes

Add missing themes

Prioritize themes

or topics

Think about

research ideas

Develop research

questions

Prioritize research

questions





Progress on research priorities• Continued collaboration within the PHEP network and beyond

• Sharing knowledge from the research priority-setting exercise

• Building teams for collaboration on projects to address priority themes

• Submission of proposals for funding opportunities to pursue projects on priority themes

17



• Thank you

18



Results

39%

6%31%

24%

0.003%

All hazards

Human caused (terrorism)

Natural hazard infectious

Natural hazard non-infectious

Technological

Types of hazards for studies identified in scoping review



Results

62%12%

15%

11%

Descriptive Studies

Analytic Epidemiology Stud-ies

Descriptive Primary Research Studies

Grey Literature

Types of study designs captured in scoping review



Results

Final yield for charting using descriptive numerical

summary approach: 300

Selection of studies for charting by thematic analysis: 82

(primary research descriptive 45 and analytical epidemiology 37)

Excluded modelling/ simulation studies: 24

Total studies examined by thematic analysis: 58


Establishing Research Priorities for Public Health Emergency Preparedness in Canada: Results of a...

Documents

Transcript of Establishing Research Priorities for Public Health Emergency Preparedness in Canada: Results of a...