Development of a Proof-of-Concept Multi-Method Computer Simulation to Support Rural Healthcare Disaster Preparedness Planning  

作　　者：Thomas A.Berg Kristina W.Kintziger Julie Suzuki Crumly Scott A.Lawson Carole R.Myers Tracey T.Stansberry 

机构地区：[1]College of Nursing,University of Tennessee Knoxville,Knoxville,TN,37996,USA [2]Department of Environmental,Agricultural,and Occupational Health,University of Nebraska Medical Center,Omaha,NE,68198,USA [3]Public Health and Healthcare,Oak Ridge Associated Universities,Oak Ridge,TN,37831,USA

出　　处：《International Journal of Disaster Risk Science》2024年第3期346-358,共13页国际灾害风险科学学报（英文版）

基　　金：funding support from Oak Ridge Associated Universities(ORAU)Foundations for this research。

摘　　要：Due to a lack of resources,rural communities often face challenges when planning catastrophic events.This project involved applying systems thinking and model-based systems engineering to develop a proof-of-concept,multi-method computer simulation and then determining whether the simulation could be used to assess the efficacy of disaster planning approaches on health outcomes in rural communities,as a function of primary healthcare.The project focus was a rural or non-urban healthcare system experiencing a natural hazard.Both system dynamics and discrete event models were incorporated to represent subsystem operations,crucial disaster responses,as well as three key response systems:public health,emergency management,and healthcare.The subsystem models included several components:policies/procedures,communications,resources,exercises/drills/training,healthcare space and staff,and the flow of affected people into and through the system.The combined simulation can serve as a first step to a more comprehensive approach to helping rural communities achieve more efficient and effective healthcare planning for disaster responses.

关 键 词：Computer simulation Disaster preparedness Model-based systems engineering Rural healthcare System dynamics model Systems thinking 

分 类 号：TU982.29[建筑科学—城市规划与设计] X4[环境科学与工程—灾害防治]