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Evidence-Based Practice for Public Health Emergency Preparedness and Response (2020)

Chapter: Appendix B: Mixed-Method Reviews of Selected Topics

« Previous: Appendix A: Detailed Description of the Committee's Methods for Formulating the Scope of the Reviews and Capturing the Evidence
Suggested Citation:"Appendix B: Mixed-Method Reviews of Selected Topics." National Academies of Sciences, Engineering, and Medicine. 2020. Evidence-Based Practice for Public Health Emergency Preparedness and Response. Washington, DC: The National Academies Press. doi: 10.17226/25650.
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Page 339

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Appendix B Mixed-Method Reviews of Selected Topics INTRODUCTION TO THE MIXED-METHOD REVIEWS This appendix details the mixed-method review process and evidence for each of the four review topics. Each review followed a similar process (see Chapter 3 and Appendix A), which was conducted by the committee, staff, and several commissioned groups. This appendix is broken down into four parts, describing the mixed-method reviews for the four following topic areas:  engaging with and training community-based partners to improve the outcomes of at- risk populations after public health emergencies (Capability 1, Community Preparedness);  activating a public health emergency operations center (Capability 3, Emergency Operations Coordination);  communicating public health alerts and guidance with technical audiences during a public health emergency (Capability 6, Information Sharing); and  implementing quarantine to reduce or stop the spread of a contagious disease (Capability 11, Non-Pharmaceutical Interventions). PREPUBLICATION COPY: UNCORRECTED PROOFS B-1

Next: Appendix B1: Mixed-Method Review of Strategies for Engaging with and Training Community-Based Partners to Improve the Outcomes of At-Risk Populations »
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When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields.

Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.

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