Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-28T03:33:14.481Z Has data issue: false hasContentIssue false

Disaster Healthcare System Management and Crisis Intervention Leadership in Thailand–Lessons Learned from the 2004 Tsunami Disaster

Published online by Cambridge University Press:  28 June 2012

Rami Peltz
Affiliation:
Israeli Defense Forces (IDF) Home Front Command
Issac Ashkenazi
Affiliation:
Medical Services and Supply Center, IDF Medical Corps Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel IDF Medical Corps, Surgeon General Headquarters
Dagan Schwartz
Affiliation:
Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Ofer Shushan
Affiliation:
Israeli Defense Forces (IDF) Home Front Command
Guy Nakash
Affiliation:
Israeli Defense Forces (IDF) Home Front Command
Adi Leiba
Affiliation:
Israeli Defense Forces (IDF) Home Front Command Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Yeheskel Levi
Affiliation:
IDF Medical Corps, Surgeon General Headquarters
Avishay Goldberg
Affiliation:
Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
Yaron Bar-Dayan*
Affiliation:
Israeli Defense Forces (IDF) Home Front Command Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel
*
16 Dolev St. Neve Savion, Or-Yehuda, Israel E-mail: bardayan@netvision.net.il

Abstract

Introduction:

Quarantelli established criteria for evaluating the effectiveness of disaster management.

Objectives:

The objectives of this study were to analyze the response of the healthcare system to the Tsunami disaster according to the Quarantelli principles, and to validate these principles in a scenario of a disaster due to natural hazards.

Methods:

The Israeli Defense Forces (IDF) Home Front Command Medical Department sent a research team to study the response of the Thai medical system to the disaster. The analysis of the disaster management was based on Quarantelli's 10 criteria for evaluating the management of community disasters. Data were collected through personal and group interviews.

Results:

The three most important elements for effective disaster management were: (1) the flow of information; (2) overall coordination; and (3) leadership. Although pre-event preparedness was for different and smaller scenarios, medical teams repeatedly reported a better performance in hospitals that recently conducted drills.

Conclusions:

In order to increase effectiveness, disaster management response should focus on: (1) the flow of information; (2) overall coordination; and (3) leadership.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Quarantelli, EL: Ten criteria for evaluating the management of community disasters. Disasters 1997;21:3956.CrossRefGoogle ScholarPubMed
2.Quarantelli, EL: Research Based Criteria for Evaluating Disaster Planning and Managing. Newark: University of Delaware. 1998.Google Scholar
3.Wattanawaitunechai, C, Peacock, SJ, Jitpartoom, P: Tsunami in Thailand–Disaster management in district hospital. New Eng J Med 2005;352:962964.CrossRefGoogle ScholarPubMed
4.Bremer, R: Policy development in disaster preparedness and management: Lessons learned from the January 2001 earthquake in Gujarat, India. Prehosp Disast Med 2003;18(4):372384.CrossRefGoogle ScholarPubMed
5.Schreiber, S, Yoeli, N, Paz, G, Bardash, G, Varssano, D, Fertel, N, Hassner, A, Drory, M, Halpern, P: Hospital preparedness for possible non-conventional casualties: An Israeli experience. General Hospital Psychiatry 2004;26:359366.CrossRefGoogle Scholar
6.Cigler, B: Emergency Management and Public Administration. In: Charles, MT & Choon, KJ (eds.): Crisis Management: A Casebook. Charles C. Thomas Pub., 1984: pp 519.Google Scholar