G2TT
来源类型Report
规范类型报告
DOIhttps://doi.org/10.7249/RR2046
来源IDRR-2046-ASPR
Does the United States Need to Strengthen the System of Care for Infectious Diseases?
Courtney A. Gidengil; Christopher Nelson; Laura J. Faherty; Nabeel Qureshi
发表日期2020-02-07
出版年2018
页码56
语种英语
结论

A more formalized system of care would be beneficial

  • There was strong consensus among working group members and other experts that a more formalized system of care for serious infectious diseases would be beneficial.
  • A more formalized and organized approach to care could integrate existing systems and resources, with the goals of harmonizing the response across federal agencies and reducing unnecessary variation in care.

The system should build on existing systems and resources

  • There was consensus within the working group that a strengthened system should neither start from scratch nor be superimposed on the existing approach to care.
  • Elements that could strengthen the existing system include enhancing the three-tiered system of facilities established during the Ebola outbreak of 2014–2016, developing a brain trust of clinicians and others to provide advice to health care providers, creating mobile teams, and enhancing air and ground systems for safely transferring infected patients.

Financial sustainability is critical

  • Existing incentives may not motivate health care facilities and systems to invest in increasing their capacity to respond to rare infectious threats when there is no clear or immediate return on investment.
  • Researchers identified and assessed a range of funding options that leverage existing assets and resources, create new funding streams, and create incentives that encourage hospitals to invest in providing care or that remove barriers to investment.
  • Federal funding sources may be important elements of a comprehensive strategy for financing a system of care.
摘要

While the current system of care for treating rare but serious infectious diseases—which was developed in response to the 2014–2016 Ebola outbreak—provides an important foundation, a number of issues remain. In particular, a system of care must be able to sustain capacity and capabilities, manage the distribution of needed resources, and meet high demand for services. In this report, RAND researchers consider the need to strengthen the current system of care, discuss potential opportunities, and identify key financial considerations for the sustainability of the system.

,

This research suggests that the United States may benefit from a strengthened or more formalized system of care for rare but serious infectious diseases. The authors identify several opportunities to strengthen the current system of care, including enhancing or building upon the three tiers of acute care facilities that were established during the Ebola outbreak of 2014–2016, developing a brain trust of clinicians and others who can provide advice to health care providers, using mobile teams, and enhancing air and ground systems for safely transferring infected patients. The authors also lay the groundwork for future discussions around key financial considerations to ensure the sustainability of a system of care for rare but serious infectious diseases.

目录
  • Chapter One

    Background and Purpose

  • Chapter Two

    Analytic Approach

  • Chapter Three

    Examining the Current System of Care for Rare but Serious Infectious Diseases

  • Chapter Four

    Identifying Potential Approaches to Strengthening the Current System of Care

  • Chapter Five

    Exploring Financial Mechanisms to Sustain a System of Care for Infectious Diseases

  • Chapter Six

    Summary and Future Considerations

  • Appendix A

    Building on Other Systems of Care

主题Ebola ; Emergency Medical Services ; Epidemic ; Health Care Facilities
URLhttps://www.rand.org/pubs/research_reports/RR2046.html
来源智库RAND Corporation (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/524010
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Courtney A. Gidengil,Christopher Nelson,Laura J. Faherty,et al. Does the United States Need to Strengthen the System of Care for Infectious Diseases?. 2020.
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