Supporting the nation in crisis: the military health system's role in enhancing public health capacity through public-private partnerships.


Journal

Health research policy and systems
ISSN: 1478-4505
Titre abrégé: Health Res Policy Syst
Pays: England
ID NLM: 101170481

Informations de publication

Date de publication:
14 Aug 2024
Historique:
received: 22 05 2024
accepted: 29 07 2024
medline: 15 8 2024
pubmed: 15 8 2024
entrez: 14 8 2024
Statut: epublish

Résumé

The coronavirus disease 2019 (COVID-19) pandemic caused significant global disruptions to the healthcare system, which was forced to make rapid changes in healthcare delivery. The pandemic necessitated closer collaboration between the US civilian healthcare sector and the military health system (MHS), resulting in new and strengthened partnerships that can ultimately benefit public health and healthcare for the nation. In this study, we sought to understand the full range of partnerships in which the MHS engaged with the civilian sector during the COVID-19 pandemic and to elicit lessons for the future. We conducted key informant interviews with MHS policymakers and advisers, program managers and providers who were affiliated with the MHS from March 2020 through December 2022. Key themes were derived using thematic analysis and open coding methods. We conducted 28 interviews between December 2022 and March 2023. During the pandemic, the MHS collaborated with federal and local healthcare authorities and private sector entities through endeavours such as Operation Warp Speed. Lessons and recommendations for future pandemics were also identified, including investment in biosurveillance systems and integration of behavioural and social sciences. The MHS rapidly established and fostered key partnerships with the public and private sectors during the COVID-19 pandemic. The pandemic experience showed that while the MHS is a useful resource for the nation, it also benefits from partnering with a variety of organizations, agencies and private companies. Continuing to develop these partnerships will be crucial for coordinated, effective responses to future pandemics.

Sections du résumé

BACKGROUND BACKGROUND
The coronavirus disease 2019 (COVID-19) pandemic caused significant global disruptions to the healthcare system, which was forced to make rapid changes in healthcare delivery. The pandemic necessitated closer collaboration between the US civilian healthcare sector and the military health system (MHS), resulting in new and strengthened partnerships that can ultimately benefit public health and healthcare for the nation. In this study, we sought to understand the full range of partnerships in which the MHS engaged with the civilian sector during the COVID-19 pandemic and to elicit lessons for the future.
METHODS METHODS
We conducted key informant interviews with MHS policymakers and advisers, program managers and providers who were affiliated with the MHS from March 2020 through December 2022. Key themes were derived using thematic analysis and open coding methods.
RESULTS RESULTS
We conducted 28 interviews between December 2022 and March 2023. During the pandemic, the MHS collaborated with federal and local healthcare authorities and private sector entities through endeavours such as Operation Warp Speed. Lessons and recommendations for future pandemics were also identified, including investment in biosurveillance systems and integration of behavioural and social sciences.
CONCLUSIONS CONCLUSIONS
The MHS rapidly established and fostered key partnerships with the public and private sectors during the COVID-19 pandemic. The pandemic experience showed that while the MHS is a useful resource for the nation, it also benefits from partnering with a variety of organizations, agencies and private companies. Continuing to develop these partnerships will be crucial for coordinated, effective responses to future pandemics.

Identifiants

pubmed: 39143629
doi: 10.1186/s12961-024-01203-w
pii: 10.1186/s12961-024-01203-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

108

Subventions

Organisme : Defense Health Agency
ID : HU001-21-2-0089
Organisme : Defense Health Agency
ID : HU001-21-2-0089
Organisme : Defense Health Agency
ID : HU001-21-2-0089
Organisme : Defense Health Agency
ID : HU001-21-2-0089
Organisme : Defense Health Agency
ID : HU001-21-2-0089
Organisme : Defense Health Agency
ID : HU001-21-2-0089
Organisme : Defense Health Agency
ID : HU001-21-2-0089
Organisme : Defense Health Agency
ID : HU001-21-2-0089

Informations de copyright

© 2024. The Author(s).

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Auteurs

Vivitha Mani (V)

The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, 6720B Rockledge Drive Bethesda, Bethesda, MD, United States of America. vivitha.mani.ctr@usuhs.edu.
Center for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, United States of America. vivitha.mani.ctr@usuhs.edu.

Alysa Pomer (A)

Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, United States of America.

Jessica Korona-Bailey (J)

The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, 6720B Rockledge Drive Bethesda, Bethesda, MD, United States of America.
Center for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, United States of America.

Miranda Janvrin (M)

The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, 6720B Rockledge Drive Bethesda, Bethesda, MD, United States of America.
Center for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, United States of America.

Christian L Coles (CL)

The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc, 6720B Rockledge Drive Bethesda, Bethesda, MD, United States of America.
Center for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, United States of America.

Andrew J Schoenfeld (AJ)

Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, United States of America.
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, United States of America.

Joel S Weissman (JS)

Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, United States of America.
Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, United States of America.

Tracey Pérez Koehlmoos (TP)

Center for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, United States of America.

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