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Facilitators and Barriers for Effective Academic-Community Collaboration for Disaster Preparedness and Response

Dunlop, Anne L. MD, MPH; Logue, Kristi M. MS; Vaidyanathan, Lekshmi MD; Isakov, Alexander P. MD, MPH

Journal of Public Health Management & Practice:
doi: 10.1097/PHH.0b013e3182205087
Original Articles
Abstract

Context: For academic institutions to meaningfully contribute to community-disaster preparedness and response, they must effectively collaborate with governmental public health and emergency management agencies.

Objective: To explore the opinions of leaders of public health and emergency management agencies and academic institutions regarding the facilitators for and barriers to effective collaboration for disaster preparedness and response.

Design, Setting, and Participants: We convened focus groups of leaders of state and local public health and emergency management agencies and academic institutions in conjunction with the 2010 Public Health Preparedness Summit and the 2010 Southeastern Center for Emerging Biological Threats Meeting. We employed a semistructured interview guide to elicit information about resources leveraged for community preparedness and response and perceived facilitators and barriers to engagement and on-going collaboration. Focus groups were transcribed verbatim. We performed thematic analysis of the transcripts employing a data-coding scheme based on emergent themes.

Results: Academic institutions engaged with public health and emergency management agencies in the provision of an array of resources for community-disaster preparedness and response, ranging from technical expertise to the conduct of training activities, workforce surge capacity, and facility sharing. Recognized barriers to engagement included unfamiliarity of organizational personnel, concerns about ownership of outputs resulting from the collaboration, and differences in organizational culture and modus operandi. On-going relationships through shared training of students and staff and participation in community-level partner meetings facilitated collaboration in disaster response as does having a recognizable point of contact that can comprehensively represent academic institutional resources. Legal issues were identified as both facilitators (eg, contracts) and barriers (eg, liability concerns) to engagement.

Conclusions: There are both recognized facilitators and barriers to effective and sustainable academic-community collaboration for disaster preparedness and response from the perspectives of leaders of public health and emergency management agencies and academic institutions.

In Brief

The aim of this article is to explore the opinions of leaders of public health and emergency management agencies and academic institutions regarding the facilitators for and barriers to effective collaboration for disaster preparedness and response.

Author Information

Department of Family and Preventive Medicine (Drs Dunlop and Logue), Department of Emergency Medicine (Drs Vaidyanathan and Isakov), and Office of Critical Event Preparedness and Response (Dr Isakov), Emory Preparedness and Emergency Response Research Center, Emory University, Atlanta, Georgia.

Correspondence: Alexander P. Isakov, MD, MPH, 1599 Clifton Rd, Mailstop 1599-001-1BQ, Atlanta, GA 30322 (aisakov@emory.edu).

This study was funded by a grant from the Centers for Disease Control and Prevention (5-P01-TP000300). The contents of the journal article are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.

Disclosure: The authors declare no conflicts of interest.

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.