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Long-Term Impact of Disasters on the Public Health System: A Multi-Case Analysis

Author

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  • Nina Lorenzoni

    (Department for Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL—Private University for Health Sciences, Medical Informatics and Technology, 6060 Hall in Tirol, Austria)

  • Verena Stühlinger

    (Department for Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL—Private University for Health Sciences, Medical Informatics and Technology, 6060 Hall in Tirol, Austria)

  • Harald Stummer

    (Department for Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL—Private University for Health Sciences, Medical Informatics and Technology, 6060 Hall in Tirol, Austria
    Department of Business, University Seeburg Castle, 5201 Seekirchen am Wallersee, Austria)

  • Margit Raich

    (Department for Public Health, Health Services Research and Health Technology Assessment, UMIT TIROL—Private University for Health Sciences, Medical Informatics and Technology, 6060 Hall in Tirol, Austria)

Abstract

As past events have shown, disasters can have a tremendous impact on the affected population’s health. However, research regarding the long-term impact on a systems level perspective is still scarce. In this multi-case study, we analyzed and compared the long-term impacts on the public health system of five disasters which took place in Europe: avalanche (Austria), terror attack (Spain), airplane crash (Luxembourg), cable-car tunnel fire (Austria), and a flood in Central Europe. We used a mixed-methods approach consisting of a document analysis and interviews with key stakeholders, to examine the various long-term impacts each of the disasters had on health-system performance, as well as on security and health protection. The results show manifold changes undertaken in the fields of psychosocial support, infrastructure, and contingency and preparedness planning. The holistic approach of this study shows the importance of analyzing long-term impacts from the perspective of the type (e.g., disasters associated with natural hazards) and characteristic (e.g., duration and extent) of a disaster, as well as the regional context where a disaster took place. However, the identified recurring themes demonstrate the opportunity of learning from case studies in order to customize the lessons and apply them to the own-disaster-management setting.

Suggested Citation

  • Nina Lorenzoni & Verena Stühlinger & Harald Stummer & Margit Raich, 2020. "Long-Term Impact of Disasters on the Public Health System: A Multi-Case Analysis," IJERPH, MDPI, vol. 17(17), pages 1-17, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6251-:d:405188
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    References listed on IDEAS

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    1. Ryoma Kayano & Emily YY Chan & Virginia Murray & Jonathan Abrahams & Sarah Louise Barber, 2019. "WHO Thematic Platform for Health Emergency and Disaster Risk Management Research Network (TPRN): Report of the Kobe Expert Meeting," IJERPH, MDPI, vol. 16(7), pages 1-6, April.
    2. Mélissa Généreux & Marc Lafontaine & Angela Eykelbosh, 2019. "From Science to Policy and Practice: A Critical Assessment of Knowledge Management before, during, and after Environmental Public Health Disasters," IJERPH, MDPI, vol. 16(4), pages 1-17, February.
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    1. Fleming, Pádraic & O'Donoghue, Catherine & Almirall-Sanchez, Arianna & Mockler, David & Keegan, Conor & Cylus, Jon & Sagan, Anna & Thomas, Steve, 2022. "Metrics and indicators used to assess health system resilience in response to shocks to health systems in high income countries—A systematic review," Health Policy, Elsevier, vol. 126(12), pages 1195-1205.
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