title: A Framework for Training Public Health Practitioners in Crisis Decision-Making.
abstract: Three sets of issues tend to be overlooked in public health emergency preparedness and response, which can be addressed with new training protocols. The first issue is procedural and concerns the often intuitive (as opposed to deliberative) nature of effective crisis decision-making. The second issue is substantive and pertains to the incorporation and prioritization of ethical, political, and logistical concerns in public health emergency guidelines. The third issue is affective and concerns human feelings and human frailty, which can derail the most well designed and best practiced procedural and substantive approaches to emergency response. This article offers an outline for a decision-making framework for public health emergencies that addresses and incorporates these issues within relevant guidelines and training.
authors.affiliation: 1University of California School of Public Health,Richmond,California.
authors.forename: Harvey
authors.identifier: http://orcid.org/0000-0003-3922-2543
authors.initials: H
authors.lastname: Kayman
authors.affiliation: 2University of California San Francisco.
authors.forename: Tea
authors.initials: T
authors.lastname: Logar
mesh_terms: D002959:Civil Defense / Q000379:methods* / Q000592:standards; D003657:Decision Making; D004189:Disaster Planning / Q000379:methods*; D006801:Humans; D011634:Public Health / Q000379:methods*; D013663:Teaching / Q000379:methods*
keywords: dual process (intuition/deliberation); emergency response; ethics; incident command system (ICS); public health decision-making