BMJ Open, Год журнала: 2025, Номер 15(4), С. e089093 - e089093
Опубликована: Апрель 1, 2025
Objective The 2021 Pacific Northwest heat dome was Washington state’s deadliest recorded weather event and presented unprecedented response challenges to the health sector. Understanding impacts of this extreme (EHE) on sector as well barriers facilitators implementing effective is critical preparing for future events, which are happening more frequently in region due climate change. Design Guided by an implementation science framework, we convened listening sessions focus groups western reflect regional efforts. Setting Health organisations 15 counties State, USA: Clallam, Grays Harbor, Island, Jefferson, King, Kitsap, Lewis, Mason, Pacific, Pierce, San Juan, Skagit, Snohomish, Thurston Whatcom. Participants A convenience sample 109 group participants recruited through professional networks Healthcare Response Network, a healthcare coalition. 27 professionals were using purposive sampling participate seven organised organisation type. Results co-presence COVID-19 pandemic, limited staff capacity, resource acquisition inadequate collaboration emerged key barriers, while advanced planning, indoor cooling capabilities, adapting strategies local needs, robust internal relationships strong external partnerships reported facilitate response. Establishing centralised coordination ahead making improvements capabilities built environment, developing plans policies EHEs that have co-benefits other adopting evidence-informed strategies, institutionalising knowledge developed prior events improving evaluative processes (such real-time monitoring capacity) will enable EHEs. Conclusions Western Washington’s implemented EHE activities enabled essential service continuity, despite resources, unfamiliarity with systemic challenges. recency presents opportunity incorporate lessons learnt into practice, policies, environment; these necessary large-scale may experience coming decades.
Язык: Английский