@article{ref1,
title="New York City's healthcare transportation during a disaster: a preparedness framework for a wicked problem",
journal="Prehospital and disaster medicine",
year="2009",
author="Sternberg, Ernest and Lee, George C.",
volume="24",
number="2",
pages="95-107",
abstract="During a disaster, victims with varied morbidities are located at incident sites, while healthcare facilities with varied healthcare resources are distributed elsewhere. Transportation serves an essential equilibrating role: it helps balance the patients' need for care with the supply of care. Studying the special case of New York City, this article sets out the healthcare transportation components as: (1) incident morbidity; (2) transportation assets; and (3) healthcare capacity. The relationship between these three components raises an assignment problem: the management of healthcare transportation within a dynamic and partly unpredictable incident-transportation-healthcare nexus, under urban disruption. While the routine dispatch problem can be tackled through better geographic allocation software and technical algorithms, the disaster assignment problem must be confronted through real-time, mutual adjustment between institutions. This article outlines institutional alternatives for managing the assignment problem and calls for further research on the merits of alternative institutional models.<p /> <p>Language: en</p>",
language="en",
issn="1049-023X",
doi="",
url="http://dx.doi.org/"
}