@article{ref1,
title="Bottom-up approach to establish coordination mechanisms for disaster preparedness among largely private health-care providers in central Tokyo",
journal="Disaster medicine and public health preparedness",
year="2021",
author="",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="In Japan, despite its private-dominant and disjointed health-care system, national initiatives to coordinate various types of health-care facilities are lacking. Municipal governments manage this task with limited resources. This study describes a successful example of a bottom-up approach to create city-wide collaboration for disaster preparedness. In Minato City, located in central Tokyo, a group of physicians created a project involving a city-wide disaster medical care drill. The city Public Health Center, in charge of health-care systems including disaster medicine, helped the group to increase proponents of the project. The city-wide disaster drill started in November 2017; thereafter, the drills were held every year. Participation in drills by various health-care personnel helped establish a city-wide system for disaster medical care, coordination mechanisms among stakeholders, increased motivation among health-care personnel, and development of in-hospital systems. This approach is flexible and applicable to various forms of health-care systems in other areas.<p /> <p>Language: en</p>",
language="en",
issn="1935-7893",
doi="10.1017/dmp.2021.326",
url="http://dx.doi.org/10.1017/dmp.2021.326"
}