New York City’s Healthcare Transportation During Disaster: A Preparedness Framework for a Wicked Problem

Details

• Creators:
  Sternberg, Ernest ; Lee, George C.
• Corporate Creators:
  University at Buffalo. Department of Civil, Structural, and Environmental Engineering ; University at Buffalo. Department of Urban and Regional Planning
• Corporate Contributors:
  United States. Department of Transportation. University Transportation Centers (UTC) Program
• Subject/TRT Terms:
  • Railroad grade crossings
  • Emergency transportation
  • Military transportation
  • Disaster preparedness
  • Disasters
  • Disaster relief
  • Emergency medical services
  • Traffic crashes
  • Terrorism
  • Ambulances
  More +
• Publication/ Report Number:
  RF 49777-20-05
• Resource Type:
  Research Paper
• Geographical Coverage:
  United States
• Corporate Publisher:
  University at Buffalo,
• Abstract:
  In disasters, victims with varied morbidities are located at incident sites, while capacities for care are distributed elsewhere in healthcare facilities with varied capabilities. Transportation serves an essential equilibrating role: it helps balance patients’ need for care with the supply of care. Studying the special case of New York City, this project sets out the components as (1) incident morbidity, (2) transportation assets, and (3) healthcare capacity. The relationship between these three raises an assignment problem: the management of 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. We outline the institutional alternatives for managing the assignment problem and call for further research on the merits of alternative institutional models.
• Format:
  PDF
• Download URL:
  https://rosap.ntl.bts.gov/view/dot/58913/dot_58913_DS1.pdf
• File Type:
  [PDF - 242.24 KB]
• Collection(s):
  US Transportation Collection
• Main Document Checksum:
  urn:sha256:f025f1a3e671f9f1c6dcdb5238e6afb8bf324f253aec023f1a6d04285e8f0c15