{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:19:03Z","timestamp":1787933943593,"version":"build-2784847793"},"reference-count":46,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T00:00:00Z","timestamp":1676419200000},"content-version":"unspecified","delay-in-days":45,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789322002725_as1\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Healthcare and social organizations (HSOs) are first respondents after natural disasters. Hence, their preparedness and resilience are critical components for addressing future disasters. However, little is known about HSOs\u2019 experiences prior to, during, and after hurricanes.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789322002725_as2\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>To describe preparedness, response, and recovery experiences from hurricanes Irma\/ Maria among HSOs in Puerto Rico and the US Virgin Islands.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789322002725_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>Using a convenience sample, semi-structured interviews were conducted with 52 key-informants. Content analysis for common and recurring themes and patterns was performed by HSO type.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789322002725_as4\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>Most HSOs (80.8%) had a preparedness plan and 55.8% responded providing emergency supplies. HSOs\u2019 human resources (61.2%) was the main recovery facilitator\/ enabler, while 36.5% identified the lack of economic resources and the lack of an integrated emergency plan as the top barriers. The main lesson learned include understanding the need to make improvements to their emergency preparedness plans (56.3%), and to establish an integrated\/ centralized plan between relevant parties.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789322002725_as5\">\n\t    <jats:title>Conclusion:<\/jats:title>\n\t    <jats:p>Lessons learned after hurricanes allowed HSOs to identify gaps and opportunities to become more resilient. Infrastructure capacity, human resources, communication systems, and economic support, as well as training, partnerships, and new policies should be defined, revised, and\/ or integrated into the HSOs\u2019 preparedness plans to mitigate the impact of future disasters.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2022.272","type":"journal-article","created":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T10:13:58Z","timestamp":1676456038000},"source":"Crossref","is-referenced-by-count":13,"title":["Healthcare and Social Organizations\u2019 Disaster Preparedness, Response, and Recovery Experience: Lessons Learned From Hurricanes Irma and Maria"],"prefix":"10.1017","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6853-1663","authenticated-orcid":false,"given":"Carlamarie","family":"Noboa-Ramos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadira","family":"Almod\u00f3var-D\u00edaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Fern\u00e1ndez-Repollet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaumudi","family":"Joshipura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"key":"S1935789322002725_ref2","unstructured":"2. Disasters. Disaster Year in Review 2019. Accessed January 5, 2021. https:\/\/cred.be\/sites\/default\/files\/CC58.pdf."},{"key":"S1935789322002725_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijdrr.2016.07.005"},{"key":"S1935789322002725_ref8","unstructured":"8. George Washington University. Ascertainment of the estimated excess mortality from hurricane Mar\u00eda in Puerto Rico. Published August 29, 2018. https:\/\/reliefweb.int\/report\/puerto-rico-united-states-america\/ascertainment-estimated-excess-mortality-hurricane-maria"},{"key":"S1935789322002725_ref16","unstructured":"16. Seville, E , Brunsdon, D , Dantas, A , et al. Building organisational resilience: a summary of key research findings. 2006. https:\/\/www.academia.edu\/12739469\/Building_Organisational_Resilience"},{"key":"S1935789322002725_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(18)30209-2"},{"key":"S1935789322002725_ref28","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-6210.2012.02549.x"},{"key":"S1935789322002725_ref31","doi-asserted-by":"publisher","DOI":"10.1177\/0002716205284677"},{"key":"S1935789322002725_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijdrr.2016.08.006"},{"key":"S1935789322002725_ref43","unstructured":"43. US Department of Labor. Hurricane preparedness and response. https:\/\/www.osha.gov\/hurricane\/preparedness"},{"key":"S1935789322002725_ref44","doi-asserted-by":"publisher","DOI":"10.1016\/j.pubrev.2018.10.009"},{"key":"S1935789322002725_ref30","unstructured":"30. FEMA. 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Actual deaths may be 1052. The New York Times. https:\/\/www.nytimes.com\/interactive\/2017\/12\/08\/us\/puerto-rico-hurricane-maria-death-toll.html."},{"key":"S1935789322002725_ref22","article-title":"Reducing confusion about grounded theory and qualitative content analysis: similarities and differences","volume":"19","author":"Cho","year":"2014","journal-title":"The Qualitative Report."},{"key":"S1935789322002725_ref34","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2020.18"},{"key":"S1935789322002725_ref36","unstructured":"36. Servick, K. More than 12 years after Hurricane Katrina, scientists are learning what makes some survivors more resilient than others. 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