{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:07:22Z","timestamp":1790672842127,"version":"4.1.0"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"unspecified","delay-in-days":271,"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":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326104406_sec1\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this research is to explore and report on factors that define and impact resource availability and the decision-making space regarding scarce health resources in humanitarian response settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104406_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This research was conducted with an exploratory qualitative design. Clinicians and managers with relevant experience were identified and purposively recruited to include broad perspectives. Semi-structured interviews were conducted remotely to produce transcripts of participant narrative which were analyzed using an inductive thematic analysis approach to allow themes to arise from the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104406_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventeen interviews were conducted, contributing 887 minutes of data. Five themes framing decision-making were identified: scope; relationships; adaptation; power; and security. Each theme influences resource availability and the experience of health resource allocation decisions in humanitarian contexts. Collectively, the themes informed the development of the Scarce Health Resource Allocation in Humanitarian Response Settings (SHARE-HRS) ScRAPS Model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104406_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings of this research articulate several pertinent factors that shape resource allocation decision-making in humanitarian health responses. In consolidating these factors, the resulting ScRAPS Model provides a conceptualization and analytical framework for considering humanitarian health responses. Finally, this research illuminates a potential path for future research and communicating learned lessons through a proposed common language.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10440","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:44:29Z","timestamp":1790671469000},"source":"Crossref","is-referenced-by-count":0,"title":["The SHARE-HRS ScRAPS Model of Scarce Health Resource Allocation in Humanitarian Response Settings: Thematic Analysis of Lived Experiences"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5249-2367","authenticated-orcid":false,"given":"Zachary","family":"Horn","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02sc3r913","id-type":"ROR","asserted-by":"publisher"}],"name":"Griffith University School of Medicine and Dentistry"},{"name":"Griffith University School of Nursing and Midwifery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Marshall","sequence":"additional","affiliation":[{"name":"Griffith University School of Nursing and Midwifery"},{"id":[{"id":"https:\/\/ror.org\/04zt8gw89","id-type":"ROR","asserted-by":"publisher"}],"name":"Gold Coast Hospital and Health Service"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5265-6365","authenticated-orcid":false,"given":"Jamie","family":"Ranse","sequence":"additional","affiliation":[{"name":"Griffith University School of Nursing and Midwifery"},{"id":[{"id":"https:\/\/ror.org\/04zt8gw89","id-type":"ROR","asserted-by":"publisher"}],"name":"Gold Coast Hospital and Health Service"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"S1935789326104406_r20","doi-asserted-by":"publisher","DOI":"10.4102\/jtscm.v16i0.691"},{"key":"S1935789326104406_r23","doi-asserted-by":"publisher","DOI":"10.3362\/9781908176707"},{"key":"S1935789326104406_r25","unstructured":"25. IASC Reference Module for Cluster Coordination at Country Level, revised July 2015. International Agency Standing Committee. July 2015. Accessed September 22, 2023. https:\/\/interagencystandingcommittee.org\/iasc-transformative-agenda\/iasc-reference-module-cluster-coordination-country-level-revised-july-2015"},{"key":"S1935789326104406_r3","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15272"},{"key":"S1935789326104406_r22","unstructured":"22. Reference Guide: Normative Developments on the Coordination of Humanitarian Assistance in the General Assembly and the Economic and Social Council Since the Adoption of General Assembly Resolution 46\/182 (3rd ed.). United Nations Office for Coordination of Humanitarian Affairs. 2015. Accessed October 6, 2024. https:\/\/reliefweb.int\/report\/world\/reference-guide-normative-developments-coordination-humanitarian-assistance-general-1?gad_source=1&gclid=Cj0KCQjw6oi4BhD1ARIsAL6pox0XcVI6ThAAhXaTRA0xrpfDfL4uqYDC9rnoEOAkn9SMvn5U1oSsdkIaAshGEALw_wcB"},{"key":"S1935789326104406_r2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2018.11.027"},{"key":"S1935789326104406_r16","doi-asserted-by":"publisher","DOI":"10.3316\/QRJ1102063"},{"key":"S1935789326104406_r28","unstructured":"28. Council of the European Union, Representatives of the Governments of the Member States. Joint statement by the Council and the Representatives of the Governments of the Member States meeting within the Council, the European Parliament and the European Commission. OJEU. 2008;C25(1):1\u201312. 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