{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T12:06:56Z","timestamp":1779192416317,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Security"],"published-print":{"date-parts":[[2016,10,1]]},"abstract":"<jats:p>On September 30, 2014, the first US patient with Ebola virus disease was diagnosed. Hospitals and healthcare systems identified many complex issues that needed to be addressed to prepare for possible future outbreaks. Here we summarize themes identified in free text responses from a query of infectious disease physicians from the Infectious Disease Society of America's (IDSA) Emerging Infections Network (EIN) early in the domestic Ebola response and place them into the context of biopreparedness for possible future events. We queried infectious disease physician members of the EIN from October 21-November 11, 2014, about their institutions' experience with Ebola preparedness at that time. Of 1,566 EIN physicians, 869 replied to this query, and 318 provided 448 write-in comments in response to the question, \u201cWhat gaps have been identified in order for facilities to safely care for suspected Ebola patients?\u201d or in a section for general comments. Six themes emerged from the responses: the unique challenges faced by small community hospitals (87 comments), the burden placed on infectious disease and infection control staff (61), ethical questions and planning for vulnerable populations (40), misinformation and stigma (29), financial issues faced by response staff (27), and long-term sustainability (16). This qualitative analysis provides insights into early thinking about challenges in preparing for Ebola and other emerging infections in the United States. The themes identified here should be considered during local, state, and national planning.<\/jats:p>","DOI":"10.1089\/hs.2016.0038","type":"journal-article","created":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T09:12:05Z","timestamp":1472721125000},"page":"345-350","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Infectious Disease Physicians' Perceptions About Ebola Preparedness Early in the US Response: A Qualitative Analysis and Lessons for the Future"],"prefix":"10.1177","volume":"14","author":[{"given":"Scott","family":"Santiba\u00f1ez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip M.","family":"Polgreen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan E.","family":"Beekmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark E.","family":"Rupp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Del Rio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,9,1]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1412662"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.7326\/M14-1880"},{"issue":"46","key":"e_1_3_1_4_2","first-page":"1089","article-title":"Response to importation of a case of Ebola virus disease\u2014Ohio, October 2014","volume":"63","author":"McCarty CL","year":"2014","unstructured":"McCarty CL, , Basler C, , Karwowski M, et al. Response to importation of a case of Ebola virus disease\u2014Ohio, October 2014. MMWR Morb Mortal Wkly Rep, 2014; 63(46):1089-1091.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"46","key":"e_1_3_1_5_2","first-page":"1087","article-title":"Ebola virus disease cluster in the United States\u2014Dallas County, Texas, 2014","volume":"63","author":"Chavalier MS","year":"2014","unstructured":"Chavalier MS, , Chung W, , Smith J, et al. Ebola virus disease cluster in the United States\u2014Dallas County, Texas, 2014. MMWR Morb Mortal Wkly Rep, 2014; 63(46):1087-1088.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1413425"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofv087"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit932"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732308314930"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X10388468"},{"key":"e_1_3_1_11_2","unstructured":"Centers for Disease Control and Prevention. Notes on the interim U.S. guidance for monitoring and movement of persons with potential Ebola virus exposure. CDC website. Updated February 19 2016. http:\/\/www.cdc.gov\/vhf\/ebola\/exposure\/monitoring-and-movement-of-persons-with-exposure.html. Accessed August3 2016."},{"key":"e_1_3_1_12_2","unstructured":"Centers for Disease Control and Prevention.. Interim guidance for U.S. hospital preparedness for patients under investigation (PUIs) or with confirmed Ebola virus disease (EVD): a framework for a tiered approach. CDC website. Updated August 28 2015. http:\/\/www.cdc.gov\/vhf\/ebola\/healthcare-us\/preparing\/hospitals.html. Accessed August3 2016."},{"key":"e_1_3_1_13_2","unstructured":"Centers for Disease Control and Prevention.. Interim guidance for preparing frontline healthcare facilities for patients under investigation (PUIs) for Ebola virus disease (EVD). CDC website. Updated August 28 2015. http:\/\/www.cdc.gov\/vhf\/ebola\/healthcare-us\/preparing\/frontline-healthcare-facilities.html. Accessed August3 2016."},{"key":"e_1_3_1_14_2","unstructured":"Centers for Disease Control and Prevention.. Fact Sheet: CDC tightened guidance for U.S. healthcare workers on personal protective equipment for Ebola [press release]. CDC website. October 20 2014. http:\/\/www.cdc.gov\/media\/releases\/2014\/fs1020-ebola-personal-protective-equipment.html. Accessed August3 2016."}],"container-title":["Health Security"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/hs.2016.0038","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/hs.2016.0038","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/hs.2016.0038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T11:32:38Z","timestamp":1779190358000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/hs.2016.0038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,1]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,10,1]]}},"alternative-id":["10.1089\/hs.2016.0038"],"URL":"https:\/\/doi.org\/10.1089\/hs.2016.0038","relation":{},"ISSN":["2326-5094","2326-5108"],"issn-type":[{"value":"2326-5094","type":"print"},{"value":"2326-5108","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,1]]}}}