Abstract

Major emergencies and crises require action from all levels of government and the involvement of numerous organizations from the private and nonprofit sectors. Thus, interorganizational coordination is a crucial element of emergency and crisis management. This study first addresses how interagency coordination is structured in American policies and frameworks within the context of public health emergencies. Then, the significant coordination-related challenges that exist at the federal level are discussed, as well as how such challenges manifested in a severe shortage of critical medical resources at the outset of the pandemic. A series of government reports are then reviewed to further explore these coordination failures. Finally, recommendations are offered regarding ways to integrate network governance into the hierarchical governance structure for better crisis coordination. This research contributes to a broader understanding of interagency coordination in response to large-scale public health emergencies.

摘要

重大紧急情况和危机需要各级政府采取行动，并需要来自私营和非营利部门的众多组织的参与。因此，组织间协调是应急和危机管理的关键要素。本研究首先探讨了在突发公共卫生事件背景下美国政策和框架中机构间协调的结构。然后，讨论了联邦层面存在的与协调相关的重大挑战，以及这些挑战如何在大流行开始时严重短缺关键医疗资源。然后审查了一系列政府报告，以进一步探讨这些协调失败。最后，就如何将网络治理纳入分级治理结构以更好地协调危机提供了建议。这项研究有助于更广泛地了解应对大规模公共卫生突发事件的机构间协调。