2022: Two-year Impact Factor: 4.4
Scopus Journal Metrics
CiteScore (2022): 5.3
SJR(2022): 0.78
Open Access

Health Promot Perspect. 2020;10(3): 175-179.
doi: 10.34172/hpp.2020.30
PMID: 32802753
PMCID: PMC7420172
Scopus ID: 85085989578
  Abstract View: 1674
  PDF Download: 1055
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Flexible surge capacity – public health, public education, and disaster management

Amir Khorram-Manesh 1* ORCID logo

1 Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
*Corresponding Author: *Corresponding Author: Amir Khorram-Manesh, Email:, Email: amir.khorram-manesh@surgery.gu.se


Background: Failed attempts to improve the delivery of healthcare to communities show distinct flaws that have a higher impact during a major incident or disaster (MID). This study evaluates the concept of surge capacity, which intends to achieve a balance between the needs and resources in affected areas by providing staff, stuff, structure, and system.

Methods: A systematic literature review was performed according to the PRISMA statement and by using PubMed, Scopus, and Google Scholar, and related keywords.

Results: There were limited publications about flexible surge capacity (FSC). However, the sum of data obtained indicated the need for flexibility in expanding major incidents or disasters, demanding new resources, which may neither be available on time nor reachable due to infrastructural damage.

Conclusion: FSC is a novel concept based on international guidelines. It refers to the extra and adjustable human and material resources that can be mobilized by activating nonprofessional but educated staff and different but accepted facilities in a fast, smooth, and productive way. Public health and public education play an essential role in obtaining such flexibility.

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Submitted: 17 Dec 2019
Accepted: 18 Apr 2020
ePublished: 12 Jul 2020
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