Treffer: The SHARE-HRS Decision Making Model of Scarce Health Resource Allocation in Humanitarian Response Settings: Thematic Analysis of Lived Experiences.

Title:
The SHARE-HRS Decision Making Model of Scarce Health Resource Allocation in Humanitarian Response Settings: Thematic Analysis of Lived Experiences.
Authors:
Horn Z; School of Nursing and Midwifery, https://ror.org/02sc3r913Griffith University, Gold Coast, Australia.; School of Medicine and Dentistry, https://ror.org/02sc3r913Griffith University, Gold Coast, Australia., Ranse J; School of Nursing and Midwifery, https://ror.org/02sc3r913Griffith University, Gold Coast, Australia.; Department of Emergency Medicine, https://ror.org/04zt8gw89Gold Coast Hospital and Health Service, Australia., Marshall A; School of Nursing and Midwifery, https://ror.org/02sc3r913Griffith University, Gold Coast, Australia.; Nursing and Midwifery Education and Research Unit, https://ror.org/04zt8gw89Gold Coast Hospital and Health Service, Australia.
Source:
Disaster medicine and public health preparedness [Disaster Med Public Health Prep] 2026 Jan 12; Vol. 20, pp. e14. Date of Electronic Publication: 2026 Jan 12.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: Cambridge University Press Country of Publication: United States NLM ID: 101297401 Publication Model: Electronic Cited Medium: Internet ISSN: 1938-744X (Electronic) Linking ISSN: 19357893 NLM ISO Abbreviation: Disaster Med Public Health Prep Subsets: MEDLINE
Imprint Name(s):
Publication: <2013>- : New York : Cambridge University Press
Original Publication: Philadelphia, PA : Lippincott Williams & Wilkins
Contributed Indexing:
Keywords: Disasters; disaster medicine; humanitarian; resource allocation; thematic analysis
Entry Date(s):
Date Created: 20260112 Date Completed: 20260112 Latest Revision: 20260112
Update Code:
20260112
DOI:
10.1017/dmp.2025.10301
PMID:
41521633
Database:
MEDLINE

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Objectives: The aim of this research is to explore the experience of allocating scarce health resources in humanitarian response settings, specifically in relation to decision-making.
Methods: This research utilized an exploratory qualitative design. Participants were identified as clinicians with relevant first-hand experiences with scarce health resource allocation in humanitarian response settings. Participants were purposively recruited to include the broadest perspectives possible. Semi-structured interviews were hosted remotely. Transcripts capturing participant narratives were analyzed using inductive thematic analysis to allow themes to emerge.
Results: Seventeen participants were recruited and interviewed as part of the Scarce Health Resource Allocation in Humanitarian Response Settings (SHARE-HRS) project. Inductive thematic analysis related to decision making revealed 5 key themes: devices; priorities; ideals; context-specific decision making; and weight of decision making. These themes informed the development of the SHARE-HRS Decision Making Model.
Conclusions: While health resource allocation decision-making is not unique to humanitarian settings, there are unique situational challenges faced by humanitarian health care workers. The SHARE-HRS Decision Making Model provides a new insight into how these challenges may be addressed or impact decision-making, and thus offers a structure and common nomenclature for future humanitarian health response operations and research.