The emergence and spread of multidrug resistant microorganisms is a serious threat to transnational public health. Therefore, it is vital that cross-border outbreak response systems are constantly prepared for fast, rigorous, and efficient response.
The study trying to improve transnational collaboration by identifying, visualizing, and exploring two cross-border response networks that are likely to unfold during outbreaks involving the Netherlands and Germany. An exploratory analysis of cross-border response networks for outbreaks of multidrug resistant micro-organisms.
Multidrug resistant microorganism
Quantitative methods were using to explore response networks during a cross-border outbreak of carbapenem resistant Enterobacteriaceae in healthcare settings. Eighty-six Dutch and German health professionals reflected on a fictive but realistic outbreak scenario.
Data were collecting regarding collaborative relationships between stakeholders during outbreak response; prior working relationships, and trust in the networks. Network analysis techniques were using to analyze the networks on the network level (density, centralization, clique structures, and similarity of tie constellations between two networks) and node level (brokerage measures and degree centrality).
Although stakeholders mainly collaborate with stakeholders belonging to the same country, transnational collaboration is present in a centralized manner. Integration of the network is reaching, since several actors are beneficially positioning to coordinate transnational collaboration.
However, levels of trust are moderately low and prior-existing cross-border working relationships are sparse. Furthermore, the networks identifying in this study are not only the crucial in times of the outbreak containment, but should also be fostered in times of non-crisis. But levels of trust are moderately low and prior-existing cross-border working relationships are sparse.