Coastal flooding and frontline health care services: challenges for flood risk resilience in the English health care system
Coastal flooding and frontline health care services: challenges for flood risk resilience in the English health care system
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DOI：
10.1177/1355819619840672
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发表时间：
2019-07-23
影响因子：
2.4
通讯作者：
Kovats, Sari
中科院分区：
文献类型：
--
作者：
Landeg, Owen;Whitman, Geoff;Kovats, Sari
我们的目标是评估与2013年12月林肯郡波士顿东海岸洪水相关的医疗保健系统影响，以深入了解医疗保健部门应对高影响天气的能力。方法半结构化访谈与区域战略决策者和当地服务管理人员在1公里内的记录洪水大纲，以确定他们的经验，意见和思考的事件及其相关的健康影响和中断医疗服务。使用滚雪球抽样技术来确保研究的参与者具有广泛的专业知识。访谈记录和逐字转录，并使用NVivo（v10）进行数据分析，以应用主题编码并制定一个想法框架。结果本案例研究的结果提供了一个重要的洞察洪水造成的医疗中断。保健系统的所有部门都受到干扰，给整个系统造成压力，降低了该部门应对洪水对健康造成的后果和提供日常保健的能力。林肯郡的正式恢复阶段于2014年2月4日结束。这项工作的结果表明，在合理的最坏情况下，东海岸浪涌事件的医疗保健系统的准备有限。结论卫生保健部门似乎有有限的能力，以应对与天气有关的影响，因此是与未来气候变化的风险准备不足。需要进一步开展工作，以确保卫生保健系统继续审查并从此类事件中学习，以提高气候适应能力。
Objectives Our objective was to assess the health care system impacts associated with the December 2013 east coast flooding in Boston, Lincolnshire, in order to gain an insight into the capacity of the health care sector to respond to high-impact weather. Methods Semistructured interviews were held with regional strategic decision makers and local service managers within 1 km of the recorded flood outline to ascertain their experiences, views and reflections concerning the event and its associated health impacts and disruption to health care services. A snowballing sampling technique was used to ensure the study had participants across a broad range of expertise. Interviews were recorded and transcribed verbatim, and data analysis was preformed using NVivo (v10) to apply a thematic coding and develop a framework of ideas. Results The results of this case study provide a vital insight into the health care disruption caused by flooding. All sectors of the health care system suffered disruption, which placed a strain on the whole system and reduced the capacity of the sector to respond to the health consequences of flooding and delivering routine health care. The formal recovery phase in Lincolnshire was stood-down on 4th February 2014. The results of this work indicate limitations in preparedness of the health care system for the reasonable worse-case scenario for an east coast surge event. Conclusions The health care sector appears to have limited capacity to respond to weather-related impacts and is therefore unprepared for the risks associated with a future changing climate. Further work is required to ensure that the health care system continues to review and learn from such events to increase climate resilience.