Tsunami Damage on Medical Institutions by the Great Eastern Japan Earthquake and the Acceptance of Affected Patients by Inland Medical Institutions
Tsunami Damage on Medical Institutions by the Great Eastern Japan Earthquake and the Acceptance of Affected Patients by Inland Medical Institutions
复制标题
东日本大地震海啸对医疗机构造成的损害及内陆医疗机构收治受灾患者的情况
DOI：
10.5190/tga.63.214
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
H. Miyazawa
中科院分区：
文献类型：
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作者：
Shiori Niinuma;H. Miyazawa
本文分析了2011年东日本大地震及其引发的岩手县和宫城县海啸对医疗机构造成的损害。结果揭示了以下事实：岩手县三陆地区南部、三陆地区和宫城县仙台湾地区北部的诊所，在建成区靠近海岸的地方，有许多病例被淹没。宫城县的医院淹水率高于岩手县，因为小型市立医院和私立医院都分布在沿海地区，而岩手县的大型县立医院建在地势较高的地方。特别是宫城县三陆地区诊所和医院的淹没率很高，造成“医疗空缺”。在受灾地区无法得到医疗援助的受害者和病人被运送到邻近的城镇。宫城县南三陆镇的案例研究表明，由于床位短缺，住院病人的接受程度有限，尽管毗邻的Tome市接受了许多创伤患者作为门诊病人。这一事实意味着，在灾难发生时，医疗系统的运作从其正常状态退化可能会增加脆弱性。
This manuscript presents analysis of damage on medical institutions by the Great Eastern Japan Earthquake and its consequent tsunami in Iwate Prefecture and Miyagi Prefecture in 2011. Results reveal the following facts : clinics in the southern Sanriku region of Iwate Prefecture, Sanriku region and northern part of Sendai bay region in Miyagi Prefecture, where built - up areas are located near the shore, were inundated in numerous cases. Hospitals were flooded at a higher rate in Miyagi Prefecture where small - scale municipal hospitals and private hospitals are distributed along the coast, than in Iwate Prefecture, where large - scale prefectural hospitals were built at elevated locations. Particularly, the inundation ratios of both clinics and hospitals were high in the Sanriku region of Miyagi Prefecture, which resulted in “medical vacancies”. Victims and patients who were unable to receive medical aid in disaster affected areas were transported to adjoining cities and towns. Case study of Minami - Sanriku Town in Miyagi Prefecture indicates that inpatient acceptance was limited because of bed shortages, although numerous trauma patients were accepted as outpatients in adjoining Tome City. This fact implies that operations of medical systems degraded from their ordinary condition can have increased vulnerability in time of the disaster.