Providing healthcare to evacuees in the wake of a natural disaster: Opportunities to improve disaster planning
Providing healthcare to evacuees in the wake of a natural disaster: Opportunities to improve disaster planning
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DOI：
10.1097/maj.0b013e318180f19f
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发表时间：
2008-08-01
影响因子：
3.1
通讯作者：
Deshazo, Richard D.
中科院分区：
文献类型：
--
作者：
Bailey, Jessica H.;Deshazo, Richard D.
背景资料：卡特里娜飓风即将在密西西比墨西哥湾沿岸登陆，导致大量人员撤离到密西西比的杰克逊地区。许多患有慢性疾病的撤离人员被送往密西西比大学医学中心附近的市中心密西西比体育馆。风暴经过杰克逊期间，该市的市政基础设施遭到严重破坏。在这篇文章中，我们询问了这一经验如何影响了护理受庇护人口的卫生规划。方法：我们回顾了在密西西比体育馆为撤离人员开设大型医疗诊所的过程中积累的信息。我们还联系了灾害规划机构和医疗保健规划组织的代表，以确定卡特里娜飓风后战略计划中发生的变化。结果：利用我们的学术健康中心的资源，我们能够有效地提供医疗保健庇护疏散。根据这一经验，已制定了一个供今后使用的模式。在准备照顾可能因未来灾难而流离失所的慢性病患者方面取得了很大进展。结论：自然灾害主要疏散路线上的医院和诊所可以预期为疏散人员提供护理的突然需要。除非将照顾慢性病患者的计划纳入医院灾难计划，否则当地的医疗机构可能没有准备好提供护理。许多被疏散者支付服务费用的资源有限。学术医疗中心拥有独特的资源和能力来领导这些人群的护理计划。
Background: The impending landfall of Hurricane Katrina on the Mississippi Gulf Coast resulted in large numbers of evacuees into the Jackson, Mississippi area. Many evacuees with chronic medical problems had been directed to the Mississippi Coliseum in the downtown area near the University of Mississippi Medical Center. As the storm passed through Jackson, serious damage occurred to the municipal infrastructure. In this article, we asked how that experience has affected health planning for the care of sheltered populations. Methods: We reviewed the information accumulated in the course of operating a large medical clinic for evacuees at the Mississippi Coliseum. We also contacted representatives of disaster planning agencies and of healthcare planning organizations to determine changes that have occurred in strategic plans subsequent to Katrina. Results: Using the resources of our academic health center, we were able to effectively deliver healthcare to sheltered evacuees. A model has been developed for future use from this experience. Much progress has been made toward preparation for care of the chronically-ill who may be displaced by future disasters. Conclusion: Hospitals and clinics on major evacuation routes for natural disasters can expect the sudden necessity to provide care to evacuees. Unless plans to care for chronically-ill individuals are incorporated into hospital disaster plans, local healthcare facilities may be unprepared to provide care. Many evacuees will have limited resources to pay for services. Academic medical centers have unique resources and capabilities to lead in the care plans for these populations.