The Controversy Inherent in Managing Frail Nursing Home Residents During Complex Hurricane Emergencies

The Controversy Inherent in Managing Frail Nursing Home Residents During Complex Hurricane Emergencies
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DOI:
10.1016/j.jamda.2008.04.004
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发表时间:
2008-10-01
影响因子:
7.6
通讯作者:
Lucet, Jean-Christophe
Lucet, Jean-Christophe
中科院分区:
医学1区
文献类型:
--
作者:
Bonnal, Christine;Baune, Bruno;Lucet, Jean-Christophe

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为脆弱人口制定应急计划是社区备灾的一个主要内容,在这方面指导意见特别少。正如众所周知的卡特里娜和丽塔飓风后养老院居民的死亡证明,需要改善养老院应急准备是不言而喻的。然而,随着改进备灾工作的发展,一个核心争议仍然存在。除了强制性的完全疏散,在飓风紧急情况下,疏散还是不疏散体弱的老年疗养院居民更好?本文回顾了争论双方的历史证据,并提出了政策和研究议程。这是美国政府的工作。其使用没有限制。
Emergency planning for vulnerable populations constitutes a major element of community disaster preparedness and is an area in which guidance is particularly sparse. As evidenced by the well-publicized deaths of nursing home residents following Hurricanes Katrina and Rita, the need to improve nursing home emergency preparedness is self-evident. Nevertheless, as efforts to improve preparedness develop, a central controversy remains. Aside from mandatory complete evacuations, is it better to evacuate or not to evacuate frail elderly nursing home residents in the setting of hurricane emergencies? This paper reviews the historical evidence on both sides of the argument and suggests a policy and research agenda. This is a US government work. There are no restrictions on its use.