Kirkpatrick Dahlia V, Bryan Marguerite
Acute Care Clinic, Houma, LA, USA.
J Health Care Poor Underserved. 2007 May;18(2):299-314. doi: 10.1353/hpu.2007.0037.
Five agencies providing home health care to indigent populations in New Orleans, Louisiana were evaluated in terms of emergency planning and implementation. This was to help improve response to community disasters for indigent populations. Preparation for Hurricane Katrina was examined looking at interaction with local and state departments of health. It was found that the state dept of health provided leadership in making the emergency plans, but not in implementation. Local departments of health appeared to have very little responsibility in emergency planning. Although every agency had a plan, when it came to implementation there was lack of coordination and breakdown in communication at all government levels. Recommendations for future policy include: 1) early evacuation of special needs patients; 2) improved training of staff to include practice drills; 3) improve communication systems; and, 4) increased funding of state and local departments of health to provide training.
对路易斯安那州新奥尔良市为贫困人群提供家庭医疗保健服务的五家机构进行了应急规划与实施方面的评估。这是为了帮助改善对贫困人群社区灾难的应对能力。研究了针对卡特里娜飓风的准备工作，观察了这些机构与地方和州卫生部门的互动情况。结果发现，州卫生部门在制定应急计划方面发挥了领导作用，但在实施过程中并非如此。地方卫生部门在应急规划方面似乎责任很小。尽管每个机构都有一个计划，但在实施时，各级政府之间缺乏协调且沟通出现障碍。对未来政策的建议包括：1）对有特殊需求的患者尽早进行疏散；2）加强工作人员培训，包括进行实操演练；3）改善通信系统；4）增加对州和地方卫生部门的资金投入以提供培训。
