Karras Nicole A, Hemenway Charles S
Department of Pediatrics, Tulane University, 1430 Tulane Avenue, New Orleans, LA 70112, USA.
J Health Care Poor Underserved. 2007 May;18(2):382-93. doi: 10.1353/hpu.2007.0036.
Hurricane Katrina, making landfall in the U.S. in late August 2005, disrupted the medical infrastructure of New Orleans. We hypothesized that Hurricane Katrina measurably affected the ability of patients with sickle cell disease (SCD) to receive necessary and adequate health care. Differences in health care delivery among children and adults in New Orleans prior to the hurricane prompted our interest in these two groups.
In May 2006, an anonymous survey was administered via either telephone or written questionnaire to patients in the greater New Orleans, Louisiana area with SCD and/or their guardians. The survey was intended to gauge patients' access to and satisfaction with specialized health care in the months following Hurricane Katrina.
Adult patients with SCD who relied almost exclusively on New Orleans' main public hospital (Charity Hospital) for specialized sickle cell services reported significant frustration/dissatisfaction with their medical care eight months after the storm. In contrast, pediatric patients with SCD and their guardians, who rarely received care within the public hospital system, reported more satisfaction with their care. There was a statistically significant difference between the two groups in their responses to the perception of quality of their health care.
2005年8月末登陆美国的卡特里娜飓风扰乱了新奥尔良的医疗基础设施。我们推测卡特里娜飓风对镰状细胞病（SCD）患者获得必要且充分医疗保健的能力产生了显著影响。飓风来临前新奥尔良儿童和成人在医疗服务提供方面的差异引发了我们对这两组人群的兴趣。
2006年5月，通过电话或书面问卷对路易斯安那州大新奥尔良地区患有SCD的患者及其监护人进行了匿名调查。该调查旨在评估卡特里娜飓风过后数月患者获得专科医疗保健的情况以及他们对专科医疗保健的满意度。
几乎完全依赖新奥尔良主要公立医院（慈善医院）提供镰状细胞病专科服务的成年SCD患者在风暴过后八个月对其医疗护理表示了极大的沮丧/不满。相比之下，很少在公立医院系统接受治疗的儿科SCD患者及其监护人对他们所接受的护理更为满意。两组对其医疗保健质量感知的回答存在统计学上的显著差异。
