Health Secur. 2017 Jan/Feb;15(1):53-69. doi: 10.1089/hs.2016.0079.
This is a checklist of actions for healthcare, public health, nongovernmental organizations, and private entities to use to strengthen the resilience of their community's health sector to disasters. It is informed by the experience of Hurricane Sandy in New York and New Jersey and analyzed in the context of findings from other recent natural disasters in the United States. The health sector is defined very broadly, including-in addition to hospitals, emergency medical services (EMS), and public health agencies-healthcare providers, outpatient clinics, long-term care facilities, home health providers, behavioral health providers, and correctional health services. It also includes community-based organizations that support these entities and represent patients. We define health sector resilience very broadly, including all factors that preserve public health and healthcare delivery under extreme stress and contribute to the rapid restoration of normal or improved health sector functioning after a disaster. We present the key findings organized into 8 themes. We then describe a conceptual map of health sector resilience that ties these themes together. Lastly, we provide a series of recommended actions for improving health sector resilience at the local level. The recommended actions emphasize those items that individuals who experienced Hurricane Sandy deemed to be most important. The recommendations are presented as a checklist that can be used by a variety of interested parties who have some role to play in disaster preparedness, response, and recovery in their own communities. Following a general checklist are supplemental checklists that apply to specific parts of the larger health sector.
这是一份医疗保健、公共卫生、非政府组织和私营实体用来加强其社区卫生部门应对灾害能力的行动清单。它是根据纽约和新泽西州的桑迪飓风的经验制定的，并结合美国最近其他几次自然灾害的调查结果进行了分析。卫生部门的定义非常广泛，包括除医院、紧急医疗服务 (EMS) 和公共卫生机构之外的医疗保健提供者、门诊诊所、长期护理设施、家庭健康提供者、行为健康提供者和惩教卫生服务。它还包括支持这些实体并代表患者的社区组织。我们非常广泛地定义了卫生部门的弹性，包括在极端压力下维护公共卫生和医疗服务的所有因素，以及在灾害后迅速恢复正常或改善卫生部门功能的因素。我们将主要发现组织成 8 个主题进行呈现。然后，我们描述了一个卫生部门弹性的概念图，将这些主题联系在一起。最后，我们提供了一系列改善地方一级卫生部门弹性的建议行动。建议行动强调了那些经历过桑迪飓风的人认为最重要的项目。这些建议以检查表的形式呈现，可供各种感兴趣的各方使用，他们在自己的社区中在灾害准备、应对和恢复方面发挥着一定的作用。一般检查表后面是适用于更大卫生部门特定部分的补充检查表。
