Mace Sharon E, Doyle Constance J
From the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, and Department of Emergency Medicine, University of Michigan, Ann Arbor, MI.
South Med J. 2017 Aug;110(8):509-515. doi: 10.14423/SMJ.0000000000000679.
Individuals with special healthcare needs have some of the highest morbidity and mortality rates during disasters. Efforts to triage, transport, shelter, or treat vulnerable populations often fail to take into consideration disabilities and social situations, including caregiver availability. Communication, medical care, independence, supervision, and transportation needs should be considered in emergency preparedness planning. Inconsistencies with the definitions and scope of individuals with special healthcare needs exist. The problems and complexity of vulnerable populations, as well as potential solutions are considered to assist planners and disaster responders in the preplanning, mitigation, treatment, and recovery of these individuals.
有特殊医疗需求的人群在灾难期间的发病率和死亡率往往是最高的。对弱势群体进行分类、运输、安置或治疗的努力常常未能考虑到残疾情况和社会状况，包括照顾者的可获得性。在应急准备规划中应考虑到沟通、医疗护理、独立性、监督和交通需求。对于有特殊医疗需求的个体的定义和范围存在不一致之处。文中考虑了弱势群体的问题和复杂性以及潜在的解决方案，以帮助规划者和灾难应对人员对这些个体进行预先规划、减灾、治疗和恢复工作。
