Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Itabashi-Ku, Tokyo, Japan.
J Public Health Manag Pract. 2018 Mar/Apr;24(2):129-136. doi: 10.1097/PHH.0000000000000655.
The roles of adult daycare services during disaster evacuations in the relationships with community resilience are unknown. The initial 72 hours after a disaster are crucial because people in the disaster area depend on their own efforts or the resources available at the moment until the arrival of external support.
To clarify the evacuation-related decision making of the administrators of adult daycare services within 72 hours after the Great East Japan Earthquake and to describe the roles of adult daycare services during the month following the earthquake.
Qualitative study using semistructured interviews. The transcribed interviews were analyzed anonymously through an inductive qualitative content analysis using ATLAS.ti.
Kesennuma City, Miyagi Prefecture.
Eleven key informants (3 primary care providers and 8 administrators) from 8 institutions.
Immediately after the disaster, 6 institutions implemented shelter-in-place. The evacuation behaviors of the adult daycare institutions were diverse, but each institution was transformed repeatedly within 72 hours. With respect to evacuation decision making, the primary issues involved whether to go to mandatory evacuation sites. However, after 3 days, the institutions relocated from these sites to other places. During a period of approximately 1 month, 7 institutions managed the evacuation of service users and care providers. The expanded institutional roles were as follows: "confirming the safety of the users' families," "substituting residential facilities," and "imposing leadership during the evacuation."
If institutions choose to shelter-in-place, it should be sustained for as long as possible. Sufficiently planned stores of food and water to accommodate daytime users are needed. Institutions that employ shelter-in-place as an evacuation plan should maintain close contact with local governments. Furthermore, local governments should predetermine how to manage these institutions in the event of a disaster. To build community resilience for disasters, developing linkage with private organizations' resilience is beneficial.
在灾难疏散中，成人日托服务在社区恢复力方面的作用尚不清楚。灾难发生后的最初 72 小时至关重要，因为灾区的人们依赖自己的努力或当时可用的资源，直到外部支持到来。
阐明大东部日本地震后 72 小时内成人日托服务管理人员的疏散相关决策，并描述地震后一个月成人日托服务的作用。
使用半结构化访谈的定性研究。使用 ATLAS.ti 通过归纳定性内容分析对转录的访谈进行匿名分析。
宫城县气仙沼市。
来自 8 个机构的 11 名主要信息提供者（3 名初级保健提供者和 8 名管理员）。
灾难发生后，立即有 6 家机构实施了就地避难。成人日托机构的疏散行为多种多样，但每家机构在 72 小时内都反复转变。关于疏散决策，主要问题涉及是否前往强制疏散地点。然而，3 天后，这些机构从这些地点转移到了其他地方。在大约 1 个月的时间里，有 7 家机构管理了服务用户和护理人员的疏散。扩大后的机构角色如下：“确认用户家庭的安全”、“替代住宿设施”和“在疏散期间实施领导”。
如果机构选择就地避难，应尽可能长时间维持。需要为日间使用者储备足够计划的食物和水。将就地避难作为疏散计划的机构应与地方政府保持密切联系。此外，地方政府应预先确定在发生灾难时如何管理这些机构。为了建立灾害社区的恢复力，发展与私营组织恢复力的联系是有益的。
