飓风哈维、艾尔玛和玛丽亚：探讨家庭护理计划的作用。
Hurricanes Harvey, Irma, and Maria: Exploring the Role of Home-Based Care Programs.
机构信息
Veterans Emergency Management Evaluation Center (VEMEC), US Department of Veterans Affairs, North Hills, CA.
Department of Family Medicine, Oregon Health and Science University, Portland, OR.
出版信息
Disaster Med Public Health Prep. 2020 Feb;14(1):119-124. doi: 10.1017/dmp.2019.158.
OBJECTIVE
The aim of this study is to determine the response of home-based primary care programs to the fall 2017 Atlantic hurricane season.
METHODS
This study examines the experiences of 9 Veterans Health Administration (VHA) Home-Based Primary Care (HBPC) programs in their responses to Hurricanes Harvey, Irma, and Maria. Thirty-four phone interviews with HBPC leadership and staff were conducted from April to July 2018.
RESULTS
The total census of impacted HBPC programs was 3118. No program reported loss of life due to these hurricanes. Early preparedness was key to an effective program response. Response included prompt tracking of the patients. In the most affected areas, respondents noted limited resources to support basic patient needs.
CONCLUSIONS
Medically complex patients served by programs such as the VHA's HBPC program represent a subset of the population, yet they have an outsized impact on health care resources that could be exacerbated by inadequate disaster preparedness. HBPC programs serve a unique role in supporting the "older old." They are tasked with supporting disaster preparedness activities of patients. Understanding what is involved in actualizing their requirements shows communities how to effectively engage with these programs.
目的
本研究旨在确定家庭初级保健计划对 2017 年秋季大西洋飓风季节的反应。
方法
本研究考察了 9 个退伍军人健康管理局（VHA）家庭初级保健（HBPC）计划在应对哈维、艾尔玛和玛丽亚飓风时的经验。2018 年 4 月至 7 月，对 HBPC 领导层和工作人员进行了 34 次电话访谈。
结果
受影响的 HBPC 计划的总普查人数为 3118 人。没有一个项目报告说有人员因这些飓风而死亡。早期的准备是有效应对计划的关键。应对措施包括及时跟踪患者。在受灾最严重的地区，受访者指出，支持基本患者需求的资源有限。
结论
由退伍军人健康管理局 HBPC 计划等项目服务的医疗复杂患者代表了人口中的一部分，但他们对医疗资源的影响过大，如果灾难准备不足，这种影响可能会加剧。HBPC 计划在支持“老老年人”方面发挥着独特的作用。他们的任务是支持患者的灾难准备活动。了解实现他们的需求所涉及的内容可以向社区展示如何有效地与这些计划合作。
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