Industrial Engineering, University of Arkansas, Fayetteville, Arkansas, USA.
University of Tennessee Health Science Center, Memphis, TN, USA.
Disaster Med Public Health Prep. 2023 Aug 22;17:e457. doi: 10.1017/dmp.2023.114.
The Communication (C), Maintaining Health (M), Independence (I), Services, Support and Self-Determination (S), and Transportation (T) is a framework (C-MIST) for identifying functional needs in an emergency response. A C-MIST documentation tool provides shelter staff with a list of potential client needs and actions to address them. This retrospective review describes the needs and actions indicated on completed C-MIST documentation tools (ie, records) within domestic general population shelters following Hurricane Florence in 2018.
A convenience sample of 1209 records completed by shelter disaster health services personnel was provided by the American Red Cross. The records correspond to client stays in 19 shelters between September and October 2018. Data abstracted from hardcopy forms were de-identified and recorded in a database. Summary statistics were computed.
High incidence needs included medical supplies for everyday care (including medications) not related to mobility (15.4%), medically or culturally needed diets (12.2%), durable medical equipment (9.7%), mental health care (8.8%), and transportation (8.4%). High incidence actions included replacement medication (9.3%), refer to Disaster Mental Health Services (6.4%), provide assistive mobility equipment (5.1%), provide diabetes management supplies (5.0%), provide alternative food and beverages (4.1%), and provide transportation (3.9%).
The process for identifying health and functional support needs in shelters should be standardized through the use of the C-MIST framework.
沟通（C）、维护健康（M）、独立（I）、服务、支持和自决（S）以及交通（T）是识别紧急响应中功能需求的框架（C-MIST）。C-MIST 文件工具为避难所工作人员提供了一份潜在客户需求清单和解决这些需求的措施。本回顾性研究描述了 2018 年飓风佛罗伦萨过后，国内普通人群避难所中完成的 C-MIST 文件工具（即记录）中所显示的需求和措施。
美国红十字会提供了 1209 份由避难所灾难健康服务人员完成的记录的便利样本。这些记录对应于 2018 年 9 月至 10 月期间 19 个避难所中的客户入住情况。从硬拷贝表格中提取的数据被去除身份识别并记录在数据库中。计算了汇总统计数据。
高发生率需求包括与移动性无关的日常护理（包括药物）的医疗用品（15.4%）、医学或文化上需要的饮食（12.2%）、耐用医疗设备（9.7%）、心理健康护理（8.8%）和交通（8.4%）。高发生率措施包括更换药物（9.3%）、转介灾害心理健康服务（6.4%）、提供辅助移动设备（5.1%）、提供糖尿病管理用品（5.0%）、提供替代食物和饮料（4.1%）以及提供交通（3.9%）。
应通过使用 C-MIST 框架来标准化避难所中识别健康和功能支持需求的过程。
