Disaster healthcare disparities solutions: Part 2—Response
DOI:
https://doi.org/10.5055/ajdm.0473Keywords:
healthcare disparities, disaster healthcare disparities, disaster healthcare, solutions to disaster healthcare disparitiesAbstract
The purpose of this study was to explore the potential solutions for disaster healthcare disparities. This paper is the second of a three-part series that was written by the Disaster Healthcare Disparities Workgroup of the American College of Emergency Physicians Disaster Preparedness and Response Committee. The committee conducted a literature review and chose articles most representative and demonstrative of solutions to disaster healthcare disparities found in a past workgroup product. Many solutions for disaster healthcare disparities during disaster response were found. Some of these solutions have been successfully implemented and some are hypothetical. Solutions for disaster healthcare disparities seen during response are achievable but there is still much work to do. A variety of the proposed solutions can be advocated for by nondisaster specialists leading to better care for all our patients.
References
Cornelius AP, Char DM, Doyle C, et al.: Disparities in disaster healthcare: A review of past disasters. Am J Disaster Med. 2022; 17(2): 171-184. DOI: 10.5055/ajdm.2022.0431.
Louissaint N: Building community resilience through health equity. Domestic Preparedness. April 6, 2017. Available at https://domesticpreparedness.com/articles/building-community-resiliencethrough-health-equity. Accessed August 23, 2023.
Compassion: Responding to disasters. 2023. Available at https://www.compassion.com/poverty/response-to-disaster.htm. Accessed September 6, 2023.
FEMA: Unit two: How communities and states deal with emergencies and disasters. Available at https://training.fema.gov/emiweb/downloads/is7unit_2.pdf. Accessed February 1, 2024.
Allen KM: Community-based disaster preparedness and climate adaptation: Local capacity-building in the Philippines. Disasters. 2006; 30(1): 81-101. DOI: 10.1111/j.1467-9523.2006.00308.x.
Raker EJ, Arcaya MC, Lowe SR, et al.: Mitigating health disparities after natural disasters: Lessons from the RISK project. Health Aff (Millwood). 2020; 39(12): 2128-2135. DOI: 10.1377/hlthaff.2020.01161.
Lurie N, Carr BG: The role of telehealth in the medical response to disasters. JAMA Intern Med. 2018; 178(6): 745-746. DOI: 10.1001/jamainternmed.2018.1314.
Substance Abuse and Mental Health Services Administration: Developing a continuity of operations plan (COOP). 2015. Available at https://www.samhsa.gov/certified-community-behavioral-healthclinics/section-223/governance-oversight/continuity-operationsplan. Accessed September 1, 2023.
Ridenour ML, Cummings KJ, Sinclair JR, et al.: Displacement of the underserved: Medical needs of Hurricane Katrina evacuees in West Virginia. J Health Care Poor Underserved. 2007; 18(2): 369-381. DOI: 10.1353/hpu.2007.0045.
Lichtveld M: Disasters through the lens of disparities: Elevate community resilience as an essential public health service. Am J Public Health. 2018; 108(1): 28-30. DOI: 10.2105/AJPH.2017.304193.
National Association of Community Health Centers: The role of health center boards in business continuity planning. 2021. Available at https://opus-nc-public.digitellcdn.com/uploads/nachc/redactor/90b498d7ce875a2d2e7efdb33a7ee24d89a4ee5198f071a2a8a77274b1bdf598.pdf. Accessed February 1, 2024.
Texas Health Resources: Delivering continuous care. 2021. Available at https://www.texashealth.org/responsibility-2021/Environment-of-Care/Delivering-Continuous-Care. Accessed September 1, 2023.
Davis JR, Wilson S, Brock-Martin A, et al.: The impact of disasters on populations with health and health care disparities. Disaster Med Public Health Prep. 2010; 4(1): 30-38.
Runkle JD, Brock-Martin A, Karmaus W, et al.: Secondary surge capacity: A framework for understanding long-term access to primary care for medically vulnerable populations in disaster recovery. Am J Public Health. 2012; 102(12): e24-e32. DOI: 10.2105/AJPH.2012.301027.
Substance Abuse and Mental Health Services Administration: Greater impact: How disasters affect people of low socioeconomic status. 2017. Available at https://www.samhsa.gov/sites/default/files/dtac/srb-low-ses_2.pdf. Accessed February 1, 2024.
Casey JA, Fukurai M, Hernández D, et al.: Power outages and community health: A narrative review. Curr Environ Health Rep. 2020; 7(4): 371-383. DOI: 10.1007/s40572-020-00295-0.
Severson K: A chef will wind down his crusade to feed Puerto Rico. The New York Times. October 25, 2017. Available at https://www.nytimes.com/2017/10/25/dining/jose-andres-puerto-rico.html. Accessed September 1, 2023.
NPR: After Hurricane Maria. Chef José Andrés had a “crazy dream” to feed Puerto Rico: The salt. Available at https://www.npr.org/sections/thesalt/2018/09/10/646242247/after-hurricane-maria-chef-jos-andr-shad-a-crazy-dream-to-feed-puerto-rico. Accessed September 1, 2023.
McLoughlin GM, McCarthy JA, McGuirt JT, et al.: Addressing food insecurity through a health equity lens: A case study of large urban school districts during the COVID-19 pandemic. J Urban Health. 2020; 97(6): 759-775. DOI: 10.1007/s11524-020-00476-0.
Padgett DK: From the streets to a hotel: A qualitative study of the experiences of homeless persons in the pandemic era. J Soc Distress Homelessness. 2023; 32(2): 248-254.
Padgett DK, Herman D: From shelters to hotels: An enduring solution to ending homelessness for thousands of Americans. Psychiatr Serv. 2021; 72(9): 986-987. DOI: 10.1176/appi.ps.202100170.
US Dept. Homeland Security: Healthcare and public health sector-specific plan. 2016. Available at https://www.cisa.gov/sites/default/files/publications/nipp-ssp-healthcare-public-health-2015-508.pdf. Accessed February 1, 2024.
Murakami N, Siktel HB, Lucido D, et al.: Disaster preparedness and awareness of patients on hemodialysis after hurricane sandy. Clin J Am Soc Nephrol. 2015; 10(8): 1389-1396. DOI: 10.2215/CJN.10181014.
Abir M, Mostashari F, Atwal P, et al.: Electronic health records critical in the aftermath of disasters. Prehosp Disaster Med. 2012; 27(6): 620-622. DOI: 10.1017/S1049023X12001409.
Hogue MD, Hogue HB, Lander RD, et al.: The nontraditional role of pharmacists after Hurricane Katrina: Process description and lessons learned. Public Health Rep. 2009; 124(2): 217-223.
Nair V, Mullen E, Townes D, et al.: The emergency prescription assistance program’s (EPAP): Providing continuing chronic health care for Hurricane Maria survivors from USVI. Int J Disaster Risk Reduct. 2020; 50: 101699. DOI: 10.1016/j.ijdrr.2020.101699.
Krol DM, Redlener M, Shapiro A, et al.: A mobile medical care approach targeting underserved populations in post-Hurricane Katrina Mississippi. J Health Care Poor Underserved. 2007; 18(2): 331-340. DOI: 10.1353/hpu.2007.0038.
Veterans of Foreign Wars: VA putting mobile pharmacies on the road. 2008. Available at https://www.vfw.org/media-and-events/latest-releases/archives/2008/3/va-putting-mobile-pharmacies-onthe-road. Accessed September 1, 2023.
Malone NC, Williams MM, Smith Fawzi MC, et al.: Mobile health clinics in the United States. Int J Equity Health. 2020; 19(1): 40. DOI: 10.1186/s12939-020-1135-7.
Healthcare Packaging: Mobile pharmacies help deliver life-saving meds. 2017. Available at https://www.healthcarepackaging.com/home/news/13293724/mobile-pharmacies-help-deliver-lifesaving-meds. Accessed September 1, 2023.
Nelan MM, Schumann III, RL: Gathering places in the aftermath of Hurricane Harvey. Disaster Prev Manag Int J. 2018; 27(5): 508-522. DOI: 10.1108/DPM-05-2018-0169.
Brodie M, Weltzien E, Altman D, et al.: Experiences of Hurricane Katrina evacuees in Houston shelters: Implications for future planning. Am J Public Health. 2006; 96(8): 1402-1408. DOI: 10.2105/AJPH.2005.084475.
Veenema TG, Rains AB, Casey-Lockyer M, et al.: Quality of healthcare services provided in disaster shelters: An integrative literature review. Int Emerg Nurs. 2015; 23(3): 225-231. DOI: 10.1016/j.ienj.2015.01.004.
Schnall AH, Hanchey A, Nakata N, et al.: Disaster-related shelter surveillance during the Hurricane Harvey response—Texas 2017. Disaster Med Public Health Prep. 2020; 14(1): 49-55. DOI: 10.1017/dmp.2019.25.
National Association of Community Health Centers: Business continuity planning interactive learning modules—Module 1-3. 2022. Available at https://www.nachc.org/resource/businesscontinuity-planning-interactive-learning-modules-module-1/. Accessed September 1, 2023.
DOI: The Stafford act. 2013. Available at https://www.doi.gov/sites/doi.gov/files/uploads/Stafford_Act_pdf.pdf. Accessed February 1, 2024.
National Research Council. Developing a Framework for Measuring Community Resilience: Summary of a Workshop. Washington, DC: The National Academies Press, 2015.
US Code House: 46 USC Subtitle V: Merchant Marine. Available at https://uscode.house.gov/view.xhtml?path=/prelim@title46/subtitle5&edition=prelim. Accessed September 1, 2023.
Carey T: The Jones Act, explained (and what waiving it means for Puerto Rico). PBS NewsHour. September 29, 2017. Available at https://www.pbs.org/newshour/nation/jones-act-explained-waivingmeans-puerto-rico. Accessed September 1, 2023.
Spence N, Kara TA, Plamondon K, et al.: Adopting a health equity lens in emergency management. Haznet. 2019. Available at http://haznet.ca/adopting-health-equity-lens-emergency-management/. Accessed September 1, 2023.
American Hospital Association: Ensuring access in vulnerable communities—Taskforce report and resources. 2016. Available at https://www.aha.org/issue-landing-page/2016-11-16-ensuringaccess-vulnerable-communities-taskforce-report-and-resources. Accessed September 1, 2023.
Centers for Disease Control and Prevention: Disaster epidemiology & response. 2019. Available at https://www.cdc.gov/nceh/hsb/disaster/default.htm. Accessed September 1, 2023.
Published
How to Cite
Issue
Section
License
Copyright 2007-2023, Weston Medical Publishing, LLC
All Rights Reserved