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Assessing Patients' Disaster Preparedness in Home-Based Primary Care
Tamar Wyte-Lake1, Maria Claver, Aram Dobalian
1Veterans Emergency Management Evaluation Center, Sepulveda, Calif., USA.
Gerontology
|January 27, 2016
Summary
Home-bound veterans in home-based primary care (HBPC) programs face disaster risks. Improving disaster preparedness requires standardized tools and flexible strategies for these vulnerable patients.
Area of Science:
- Public Health
- Gerontology
- Emergency Preparedness
Background:
- Home-bound individuals, particularly veterans in home-based primary care (HBPC), are vulnerable during disasters due to chronic conditions and aging.
- Veterans receiving HBPC often have comorbidities, increasing their risk and potentially hindering disaster preparedness.
Purpose of the Study:
- To explore disaster preparedness issues for HBPC patients.
- To examine policies and procedures supporting routine disaster preparedness assessments and patient education.
Main Methods:
- 32 semi-structured interviews with practitioners and leadership from 5 VHA HBPC programs (urban and rural).
- Content analysis of interview transcripts.
Main Results:
- Assessment tools for disaster preparedness are often rudimentary or individually created.
- Challenges to patient preparedness include cognitive impairment, limited resources, and outdated materials.
- The interdisciplinary HBPC team facilitates innovative practices, emphasizing caregiver support and patient safety.
Conclusions:
- Health and functional limitations impede adequate disaster preparedness for home-bound patients.
- Standardized, flexible strategies and tools are needed for comprehensive disaster preparedness planning for HBPC patients, considering local hazards.
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