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Area of Science:

  • Public Health
  • Disaster Medicine
  • Healthcare Management

Background:

  • Homebound populations are vulnerable during disasters.
  • Health agencies serving the homebound lack adequate disaster preparedness training and resources.
  • This gap increases the risk for homebound individuals.

Purpose of the Study:

  • To evaluate the usefulness of an evidence-based Disaster Preparedness Toolkit.
  • To assess the toolkit's utility within Veterans Health Administration (VHA) Home-Based Primary Care (HBPC) programs.

Main Methods:

  • An online survey was distributed to all VHA HBPC program managers.
  • A response rate of 53% (77 out of 146 managers) was achieved.

Main Results:

  • Managers with fewer years in HBPC found the toolkit more helpful.
  • A higher frequency of disaster protocol implementation correlated with stronger agreement on the toolkit's relevance.
  • Those implementing protocols infrequently showed lower agreement on the toolkit's relevance.

Conclusions:

  • The toolkit supports HBPC programs in meeting preparedness mandates, especially for new staff.
  • Infrequent protocol implementation may necessitate further efforts to demonstrate the toolkit's value.
  • Team-wide engagement, leveraging diverse clinical expertise, can enhance patient preparedness plans.