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Addressing Health-Care Disparities in Pediatric Disaster Planning: A Qualitative Study

Irene Navis1, Almaas Shaikh2, David McCarthy1

  • 1University of California, San Francisco, San Francisco, California, USA.

Disaster Medicine and Public Health Preparedness
|February 21, 2023
PubMed

Insights

Health disparities significantly impact pediatric disaster preparedness. Addressing health literacy, resource equity, and community engagement is crucial for improving emergency response for children.

Area of Science:

  • Pediatric Emergency Medicine
  • Disaster Preparedness
  • Health Disparities

Background:

  • The Western Regional Alliance for Pediatric Emergency Medicine (WRAP-EM) is a multi-state center focused on pediatric disaster preparedness.
  • WRAP-EM aimed to understand how health disparities affect its core operational areas.

Purpose of the Study:

  • To determine the impact of health disparities on 11 core areas of pediatric disaster preparedness.
  • To identify key themes related to health literacy, resource access, and systemic obstacles.

Main Methods:

  • Conducted 11 focus groups in April 2021 with experienced facilitation.
  • Utilized Padlet for participants to share additional thoughts during discussions.
  • Analyzed qualitative data to identify overarching themes.

Main Results:

  • Key themes included health literacy needs, resource disparities, and obstacles like funding and lack of pediatric prioritization.
  • Participants emphasized the need for culturally appropriate engagement, diverse training, and sharing best practices.
  • Recurring themes highlighted mental health, community empowerment, telemedicine, and ongoing diverse education.

Conclusions:

  • Focus group findings provide a basis for prioritizing interventions to mitigate health disparities in pediatric disaster preparedness.
  • Results can guide efforts to enhance the resilience and equity of emergency response systems for children.
Abstract

Keywords:
Emergency medical servicesemergency nursinghealth trauma centermass casualty incidents

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