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Pediatric disaster preparedness and health disparities: Gaps, future goals, and recommendations
Chelsea D Hicks1, Colton Hasson2, Sanaiya Bhatt3
1University of Washington School of Medicine, Department of Pediatrics, Seattle, Washington.
Insights
Focus groups identified significant barriers in disaster response for children, including funding and communication gaps. Addressing these issues is crucial for improving pediatric emergency care and reducing health disparities.
Area of Science:
- Disaster medicine
- Pediatric emergency care
- Health disparities
Background:
- Optimal care for children during disasters is often hindered by systemic challenges.
- The Western Regional Alliance for Pediatric Emergency Management (WRAPEM) convened a focus group to address these issues.
Purpose of the Study:
- To identify barriers to optimal pediatric care during disasters.
- To explore opportunities for improving emergency management and disaster medicine practices for children.
Main Methods:
- Six focus groups were conducted in summer 2023 with emergency management and disaster medicine professionals.
- Surveys collected demographic data and training history from 49 participants.
- Focus group discussions were transcribed and analyzed qualitatively, with survey data analyzed using SPSS.
Main Results:
- Key challenges identified include inadequate funding, communication breakdowns, knowledge and technology gaps, and insufficient emergency preparedness plans.
- Facilitators to improved care include enhanced preparedness, team cohesion, engagement, and grant funding.
Conclusions:
- Findings underscore the need to prioritize funding, communication, and addressing systemic gaps in disaster preparedness for pediatric populations.
- Results can inform targeted initiatives to improve health equity and awareness for children in emergencies.
Objective:
The healthcare disparity focus group within the Western Regional Alliance for Pediatric Emergency Management aimed to identify barriers to optimal care for children affected by disasters and potential opportunities for improvement.
Methods:
The study was conducted in six focus groups during the summer of 2023. A survey was distributed to individuals in emergency management and disaster medicine to collect demographic data. The survey also assessed the total number of trainings that participants attended. The focus group discussions were led by experienced qualitative researchers. Participants could also respond to the questions during the meetings on a digital note-taking platform. These discussions were then transcribed and analyzed using ATLAS.ti. The data from the survey were analyzed using SPSS, Windows Version 29.0.
Results:
The survey included 49 people. The focus group meetings revealed multiple themes and subthemes that reflected the challenges that emergency management and disaster medicine professionals face when combating health disparities and raising awareness for pediatric populations. The challenges that these professionals face include funding, communication, gaps in knowledge, gaps in technology, and a lack of emergency preparedness plans. The focus groups also highlighted facilitators to preparedness, team cohesion, engagement, and the presence of certain grants to help with funding as ways to combat health disparities and raise awareness for pediatric populations during emergencies.
Conclusion:
The results of the focus groups can effectively be utilized to assess the challenges emergency management and disaster medicine professionals experience. The results highlight the need to prioritize funding, communication, and addressing gaps in knowledge, gaps in technology, and a lack of emergency preparedness plans. The results can be used to explore different approaches to improve health disparities through awareness initiatives as a forefront priority for pediatric populations.
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