在灾后获得医疗保健:对美国社区灾难影响的纵向分析
Kevin Chang1, Jana A Hirsch2,3, Lauren Clay4
1College of Medicine, Drexel University, 60 N. 36th Street, Philadelphia, PA 19104, USA.
概括
气候灾害对医疗保健基础设施的影响不同. 中度灾害可能会增加医院的可用性,而严重灾害则会减少,影响对护理的准入.
科学领域:
- 环境健康 环境健康
- 医疗保健服务研究 医疗服务研究
- 灾难医学 灾难医学
背景情况:
- 之前关于气候灾害和医疗保健基础设施的研究主要集中在当前的当地影响上.
- 需要了解气候相关事件对医疗保健设施的长期影响.
研究的目的:
- 调查与气候相关的灾害与连接美国的医疗保健设施变化之间的长期关联.
- 分析不同灾害严重程度 (中度和严重) 如何影响随时间推移的医疗机构数量.
主要方法:
- 使用国家机构时间序列和空间危险和事件损失数据库数据库数据为3108个美国县 (2000-2014).
- 分类的县级基础设施变化和灾害严重程度.
- 采用自行回归线性模型来评估灾害 (2000-2013年) 与2014年医疗机构之间的关系,控制基线因素.
主要成果:
- 中度灾难与医院基础设施的显著增加有关 (数量,0.14).
- 严重的灾难与医院基础设施的显著减少有关 (计数, -0.31).
- 门诊护理显示出更强的关联:中度灾害增加了基础设施 (计数,2.52),严重灾害减少了基础设施 (计数,-5.99). 药房没有显示出任何显著的关联.
结论:
- 与气候有关的灾难对不同类型的医疗保健基础设施有不同的长期影响.
- 调查结果强调需要有针对性的战略来加强医疗保健的弹性和改善灾难恢复计划.
- 政策影响包括优先考虑基础设施的稳定性和适应性恢复措施,以确保灾后的医疗保健可访问性.
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