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Hurricanes Harvey, Irma, and Maria: Exploring the Role of Home-Based Care Programs

Part of: Hurricanes Collection

Published online by Cambridge University Press:  04 February 2020

Tamar Wyte-Lake Open the ORCID record for Tamar Wyte-Lake [Opens in a new window] ,
Maria Claver ,
Rachel Johnson-Koenke ,
Darlene Davis  and
Aram Dobalian
Tamar Wyte-Lake*
Affiliation:
Veterans Emergency Management Evaluation Center (VEMEC), US Department of Veterans Affairs, North Hills, CA Department of Family Medicine, Oregon Health and Science University, Portland, OR
Maria Claver
Affiliation:
Gerontology Program, California State University, Long Beach, CA
Rachel Johnson-Koenke
Affiliation:
Denver-Seattle Center of Innovation, Rocky Mountain Regional VA Medical Center, US Department of Veterans Affairs
Darlene Davis
Affiliation:
Geriatrics and Extended Care, Home and Community Based Care, US Department of Veterans Affairs (VA)
Aram Dobalian
Affiliation:
Veterans Emergency Management Evaluation Center (VEMEC), US Department of Veterans Affairs, North Hills, CA Division of Health Systems Management and Policy, University of Memphis School of Public Health, Memphis, TN
*
Correspondence and reprint requests to: Tamar Wyte-Lake, 16111 Plummer St. MS-152, North Hills, CA 91343 (e-mail: tamar.wyte@va.gov).
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Abstract

Objective:

The aim of this study is to determine the response of home-based primary care programs to the fall 2017 Atlantic hurricane season.

Methods:

This study examines the experiences of 9 Veterans Health Administration (VHA) Home-Based Primary Care (HBPC) programs in their responses to Hurricanes Harvey, Irma, and Maria. Thirty-four phone interviews with HBPC leadership and staff were conducted from April to July 2018.

Results:

The total census of impacted HBPC programs was 3118. No program reported loss of life due to these hurricanes. Early preparedness was key to an effective program response. Response included prompt tracking of the patients. In the most affected areas, respondents noted limited resources to support basic patient needs.

Conclusions:

Medically complex patients served by programs such as the VHA’s HBPC program represent a subset of the population, yet they have an outsized impact on health care resources that could be exacerbated by inadequate disaster preparedness. HBPC programs serve a unique role in supporting the “older old.” They are tasked with supporting disaster preparedness activities of patients. Understanding what is involved in actualizing their requirements shows communities how to effectively engage with these programs.

Keywords

emergency preparednesshome health agenciesolder adults

Information

Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 1 , February 2020 , pp. 119 - 124
Copyright
© 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

National Oceanic and Atmospheric Administration. Harvey, Irma, Maria and Nate retired by the World Meteorological Organization. NOAA News and Features. https://www.noaa.gov/media-release/harvey-irma-maria-and-nate-retired-by-world-meteorological-organization. Published April 12, 2018. Accessed January 24, 2020.Google Scholar
Dostal, PJ. Vulnerability of urban homebound older adults in disasters: a survey of evacuation preparedness. Disaster Med Public Health Prep. 2015;9(3):301–306.10.1017/dmp.2015.50CrossRefGoogle ScholarPubMed
Wyte-Lake, T, Claver, M, Der-Martirosian, C, et al.Education of elderly patients about emergency preparedness by health care practitioners. Am J Public Health. 2018;108(S3):S207–S208.10.2105/AJPH.2018.304608CrossRefGoogle ScholarPubMed
Wyte-Lake, T, Der-Martirosian, C, Claver, M, et al.Provider delivery of emergency preparedness education in home-based primary care. Disaster Med Public Health Prep. 2018;13(3):1–8.Google ScholarPubMed
Edes, T, Kinosian, B, Vuckovic, NH, et al.Better access, quality, and cost for clinically complex veterans with home-based primary care. J Am Geriatr Soc. 2014;62(10):1954–1961.10.1111/jgs.13030CrossRefGoogle ScholarPubMed
Saldana, J. The coding manual for qualitative researchers. London: Sage; 2009.Google Scholar
Balbus, J, Crimmins, A, Gamble, JL, et al.The impacts of climate change on human health in the United States: a scientific assessment. Washington, DC: U.S. Global Change Research Program; 2016. doi:10.7930/J0R49NQX.CrossRefGoogle Scholar
Bethel, JW, Foreman, AN, Burke, SC. Disaster preparedness among medically vulnerable populations. Am J Prev Med. 2011;40(2):139–143.10.1016/j.amepre.2010.10.020CrossRefGoogle ScholarPubMed
Federal Emergency Management Agency. National household survey, 2015. https://www.fema.gov/media-library-data/1467116407881-096f834e638f02fa8499941ce5c155bb/national_household_survey_2015_508_062716_508.pdf. Accessed January 24, 2020.Google Scholar
Al-Rousan, TM, Rubenstein, LM, Wallace, RB. Preparedness for natural disasters among older US adults: a nationwide survey. Am J Public Health. 2014;104(3):506–511.10.2105/AJPH.2013.301559CrossRefGoogle ScholarPubMed
Wakui , T, Agree , EM, Saito , T, Kai , I. Disaster preparedness among older Japanese adults with long-term care needs and their family caregivers. Disaster Med Public Health Prep. 2017;11(1):31–38.10.1017/dmp.2016.53CrossRefGoogle Scholar
Wyte-Lake, T, Claver, M, Der-Martirosian, C, et al.Developing a home-based primary care disaster preparedness toolkit. Disaster Med Public Health Prep. 2016;11(1):56–63.10.1017/dmp.2016.145CrossRefGoogle ScholarPubMed
Tuohy , R, Stephens , C, Johnston , D. Older adults’ disaster preparedness in the context of the September 2010–December 2012 Canterbury earthquake sequence. Int J Disaster Risk Reduct. 2014;9:194–203.10.1016/j.ijdrr.2014.05.010CrossRefGoogle Scholar
Kapucu , N. Non-profit response to catastrophic disasters. Disaster Prev Manag. 2007;16(4):551–561.10.1108/09653560710817039CrossRefGoogle Scholar
Carrier, E, Yee, T, Cross, D, et al. Emergency preparedness and community coalitions: opportunities and challenges. HSC Research Brief No. 24. http://www.hschange.org/CONTENT/1323/index.html. Published November 2012. Accessed January 24, 2020.Google Scholar