Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-26T05:40:07.316Z Has data issue: false hasContentIssue false

Primary Care Medical Practices: Are Community Health Care Providers Ready for Disasters?

Published online by Cambridge University Press:  22 February 2018

Rachel M. Peters
Affiliation:
Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania
Thomas J. Hipper
Affiliation:
Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania
Esther D. Chernak*
Affiliation:
Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania
*
Correspondence and reprint requests to Esther D. Chernak, MD, MPH, FACP, Dornsife School of Public Health, Drexel University, Nesbitt Hall, Room 615, 3215 Market Street, Philadelphia, PA 19104 (e-mail: [email protected]).

Abstract

Objective

This study seeks to determine the capacity of community primary care practices to meet the needs of patients during public health emergencies and to identify the barriers and resources necessary to participate in a coordinated response with public safety agencies.

Methods

The self-administered web-based survey was distributed in January 2014 via e-mail to primary care providers in Pennsylvania using the listservs of several professional societies.

Results

A total of 179 primary care providers participated in the survey. In total, 38% had practice continuity of operations plan in place and 26% reported that they had a plan for patient surge in the outpatient setting. Thirty percent reported that they were registered on the state Health Alert Network and 41% said they were able to communicate with patients during disasters. Only 8% of providers reported that they believed that their patients with special health care needs were prepared for a disaster, although over two-thirds of responding practices felt they could assist these patients with disaster preparedness. Providers indicated that more information regarding government agency plans and community resources, patient education materials, and more time to devote to counseling during patient encounters would improve their ability to prepare their patients with special health care needs for disasters. Providers also reported that they would benefit from partnerships to help the practice during emergencies and communications technology to reach large numbers of patients quickly.

Conclusions

Community-based primary care practices can be useful partners during public health emergencies. Efforts to promote continuity of operations planning, improved coordination with government and community partners, as well as preparedness for patients with special health care needs, would augment their capabilities and contribute to community resilience. (Disaster Med Public Health Preparedness. 2019;13:128–132).

Type
Brief Report
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Dolan, MA, Krug, SE. Pediatric disaster preparedness in the wake of Katrina: lessons to be learned. Clin Pediatr Emerg Med. 2006;7(1):59-66.Google Scholar
2. Institute of Medicine (US) Committee on the Future of Primary Care. Defining primary care. In: Donaldson M, Yordy K, Lohr K, et al, editors. Primary Care: America’s Health in a New Era. Washington, DC: National Academies Press (US); 1996. https://www.ncbi.nlm.nih.gov/books/NBK232631/.Google Scholar
3. Olympia, RP, Rivera, R, Heverley, S, Anyanwu, U, Gregorits, M. Natural disasters and mass-casualty events affecting children and families: a description of emergency preparedness and the role of the primary care physician. Clin Pediatr. 2010;49(7):686-698.Google Scholar
4. Lurie, N. H1N1 influenza, public health preparedness, and health care reform. N Engl J Med. 2009;361(9):843-845.Google Scholar
5. Markenson, D, Reynolds, S, American Academy of Pediatrics Committee on Pediatric Emergency Medicine, Task Force on Terrorism. The pediatrician and disaster preparedness. Pediatrics. 2006;117(2):e340-e362.Google Scholar
6. Jhung, MA, Shehab, N, Rohr-Allegrini, C, et al. Chronic disease and disasters medication demands of Hurricane Katrina evacuees. Am J Prev Med. 2007;33(3):207-210.Google Scholar
7. Weisler, RH, Barbee, JG, Townsend, MH. Mental health and recovery in the Gulf Coast after Hurricanes Katrina and Rita. JAMA. 2006;296(5):585-588.Google Scholar
8. Chen, FM, Hickner, J, Fink, KS, Galliher, JM, Burstin, H. On the front lines: family physicians’ preparedness for bioterrorism. J Fam Pract. 2002;51(9):745-750.Google Scholar
9. Alexander, GC, Larkin, GL, Wynia, MK. Physicians’ preparedness for bioterrorism and other public health priorities. Acad Emerg Med. 2006;13(11):1238-1241.Google Scholar
10. Hogg, W, Huston, P, Martin, C, Soto, E. Enhancing public health response to respiratory epidemics – are family physicians ready and willing to help? Can Fam Physician. 2006;52:1255-1260.Google Scholar
11. Alexander, GC, Wynia, MK. Ready and willing? Physicians’ sense of preparedness for bioterrorism. Health Aff (Millwood). 2003;22(5):189-197.Google Scholar
12. Federal Emergency Management Agency. Continuity of operations: an overview. https://www.fema.gov/pdf/about/org/ncp/coop_brochure.pdf. Accessed November 17, 2017.Google Scholar
13. Agency for Healthcare Research and Quality. Defining the patient centered medical home. https://pcmh.ahrq.gov/page/defining-pcmh. Accessed November 17, 2017.Google Scholar