The Medical Home and Care Coordination in Disaster Recovery: Hypothesis for Interventions and Research.
Disaster Med Public Health Prep
; 9(4): 337-43, 2015 Aug.
Article
en En
| MEDLINE
| ID: mdl-26046492
In postdisaster settings, health care providers encounter secondary surges of unmet primary care and mental health needs that evolve throughout disaster recovery phases. Whatever a community's predisaster adequacy of health care, postdisaster gaps are similar to those of any underserved region. We hypothesize that existing practice and evidence supporting medical homes and care coordination in primary care for the underserved provide a favorable model for improving health in disrupted communities. Elements of medical home services can be offered by local or temporary providers from outside the region, working out of mobile clinics early in disaster recovery. As repairs and reconstruction proceed, local services are restored over weeks or years. Throughout recovery, major tasks include identifying high-risk patients relative to the disaster and underlying health conditions, assisting displaced families as they transition through housing locations, and tracking their evolving access to health care and community services as they are restored. Postdisaster sources of financial assistance for the disaster-exposed population are often temporary and evolving, requiring up-to-date information to cover costs of care until stable services and insurance coverage are restored. Evidence to support disaster recovery health care improvement will require research funding and metrics on structures, processes, and outcomes of the disaster recovery medical home and care coordination, based on adaptation of standard validated methods to crisis environments.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Investigación
/
Atención Dirigida al Paciente
/
Planificación en Desastres
/
Desastres
Límite:
Humans
Idioma:
En
Revista:
Disaster Med Public Health Prep
Asunto de la revista:
SAUDE PUBLICA
Año:
2015
Tipo del documento:
Article
Pais de publicación:
Estados Unidos