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Using Functional Needs and Personal Care Assistance Rather Than Disability Status During Chronic Care Triage in Community Mass Care

Published online by Cambridge University Press:  25 March 2015

Athena Fannin ,
Donald E. Brannen ,
Melissa Howell  and
Shari Martin
Athena Fannin*
Affiliation:
Boonshoft School of Medicine, Wright State University, Dayton, Ohio
Donald E. Brannen
Affiliation:
Greene County Combined Health District, Xenia, Ohio
Melissa Howell
Affiliation:
Greene County Combined Health District, Xenia, Ohio
Shari Martin
Affiliation:
Greene County Combined Health District, Xenia, Ohio
*
Correspondence and reprint requests to Athena Fannin, MPH, PO Box 224, Yellow Springs, OH 45387 (e-mail: [email protected]).
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Abstract

Objective

To evaluate Medical Reserve Corps volunteers and public health workers in conducting chronic care triage by use of a rubric prior to sheltering to connect survivors with services.

Methods

Participants were randomly assigned to 1 of 3 algorithms or a control group during a simulated disaster scenario and were asked to rate 20 survivors arriving at a chronic care triage station with situation-appropriate transport services. Survivors were simulated on the basis of the expected disability distributions of mobility, sensory-visual, cognition, medical devices, capacity to perform activities of daily living (ADLs), age (18 to 90 years), weight, and gender expected in the general population but expanded to 90% of those presenting. Mean percentage correct scores were assessed by using one-way analysis of variance.

Results

Accounting for personal care assistance and service methodology during chronic care triage increased efficiency by up to 8% in meeting chronic care health service needs during disaster community mass care management.

Conclusions

A chronic care triage process as part of community mass care management that considers the availability of personal care assistance and service methodology will enhance the allocation of functional needs support services and increase compliance with Americans with Disabilities Act requirements regarding not segregating persons because of disability. (Disaster Med Public Health Preparedness. 2015;9:265-274)

Keywords

functional needscommunity mass caredisabilityemergency shelterdisaster planning
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 3 , June 2015 , pp. 265 - 274
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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