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Provider Delivery of Emergency Preparedness Education in Home-Based Primary Care

Published online by Cambridge University Press:  31 October 2018

Tamar Wyte-Lake ,
Claudia Der-Martirosian ,
Maria Claver ,
Darlene Davis  and
Aram Dobalian
Tamar Wyte-Lake*
Affiliation:
Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs
Claudia Der-Martirosian
Affiliation:
Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs
Maria Claver
Affiliation:
Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs Gerontology Program, California State University, Long Beach, California
Darlene Davis
Affiliation:
Geriatrics and Extended Care, Home and Community Based Care, US Department of Veterans Affairs
Aram Dobalian
Affiliation:
Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs Division of Health Systems Management and Policy, School of Public Health, University of Memphis, Memphis, Tennessee
*
Correspondence and reprint requests to Tamar Wyte-Lake, Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs,16111 Plummer Street MS-152, North Hills, CA 91343 (e-mail: [email protected]).
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Abstract

Introduction

Home health agencies have been tasked to improve their patients’ disaster preparedness. Few studies have evaluated the robustness of tools to support preparedness in home health. Through evaluation of the Home-Based Primary Care (HBPC) Patient Assessment Tool, we conducted a survey to identify strengths and challenges in supporting the preparedness of patients served by home health programs such as the Veterans Health Administration’s HBPC program.

Methods

Practitioners from 10 HBPC programs fielded the Patient Assessment Tool with all patients during a 3-week period. Logistic regression and bivariate analyses were used to identify patient characteristics associated with the delivery of preparedness education.

Results

A total of 754 Patient Assessment Tools were returned. The educational item most likely to be covered was how to activate 911 services (87%). The item least likely to be discussed was information on emergency shelter registration and emergency specialty transportation (44%). When compared to the low risk group, HBPC patients in the high/medium risk group were more likely to receive preparedness education materials for 6 of the 9 educational preparedness items (P values less than 0.05).

Discussion

Practitioners are relaying preparedness education to their most vulnerable patients, suggesting that home health agencies can provide disaster preparedness in the home. Nonetheless, there is room for improvement. (Disaster Med Public Health Preparedness. 2019;13:547-554)

Keywords

disastershome health agenciesveterans health
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 3 , June 2019 , pp. 547 - 554
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

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