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Am J Public Health. 2012 Dec;102(12):e24-32. doi: 10.2105/AJPH.2012.301027. Epub 2012 Oct 18.

Secondary surge capacity: a framework for understanding long-term access to primary care for medically vulnerable populations in disaster recovery.

Author information

1
Nell Hodgson School of Nursing, Emory University, Atlanta, GA, USA. jennifer.r.runkle@emory.edu

Abstract

Disasters create a secondary surge in casualties because of the sudden increased need for long-term health care. Surging demands for medical care after a disaster place excess strain on an overtaxed health care system operating at maximum or reduced capacity. We have applied a health services use model to identify areas of vulnerability that perpetuate health disparities for at-risk populations seeking care after a disaster. We have proposed a framework to understand the role of the medical system in modifying the health impact of the secondary surge on vulnerable populations. Baseline assessment of existing needs and the anticipation of ballooning chronic health care needs following the acute response for at-risk populations are overlooked vulnerability gaps in national surge capacity plans.

PMID:
23078479
PMCID:
PMC3519329
DOI:
10.2105/AJPH.2012.301027
[Indexed for MEDLINE]
Free PMC Article
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