Care in emergencies and disasters: Can it be person-centered?

被引：16

作者：

Khorram-Manesh, Amir ^{[1
,2
,3
,4
]}

Gray, Lesley ^{[5
,6
]}

Goniewicz, Krzysztof ^{[7
]}

Cocco, Annelise ^{[8
]}

Ranse, Jamie ^{[9
,10
]}

Phattharapornjaroen, Phatthranit ^{[4
,11
]}

Achour, Nebil ^{[12
]}

Orensen, Jarle S. ^{[13
]}

Peyravi, Mahmoudreza ^{[14
]}

Hertelendy, Attila J. ^{[15
,16
]}

Kupietz, Kevin ^{[17
]}

Bergholtz, Jana ^{[1
,2
,18
]}

Carlstrom, Eric ^{[1
,2
,3
,13
]}

机构：

[1] Univ Gothenburg, Sahlgrenska Acad, Ctr Person Centred Care GPCC, Gothenburg, Sweden

[2] Gothenburg Univ, Disaster Med Ctr, S-40530 Gothenburg, Sweden

[3] Sahlgrens Acad, Gothenburg Emergency Med Res Grp GEMREG, S-41345 Gothenburg, Sweden

[4] Gothenburg Univ, Sahlgrenska Acad, Dept Surg, Inst Clin Sci, Gothenburg 405 30, Sweden

[5] Univ Otago, Dept Primary Hlth Care & Gen Practice, Wellington, New Zealand

[6] Massey Univ, Joint Ctr Disaster Res, Wellington, New Zealand

[7] Polish Air Force Univ, Dept Secur, Deblin, Poland

[8] Western Sydney Univ, Translat Hlth Res Inst, Sydney, Australia

[9] Griffith Univ, Dept Emergency Med, Gold Coast, Qld 4215, Australia

[10] Griffith Univ, Menzies Hlth Inst, Gold Coast, Qld 4215, Australia

[11] Mahidol Univ, Fac Med, Dept Emergency Med, Ramathibodi Hosp, Bangkok 10400, Thailand

[12] Anglia Ruskin Univ, Sch Allied Hlth, East Rd, Cambridge CB1 1PT, England

[13] Univ South Eastern Norway, USN Sch Business, N-3199 Notodden, Norway

[14] Shiraz Univ Med Sci, Hlth Human Resources Res Ctr, Sch Management & Med Informat, Dept Hlth Disasters & Emergencies, Shiraz, Iran

[15] Florida Int Univ, Coll Business, Dept Informat Syst & Business Analyt, Miami, FL USA

[16] Beth Israel Deaconess Med Ctr, Dept Emergency Med, Fellowship Disaster Med, Boston, MA USA

[17] Elizabeth City State Univ, Dept Aviat & Emergency Management, Elizabeth, NC USA

[18] European Cavernoma Alliance, Rare Dis Sweden, POB 1386, S-17227 Sundbyberg, Sweden

来源：

PATIENT EDUCATION AND COUNSELING | 2024年 / 118卷

关键词：

Disaster; Healthcare; Patient-centered; Person-centered; Public Health; PUBLIC-HEALTH; ETHICS; TRIAGE;

D O I：

10.1016/j.pec.2023.108046

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives: While person-/patient-centered care aims to influence policymakers' rules and regulations to improve the care of individuals worldwide, exploration of the concept in the context of disaster and public health emergencies as an alternative ethical approach is lacking. This study aims to provide a nuanced understanding of the advantages and challenges of diverse ethical approaches in emergencies, to improve patient care. Methods: A survey, created after several rounds of Delphi methodology, with 22 statements, was applied to 39 participants from nine different countries. The questionnaire's results, including participants' comments, were analyzed. Results: The results show that practitioners chose to use a combination of diverse ethical approaches in managing victims of disasters and public health emergencies. Conclusion: The selection of an approach is context- and situation-dependent and seems to primarily respond to the nature of underlying etiology, creating a possibility to use diverse approaches to offer individualized care on a later occasion and when a flexible surge capacity is available. Practice Implications: The outcomes of this study will enhance the future ethical discussion in person/patientcentered care during situations with limited resources and help to develop necessary ethical and educational guidelines.

引用

页数：8

共 55 条

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