Decision Processes and Determinants of Hospital Evacuation and Shelter-in-Place During Hurricane Sandy

Journal of Public Health Management and Practice : JPHMP
Meghan D McGintyLainie Rutkow

Abstract

Evacuation and shelter-in-place decision making for hospitals is complex, and existing literature contains little information about how these decisions are made in practice. To describe decision-making processes and identify determinants of acute care hospital evacuation and shelter-in-place during Hurricane Sandy. Semistructured interviews were conducted from March 2014 to February 2015 with key informants who had authority and responsibility for evacuation and shelter-in-place decisions for hospitals during Hurricane Sandy in 2012. Interviews were recorded, transcribed, and thematically analyzed. Interviewees included hospital executives and state and local public health, emergency management, and emergency medical service officials from Delaware, Maryland, New Jersey, and New York. Interviewees identified decision processes and determinants of acute care hospital evacuation and shelter-in-place during Hurricane Sandy. We interviewed 42 individuals from 32 organizations. Decisions makers reported relying on their instincts rather than employing guides or tools to make evacuation and shelter-in-place decisions during Hurricane Sandy. Risk to patient health from evacuation, prior experience, cost, and ability to maintain contin...Continue Reading

References

Jan 1, 1985·The Journal of Emergency Medicine·M J Blaser, R T Ellison
Jan 13, 2010·Prehospital and Disaster Medicine·Jayshree BagariaVirginia Murray
Aug 30, 2012·American Journal of Alzheimer's Disease and Other Dementias·Lisa M BrownVincent Mor
Sep 1, 2010·Disaster Medicine and Public Health Preparedness·David DosaVincent Mor
Nov 16, 2012·The New England Journal of Medicine·Danielle Ofri
Jan 3, 2013·JAMA : the Journal of the American Medical Association·Tia PowellLawrence O Gostin
Apr 18, 2013·JAMA : the Journal of the American Medical Association·Andrea HassolRichard Zane
Apr 18, 2013·JAMA : the Journal of the American Medical Association·Dan HanflingLawrence O Gostin
Apr 24, 2013·Annals of the American Thoracic Society·Amit UppalWilliam N Rom
Jul 24, 2014·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Nancy VanDevanterRonald Keller

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Citations

Feb 14, 2017·Health Security·Eric S TonerEric G Carbone
Mar 19, 2020·International Journal of Environmental Research and Public Health·Krzysztof GoniewiczMariusz Goniewicz

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