Challenges and support needs for flood evacuation of children with medical complexity in Japan: A qualitative study.

IF 0.9 4区医学 Q3 PEDIATRICS

Pediatrics International Pub Date : 2025-01-01 DOI:10.1111/ped.70165

Asumi Yamamoto, Naomi Komori, Yasuhiro Kotera, Hirotomo Miyatake, Makoto Kosaka, Akihiko Ozaki, Masaharu Tsubokura, Hiroyuki Beniya

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引用次数: 0

Abstract

Background: The increasing frequency and scale of flood disasters pose significant challenges for evacuating children with medical complexity. This study aimed to clarify the challenges and necessary support for safely evacuating these children in Japan during floods.

Methods: A qualitative interview-based study was conducted with 10 caregivers of children with medical complexity. Interview data were analyzed using inductive thematic analysis following Braun and Clarke's six-phase approach.

Results: Four main themes related to challenges were identified: (1) Shortage of support personnel, (2) Inadequate response from the administration, (3) Specificity of medical needs, and (4) Limitations in coordination and communication. Four themes related to support needs were also identified: (1) Assistance, (2) Support by the administration, (3) Medical care, and (4) Information. These findings highlight the multifaceted nature of evacuation challenges for children with medical complexity, emphasizing the need for tailored support systems that address both social and medical aspects of disaster preparedness.

Conclusion: This study highlights the complex challenges in evacuating children with medical complexity during floods in Japan, addressing the increasing concerns raised by more frequent and severe flood disasters. These findings emphasize the urgent need for comprehensive community-based disaster preparedness involving various stakeholders, improved coordination, and tailored support systems for vulnerable children.

查看原文本刊更多论文

日本医疗复杂性儿童洪水疏散的挑战和支持需求：一项定性研究。

背景：洪水灾害的频率和规模日益增加，对医疗复杂的儿童的疏散提出了重大挑战。本研究旨在阐明在日本洪水期间安全疏散这些儿童的挑战和必要的支持。方法：采用质性访谈法对10名医疗复杂性患儿的护理人员进行调查。访谈数据采用归纳主题分析法，遵循Braun和Clarke的六阶段分析方法。结果：确定了与挑战相关的四个主要主题：(1)支持人员短缺；(2)管理部门反应不足；(3)医疗需求的特殊性；(4)协调和沟通的局限性。还确定了与支助需要有关的四个主题：(1)援助；(2)行政部门的支助；(3)医疗；(4)信息。这些发现突出了医疗复杂性儿童的疏散挑战的多面性，强调需要有针对性的支持系统，以解决备灾的社会和医疗方面的问题。结论：本研究强调了在日本洪水期间疏散医疗复杂的儿童所面临的复杂挑战，解决了越来越频繁和严重的洪水灾害所带来的日益增长的担忧。这些调查结果强调，迫切需要有各利益攸关方参与的以社区为基础的全面备灾，改进协调，并为弱势儿童提供量身定制的支持系统。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatrics International 医学-小儿科

CiteScore

2.00

自引率

7.10%

发文量

519

审稿时长

12 months

期刊介绍： Publishing articles of scientific excellence in pediatrics and child health delivery, Pediatrics International aims to encourage those involved in the research, practice and delivery of child health to share their experiences, ideas and achievements. Formerly Acta Paediatrica Japonica, the change in name in 1999 to Pediatrics International, reflects the Journal''s international status both in readership and contributions (approximately 45% of articles published are from non-Japanese authors). The Editors continue their strong commitment to the sharing of scientific information for the benefit of children everywhere. Pediatrics International opens the door to all authors throughout the world. Manuscripts are judged by two experts solely upon the basis of their contribution of original data, original ideas and their presentation.