Jun Sato , Chie Ishida , Aya Iguchi , Taro Kanno , Taichi Sato , Shiho Nishida , Takayuki Kanesaka , Risa Okada , Kanako Kawaguchi , Ryo Horiike
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引用次数: 0
Abstract
Ensuring continuity of home-based healthcare services during disasters is a critical challenge in disaster-prone countries such as Japan. Visiting Nurse Stations (VNSs) provide essential care to homebound individuals, yet many remain unprepared for emergencies. This study examined the status of Business Continuity Planning (BCP) among VNSs in Japan during March–April 2023 and identified factors associated with its implementation. We conducted a cross-sectional survey using stratified random sampling, collecting data via postal and online questionnaires. Analyses included descriptive statistics, weighted estimates, Classification and Regression Tree (CART) analysis, and logistic regression. Only 31.6 % of VNSs had implemented a BCP, while 62.8 % planned to implement one by the end of March 2024. CART analysis identified smaller organizational scale and lower risk perception as key predictors of BCP absence: specifically, fewer clients, fewer full-time equivalent (FTE) nurses, and lack of experience with natural hazard-induced disasters (NHIDs). Logistic regression confirmed that fewer FTE nurses were significantly associated with BCP absence (OR = 0.87, 95 % CI 0.78–0.97; p = 0.02). To promote universal implementation, targeted support is needed for small-scale VNSs and for enhancing risk perception. Flexible, scalable tools and regional collaboration may help strengthen both the adoption and operationalization of BCP—particularly through regular reviews, training, and simulation exercises.
期刊介绍:
The International Journal of Disaster Risk Reduction (IJDRR) is the journal for researchers, policymakers and practitioners across diverse disciplines: earth sciences and their implications; environmental sciences; engineering; urban studies; geography; and the social sciences. IJDRR publishes fundamental and applied research, critical reviews, policy papers and case studies with a particular focus on multi-disciplinary research that aims to reduce the impact of natural, technological, social and intentional disasters. IJDRR stimulates exchange of ideas and knowledge transfer on disaster research, mitigation, adaptation, prevention and risk reduction at all geographical scales: local, national and international.
Key topics:-
-multifaceted disaster and cascading disasters
-the development of disaster risk reduction strategies and techniques
-discussion and development of effective warning and educational systems for risk management at all levels
-disasters associated with climate change
-vulnerability analysis and vulnerability trends
-emerging risks
-resilience against disasters.
The journal particularly encourages papers that approach risk from a multi-disciplinary perspective.