加强卫生保健系统抵御能力:热带气旋防范和应对的综合框架

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES
Attila J. Hertelendy , Caleb Dresser , Sophia Gorgens , Arabella P. Hertelendy , Paul D. Biddinger , Gregory Ciottone
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引用次数: 0

摘要

本综述通过时间阶段(之前-期间-之后)和地理背景(内部-外部影响区)的互补框架考察了医疗保健系统对热带气旋的抵御能力。这篇论文强调了气候变化是如何加剧飓风威胁的,而人口结构的转变使越来越脆弱的患者群体依赖于持续的医疗保健。尽管飓风降低了直接死亡率,但研究表明,由于医疗服务中断,延迟发病率和死亡率有所增加。确定了卫生保健复原力的七个关键方面:保持对弱势群体护理的连续性,从被动应对过渡到主动复原,战略资源优先排序,适应气候变化,跨阶段和区域整合工作,确保卫生公平,以及解决研究差距。提出了一种加强韧性的分层方法,从立即的低资源行动到长期结构性投资。该评估强调,卫生保健系统必须从被动的灾害应对转变为主动的复原力战略,以便在日益动荡的未来气候中保护弱势群体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strengthening healthcare system resilience: a comprehensive framework for tropical cyclone preparedness and response
This review examines healthcare system resilience to tropical cyclones through complementary frameworks of temporal phases (Before-During-After) and geographic contexts (Inside-Outside Impact Zone). The paper highlights how climate change is intensifying cyclone threats while demographic transitions create increasingly vulnerable patient populations dependent on continuous healthcare. Despite decreasing immediate mortality from cyclones, research reveals concerning increases in delayed morbidity and mortality due to disrupted healthcare access. Seven critical dimensions of healthcare resilience are identified: maintaining continuity of care for vulnerable populations, transitioning from reactive response to proactive resilience, strategic resource prioritization, adapting to climate change, integrating efforts across phases and zones, ensuring health equity, and addressing research gaps. A tiered approach to strengthening resilience is proposed, from immediate low-resource actions to long-term structural investments. The review emphasizes that healthcare systems must transform from reactive disaster response to proactive resilience strategies to protect vulnerable populations in an increasingly turbulent future climate.
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来源期刊
CiteScore
8.00
自引率
0.00%
发文量
0
期刊介绍: The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.
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