评估自然灾害对医疗保健系统的连锁反应:叙述性综述。

IF 2.1 3区 医学 Q2 UROLOGY & NEPHROLOGY Current Opinion in Urology Pub Date : 2024-09-01 Epub Date: 2024-06-07 DOI:10.1097/MOU.0000000000001193
Filippo Dagnino, Zhiyu Qian, Edoardo Beatrici
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引用次数: 0

摘要

审查目的:在主要由人类引起的气候变化所导致的气候模式变化的推动下,自然灾害呈上升趋势。这种无情的气候变化加剧了这些灾害的频率和严重程度,增加了社区的脆弱性,并对生命和社会经济系统造成重大损害。在极端天气事件中,医疗保健服务尤其紧张,不仅基础设施受到影响,病人护理也受到影响:这篇叙述性综述探讨了自然灾害对医疗基础设施的总体影响。我们深入研究了这些灾害如何影响各种健康状况、中低收入国家(LMICs)的医疗保健系统、对临床医生和幸存者造成的心理伤害以及对临终关怀的影响。摘要:自然灾害对医疗保健造成了重大影响,尤其是在中低收入国家,因为这些国家的资源有限。癌症或慢性病患者在自然灾害发生后很难获得医疗服务。由于医疗资源短缺,那些需要姑息治疗的病人会被延误。创伤后应激障碍等对灾难幸存者和医疗服务提供者造成的心理影响突出表明了心理健康支持的必要性。要应对这些挑战,就必须制定积极的备灾政策,并采取紧急公共政策举措,以优化灾害应对工作。
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Assessing the ripple effects of natural disasters on healthcare systems: a narrative review.

Purpose of review: Natural disasters are on the rise, driven by shifts in climatic patterns largely attributed to human-induced climate change. This relentless march of climate change intensifies the frequency and severity of these disasters, heightening the vulnerability of communities and causing significant harm to both lives and socio-economic systems. Healthcare services are particularly strained during extreme weather events, with impacts felt not only on infrastructure but also on patient care.

Recent findings: This narrative review explored the overarching impact of natural disasters on healthcare infrastructure. We delved into how these disasters impact diverse health conditions, the healthcare systems of low and middle-income countries (LMICs), the psychological toll on both clinicians and survivors, and the ramifications for end-of-life care.

Summary: Natural disasters significantly impact healthcare, especially in LMICs due to their limited resources. Patients with cancer or chronic diseases struggle to access care following a natural disaster. Those in need for palliative care experience delay due to shortages in medical resources. Psychological consequences like posttraumatic stress disorder on disaster survivors and healthcare providers highlight the need for mental health support. Addressing challenges requires proactive disaster preparedness policies and urgent public policy initiatives are needed for optimal disaster response.

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来源期刊
Current Opinion in Urology
Current Opinion in Urology 医学-泌尿学与肾脏学
CiteScore
5.00
自引率
4.00%
发文量
140
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​​Current Opinion in Urology delivers a broad-based perspective on the most recent and most exciting developments in urology from across the world. Published bimonthly and featuring ten key topics – including focuses on prostate cancer, bladder cancer and minimally invasive urology – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.
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