Application of the findings to Burns et al.’s framework for disaster-related care.14
| Disaster health care: primary care surge . | Disaster-related health conditions (acute distress and acute physical Injuries) . | Disaster-related holistic needs (PCPs providing a safe place with trusted health care support for a broad range of needs) . | Disaster-related medical needs (Deterioration of medical conditions, adjustment and supply of medications or medical supplies) . | Disaster-related long-term care (Acute exacerbations of chronic conditions; delayed presentations) . | Disaster-related preventive care (e.g. prevention, early intervention, health education and promotion) . | Disaster-related coordination of care (across usual providers and emergency providers) . | Disaster-related care within the local community context (contextually appropriate health care, health care for secondary community adversities and events) . |
|---|---|---|---|---|---|---|---|
| • Telehealth (e.g. triage, screening of acute conditions) | • Telehealth—management of physical and psychosocial issues | • Telehealth management of chronic conditions | • Telehealth | • Telehealth | • Telehealth aiding coordination of referrals and care | • Telehealth | |
| • Limiting in-person care when possible including through home visits | • Limiting in-person care | • Limiting in-person care—cancellation or suspension of services | • Limiting in-person care | • Limiting in-person care—cancelling/deferring services including screening and immunization | • Enhancing surge capacity | • Proactively contacting high-risk individuals | |
| • Adopting public health measures (e.g. segregating care, PPE) | • Adopting public health measures | • Proactively contacting high-risk individuals with chronic disease | • Adopting public health measures | • Adopting public health measures to prevent the spread of COVID-19 | • Proactively contacting high-risk individuals in coordination with other health care providers and social support services | • Community outreach e.g. home delivery of medication and food, mobile COVID-19 testing and vaccination sites | |
| • Enhancing surge capacity to meet increased care needs (e.g. increasing staff and work hours) | • Proactively contacting high-risk individuals (e.g. elderly, homeless, minorities) | • Proactively contacting individuals with unstable chronic disease | • Proactively contacting high-risk individuals | ||||
| Usual non disaster primary care | Usual daily health care from usual primary care physician | Biopsychosocial health care from usual trusted health care provider | Management of existing medical conditions | Management of acute exacerbations of chronic conditions | Activities in public health, preventive care, and health promotion | Coordination across specialists, allied health, inpatient, and outpatient providers | Care within the context of the community population and health profile, cultures, and values |
| Routine primary care provision |
| Disaster health care: primary care surge . | Disaster-related health conditions (acute distress and acute physical Injuries) . | Disaster-related holistic needs (PCPs providing a safe place with trusted health care support for a broad range of needs) . | Disaster-related medical needs (Deterioration of medical conditions, adjustment and supply of medications or medical supplies) . | Disaster-related long-term care (Acute exacerbations of chronic conditions; delayed presentations) . | Disaster-related preventive care (e.g. prevention, early intervention, health education and promotion) . | Disaster-related coordination of care (across usual providers and emergency providers) . | Disaster-related care within the local community context (contextually appropriate health care, health care for secondary community adversities and events) . |
|---|---|---|---|---|---|---|---|
| • Telehealth (e.g. triage, screening of acute conditions) | • Telehealth—management of physical and psychosocial issues | • Telehealth management of chronic conditions | • Telehealth | • Telehealth | • Telehealth aiding coordination of referrals and care | • Telehealth | |
| • Limiting in-person care when possible including through home visits | • Limiting in-person care | • Limiting in-person care—cancellation or suspension of services | • Limiting in-person care | • Limiting in-person care—cancelling/deferring services including screening and immunization | • Enhancing surge capacity | • Proactively contacting high-risk individuals | |
| • Adopting public health measures (e.g. segregating care, PPE) | • Adopting public health measures | • Proactively contacting high-risk individuals with chronic disease | • Adopting public health measures | • Adopting public health measures to prevent the spread of COVID-19 | • Proactively contacting high-risk individuals in coordination with other health care providers and social support services | • Community outreach e.g. home delivery of medication and food, mobile COVID-19 testing and vaccination sites | |
| • Enhancing surge capacity to meet increased care needs (e.g. increasing staff and work hours) | • Proactively contacting high-risk individuals (e.g. elderly, homeless, minorities) | • Proactively contacting individuals with unstable chronic disease | • Proactively contacting high-risk individuals | ||||
| Usual non disaster primary care | Usual daily health care from usual primary care physician | Biopsychosocial health care from usual trusted health care provider | Management of existing medical conditions | Management of acute exacerbations of chronic conditions | Activities in public health, preventive care, and health promotion | Coordination across specialists, allied health, inpatient, and outpatient providers | Care within the context of the community population and health profile, cultures, and values |
| Routine primary care provision |
Application of the findings to Burns et al.’s framework for disaster-related care.14
| Disaster health care: primary care surge . | Disaster-related health conditions (acute distress and acute physical Injuries) . | Disaster-related holistic needs (PCPs providing a safe place with trusted health care support for a broad range of needs) . | Disaster-related medical needs (Deterioration of medical conditions, adjustment and supply of medications or medical supplies) . | Disaster-related long-term care (Acute exacerbations of chronic conditions; delayed presentations) . | Disaster-related preventive care (e.g. prevention, early intervention, health education and promotion) . | Disaster-related coordination of care (across usual providers and emergency providers) . | Disaster-related care within the local community context (contextually appropriate health care, health care for secondary community adversities and events) . |
|---|---|---|---|---|---|---|---|
| • Telehealth (e.g. triage, screening of acute conditions) | • Telehealth—management of physical and psychosocial issues | • Telehealth management of chronic conditions | • Telehealth | • Telehealth | • Telehealth aiding coordination of referrals and care | • Telehealth | |
| • Limiting in-person care when possible including through home visits | • Limiting in-person care | • Limiting in-person care—cancellation or suspension of services | • Limiting in-person care | • Limiting in-person care—cancelling/deferring services including screening and immunization | • Enhancing surge capacity | • Proactively contacting high-risk individuals | |
| • Adopting public health measures (e.g. segregating care, PPE) | • Adopting public health measures | • Proactively contacting high-risk individuals with chronic disease | • Adopting public health measures | • Adopting public health measures to prevent the spread of COVID-19 | • Proactively contacting high-risk individuals in coordination with other health care providers and social support services | • Community outreach e.g. home delivery of medication and food, mobile COVID-19 testing and vaccination sites | |
| • Enhancing surge capacity to meet increased care needs (e.g. increasing staff and work hours) | • Proactively contacting high-risk individuals (e.g. elderly, homeless, minorities) | • Proactively contacting individuals with unstable chronic disease | • Proactively contacting high-risk individuals | ||||
| Usual non disaster primary care | Usual daily health care from usual primary care physician | Biopsychosocial health care from usual trusted health care provider | Management of existing medical conditions | Management of acute exacerbations of chronic conditions | Activities in public health, preventive care, and health promotion | Coordination across specialists, allied health, inpatient, and outpatient providers | Care within the context of the community population and health profile, cultures, and values |
| Routine primary care provision |
| Disaster health care: primary care surge . | Disaster-related health conditions (acute distress and acute physical Injuries) . | Disaster-related holistic needs (PCPs providing a safe place with trusted health care support for a broad range of needs) . | Disaster-related medical needs (Deterioration of medical conditions, adjustment and supply of medications or medical supplies) . | Disaster-related long-term care (Acute exacerbations of chronic conditions; delayed presentations) . | Disaster-related preventive care (e.g. prevention, early intervention, health education and promotion) . | Disaster-related coordination of care (across usual providers and emergency providers) . | Disaster-related care within the local community context (contextually appropriate health care, health care for secondary community adversities and events) . |
|---|---|---|---|---|---|---|---|
| • Telehealth (e.g. triage, screening of acute conditions) | • Telehealth—management of physical and psychosocial issues | • Telehealth management of chronic conditions | • Telehealth | • Telehealth | • Telehealth aiding coordination of referrals and care | • Telehealth | |
| • Limiting in-person care when possible including through home visits | • Limiting in-person care | • Limiting in-person care—cancellation or suspension of services | • Limiting in-person care | • Limiting in-person care—cancelling/deferring services including screening and immunization | • Enhancing surge capacity | • Proactively contacting high-risk individuals | |
| • Adopting public health measures (e.g. segregating care, PPE) | • Adopting public health measures | • Proactively contacting high-risk individuals with chronic disease | • Adopting public health measures | • Adopting public health measures to prevent the spread of COVID-19 | • Proactively contacting high-risk individuals in coordination with other health care providers and social support services | • Community outreach e.g. home delivery of medication and food, mobile COVID-19 testing and vaccination sites | |
| • Enhancing surge capacity to meet increased care needs (e.g. increasing staff and work hours) | • Proactively contacting high-risk individuals (e.g. elderly, homeless, minorities) | • Proactively contacting individuals with unstable chronic disease | • Proactively contacting high-risk individuals | ||||
| Usual non disaster primary care | Usual daily health care from usual primary care physician | Biopsychosocial health care from usual trusted health care provider | Management of existing medical conditions | Management of acute exacerbations of chronic conditions | Activities in public health, preventive care, and health promotion | Coordination across specialists, allied health, inpatient, and outpatient providers | Care within the context of the community population and health profile, cultures, and values |
| Routine primary care provision |
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