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Addressing Health-Care Disparities in Pediatric Disaster Planning: A Qualitative Study

Published online by Cambridge University Press:  20 February 2023

Irene Navis ,
Almaas Shaikh ,
David McCarthy ,
Evette Perez ,
Milissa Chanice ,
Christopher Newton  and
Rita V. Burke
Irene Navis
Affiliation:
University of California, San Francisco, San Francisco, California, USA
Almaas Shaikh
Affiliation:
University of Southern California, Keck School of Medicine, Department of Population and Public Health Sciences, Los Angeles, California, USA
David McCarthy
Affiliation:
University of California, San Francisco, San Francisco, California, USA
Evette Perez
Affiliation:
University of California, San Francisco, San Francisco, California, USA
Milissa Chanice
Affiliation:
University of California, San Francisco, San Francisco, California, USA
Christopher Newton
Affiliation:
UCSF Benioff Children’s Hospital Oakland, Oakland, California, USA
Rita V. Burke*
Affiliation:
University of Southern California, Department of Population and Public Health Sciences, Los Angeles, California, USA
*
Corresponding author: Rita V. Burke, Email: rita.burke@med.usc.edu.
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Abstract

Objective:

The Western Regional Alliance for Pediatric Emergency Medicine (WRAP-EM) is a multi-state, Administration for Strategic Preparedness and Response (ASPR) funded pediatric disaster center of excellence. WRAP-EM set out to determine the impact of health disparities on its 11 core areas.

Methods:

We conducted 11 focus groups during April 2021. Discussions were led by an experienced facilitator, and participants could also include their thoughts on a Padlet throughout the discussion. Data were analyzed to determine overarching themes.

Results:

Responses focused on health literacy, health disparities, resource opportunities, addressing obstacles, and resilience building. Health literacy data highlighted the need for development of readiness and preparedness plans, community engagement in cultural and language appropriate means, and increasing diversity in training. Obstacles faced included funding; inequitable distribution of research, resources, and supplies; lack of prioritization of pediatric needs; and fear of retribution from the system. Multiple already existing resources and programs were referenced highlighting the importance of best practice sharing and networking. A stronger commitment to mental health-care delivery, empowerment of individuals and communities, use of telemedicine, and ongoing cultural and diverse education were recurring themes.

Conclusions:

Results of the focus groups can be used to prioritize efforts to address and improve health disparities in pediatric disaster preparedness.

Keywords

Emergency medical servicesemergency nursingmass casualty incidentshealth trauma center
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e369
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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