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Basic Disaster Preparedness of Rural Community Pharmacies in 5 States

Published online by Cambridge University Press:  02 August 2019

Paul J. Henkel  and
Marketa Marvanova Open the ORCID record for Marketa Marvanova [Opens in a new window]
Paul J. Henkel
Affiliation:
Department of Historical and Geographic Studies, University of Eastern Finland, Joensuu, Finland
Marketa Marvanova*
Affiliation:
Department of Pharmacy Practice, School of Pharmacy, North Dakota State University, Fargo, North Dakota
*
Correspondence and reprint requests to Marketa Marvanova, Department of Pharmacy Practice, School of Pharmacy / College of Health Professions, North Dakota State University, Department 2650, PO Box 6050, Fargo, ND 58108-6050 (e-mail: marketa.marvanova@ndsu.edu).
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Abstract

Objectives:

The aim of this study was to investigate the basic preparedness of rural community pharmacies to continue operations during and immediately following a disaster.

Methods:

In 2014, we conducted a telephone survey (N = 990) of community pharmacies in 3 rural areas: North Dakota/South Dakota, West Virginia, Southern Oregon/Northern California regarding whether they had a formal disaster/continuity plan, offsite data backup, emergency power generation, and/or had a certified pharmacy immunizer on staff. Logistic regression and chi square were performed using Stata 11.1.

Findings:

Community pharmacies in rural areas (≤50.0 persons/mile2) were less likely to have emergency power (odds ratio [OR] = 0.59; 95% confidence interval [CI]: 0.32-1.07) or certified pharmacy immunizer on staff (OR = 0.47; 95% CI: 0.34-0.64). Pharmacies in lower income areas were less likely to have emergency power and offsite data backup or a formal disaster plan (OR = 0.70; 95% CI: 0.49-0.99) compared with pharmacies in higher income areas. Community pharmacies in areas of higher percent elderly population were less likely to have emergency power (OR = 0.54; 95% CI: 0.39-0.73), or certified pharmacy immunizer on staff (OR = 0.65; 95% CI: 0.47-0.91) compared with chain pharmacies in areas with lower percent elderly population.

Conclusions:

Being in a rural, low-income, or high-elderly area was associated with lower likelihood of basic preparedness of community pharmacies.

Keywords

disaster preparednessrural communitiescommunity pharmacyhealth care disparitysocioeconomic factors
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 3 , June 2020 , pp. 329 - 334
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc.

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