A qualitative and quantitative study of the surgical and rehabilitation response to the earthquake in Haiti, January 2010.

Abstract:

BACKGROUND:The disaster response environment in Haiti following the 2010 earthquake represented a complex healthcare challenge. This study was designed to identify challenges during the Haiti disaster response. METHODS:Qualitative and quantitative study of injured patients carried out six months after the January 2010 earthquake in Haiti to review the surgical inputs of foreign medical teams. RESULTS:Study findings revealed a need during the response for improved medical records and data gathering for regulation, quality assurance, coordination and resource allocation; wider adherence to standard patient referral mechanisms and protocols linking surgical service provision with appropriate hospital and community based rehabilitation services; a greater recognition of the impact of non-amputation injury, and the need for patients to have a greater say in their management and to be the keepers of their medical records. Key first steps to improving the international response are a minimum dataset and uniform reporting. CONCLUSION:This study showed that challenges for emergency medical response during the Haiti Earthquake involved issues of accountability, professional ethics, standards-of-care, unmet needs, patient agency and expected outcomes for patients in such settings:

journal_name

Prehosp Disaster Med

authors

Redmond AD,Mardel S,Taithe B,Calvot T,Gosney J,Duttine A,Girois S

doi

10.1017/S1049023X12000088

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

449-56

issue

6

eissn

1049-023X

issn

1945-1938

pii

S1049023X12000088

journal_volume

26

pub_type

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