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The Impact of Disasters and Major Incidents on Vulnerable Groups Risk and Medical Assessment of Swedish Patients With Advanced Care at Home

Journal article
Authors Amir Khorram-Manesh
Jakob Yttermyr
Josef Sörensson
Eric Carlström
Published in Home Health Care Management & Practice
Volume 29
Issue 3
Pages 183-190
ISSN 1084-8223
Publication year 2017
Published at Institute of Health and Care Sciences
Institute of Clinical Sciences
Pages 183-190
Language en
Links doi.org/10.1177/1084822317699156
Keywords advanced health care at home, disaster, major incident, Sweden, outcome, vulnerable
Subject categories Clinical Medicine, Basic Medicine


In this study, we assessed the overall risks that influence advanced care at home (ACH) patients enrolled in 8 municipalities in the western region of Sweden. We also conducted a medical assessment of a limited number of ACH cases based on the registered information from the university hospital in Gothenburg, with regard to survival after a disaster. Two different questionnaires were distributed, and the results were collected separately and analyzed using descriptive statistical analysis. The results indicate that there is a low level of preparedness among the health care service providers for addressing the needs of ACH patients following a major incident or disaster. For this group, the impact of a disaster depends on their vulnerability, specific diagnosis, the medical support required, and the duration of the incident or disaster.

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