Diabetes Care Provided to Children Displaced by Hurricane Katrina

Abstract

Although the waiver appeared to have been largely successful immediately following Katrina, future waivers may be improved by ensuring that enrollees continue to receive care after the waivers expire.

Long-term Effects of Disasters on Health Care Utilization: Hurricane Katrina and Older Individuals with Diabetes

“…Contrary to our findings, immediately after Hurricane Katrina children were largely able to continue their screens. 1 However, consistent with our results, during the period immediately following Hurricane Katrina, older residents faced difficulties in obtaining dialysis care and supplies. 2 The increased emergency department utilization by diabetics following Hurricane Sandy 19,20 likely reflects the inability of those with diabetes to obtain care in the period immediately following the disaster.…”

“…Children displaced by Hurricane Katrina were generally able to maintain screens immediately following the storm. 1 However, residents affected by Katrina experienced problems with dialysis patient care, dialysis unit function, and supplies. 2 Studies following Hurricane Sandy found higher rates of emergency department utilization for all diabetics 3 and seniors in particular.…”

The impact of the COVID-19 pandemic on the continuity of care for at-risk patients in Swiss primary care settings: A mixed-methods study

“…A systematic review into the indices for continuity of care pointed to 5 principle ways researchers have operationalized and measured continuity of care: (1) duration of provider relationships, (2) density of visits, (3) dispersion of providers, (4) sequence of providers, and (5) subjective estimates, including qualitative data, patient-rated perceptions of satisfaction and appropriateness of time between visits ( Jee and Cabana, 2006 ). Whereas much scholarship has focused on continuity of care in non-crisis settings, some researchers have pointed to the impact of extenuating circumstances on healthcare service provision not related to the crisis at hand, such as the impacts for those in war zones and those displaced in war settings ( El Saghir et al, 2018 ; Lafta and Al-Nuaimi, 2019 ), natural disasters, such as Hurricane Katrina ( Icenogle et al, 2016 ; Quast and Mortensen, 2015 ; Raulji et al, 2018 ), and other infectious disease outbreaks, such as Ebola. The title of the article “Women and babies are dying but not of Ebola” in BMJ Global Health speaks volumes about the impact of the epidemic of Ebola in Sierra Leone in 2014 on the increase in mortality of pregnant women and stillborn babies, due in large part to the weakened healthcare system and the reallocation of already low resources prior to the Ebola pandemic to Ebola-related measures ( Jones et al, 2016 ).…”