Using Mixed Methods to Investigate Use of Veterans Affairs Telehealth Services During Disasters

ISBN-10: 1529740452
ISBN-13: 9781529740455
Category: Emergency management
Language: English
Published: 2020
Authors: Karen Chu, Claudia Der-Martirosian, Anne R. Griffin

Description

This case study uses a convergent mixed-methods approach with data from two distinct qualitative and quantitative studies examining the impact of Hurricane Sandy at the Manhattan VA Medical Center. Semi-structured, in-person interviews were conducted with key informants 3 months after Sandy made landfall in October 2012. During the initial set of qualitative analyses, use of telehealth services emerged as a new theme. The quantitative study was based on Veterans Affairs administrative and clinical datasets of patient health records, where we examined the use of all outpatient services 12-months before and 12-months after Sandy made landfall. We used SQL, SAS, and Stata within the Veterans Affairs centralized virtual platform to merge data files, manage datasets, create study cohorts, and conduct statistical analyses. The quantitative study findings indicated a substantial increase in the use of telehealth services during the 7-month period when the Manhattan VA Medical Center was closed because of major flood damage sustained from Sandy. This unanticipated research finding has led to a new, understudied research topic in disaster research. Within the context of disasters, oftentimes the availability and access to the type of data guides the type of research methodology used in health services studies. Future studies in disaster research should try to use mixed methods when possible, with the intention of examining the process of impact, response, and recovery, as well as studying the overall patterns of use of health care services before and after an event.

Get the book

Similar books

Emergency Management: 2nd Edition: Writing Your Emergency/Disaster Plan
By Todd Shallat, APWA Emergency Management Technical Commitee
This guide gives valuable information on how to develop a public works annex that ensures that public works activities are incorporated into a jurisdiction's emergency operating plan (EOP).
DOMESTIC TERRORISM AND INCIDENT MANAGEMENT: Issues and Tactics
By Miki Vohryzek, Gayle Olson-Raymer, Jeffery O. Whamond
On a final note, I want to acknowledge my aunt, Eileen Pearson. On July 25, 1977, a week before my doctoral defense, she sent me a card with the saying. Follow your dreams, for as you dream so shall you become. In the card she said, ...
Hazardous Materials Technician
By Chris Weber
To purchase the text with a Resource Central Access Code Card, please use ISBN: 0-13-295618-7 HAZARDOUS MATERIALS TECHNICIAN is the only dedicated, up-to-date text to cover all key concepts, principles, and hands-on techniques associated ...
Brady Pocket Reference for Hazardous Materials Response
By Chris Weber
Pocket Reference for Hazardous Materials Response serves not only as a quick reference guide for on-scene response at emergency incidents, but also provides many examples and illustrations that can be utilized during training.
Partnerships in Preparedness: A Compendium of Exemplary Practices in Emergency Management
By Leonard Oberlander
TTY Alert — An Emergency Warning and Communications System for the Deaf and Hard of Hearing Contact: John D. Wilson Director Lee County Division of Public Safety Emergency Management Program P.O. Box 398 Fort Myers, FL 33902 Tel: ...
A Pre-event Recovery Planning Guide for Transportation
By Patricia Bye
... Little Rock William A. V. Clark, Professor of Geography (emeritus) and Professor of S tatistics (emeritus), ... Iacobs/Sverdrup Civil, Inc., St. Louis, MO Kumares C. Sinha, Olson Distinguished Professor of Civil Engineering, ...
A Study of the Pre-attack Behaviors of Active Shooters in the United States Between 2000 and 2013
By James Silver
In 2017 there were 30 separate active shootings in the United States, the largest number ever recorded by the FBI during a one-year period.1 With so many attacks occurring, it can become easy to believe that nothing can stop an active ...
Hazardous Materials: Managing the Incident
By Rob Schnepp, Gregory G. Noll, Michael S. Hildebrand
Sherman, M. H., D. J. Wilson, and D. E. Kiel, “Variability in Residential Air Leakage.” A technical paper pre— sented at the ASTM Symposium on Measured Air Leakage Performance in Buildings, Philadelphia, Penn— sylvania (April 1984).
Hazardous Waste Operations and Emergency Response Manual and Desk Reference
By Christian L. Hackman, E. Ellsworth Hackman, Matthew E. Hackman
... to identify asbestos containing materials , response actions , and operations and maintenance programs to mini mize the risk of exposure . manifest ( Uniform Hazardous Waste Manifest ) A multicopy shipping form used to iden tify the ...
FEMA's Disaster Declarations: Factors, Cost Considerations and Trends
By Michael Beck
This book addresses the number of declarations requested and approved from fiscal years 2004-2011 and associated Disaster Relief Fund obligations; the criteria FEMA uses to recommend a declaration for public assistance, and the extent that ...