The main findings in the article include the development of mental health disorders in disaster victims, looking at risks, psychopathology, course of the disorders, prevention, treatment and recovery.
The stakeholders are Dr. Atul Gawande, other healthcare professionals, and the patients with terminal illnesses. They have to decide what the patient's priorities are, treatment options, and basically how much time and quality of life patients are willing to trade for extended years to live. Is the treatment making the patient worse or better? Doctors have to put themselves in a position of vulnerability by personally getting to know their patients, and deal with the guilt and blame if their treatments aren't successful or what they had said to the patient's family.
From the reviews in the iTunes App Store, it appears that healthcare providers do use the app. One review says that it is useful for working in lab or class settings as well.
1. Under private equity ownership, some ambulance response times worsened, heart monitors failed and companies slid into bankruptcy, according to a Times examination of thousands of pages of internal documents and government records, as well as interviews with dozens of former employees. In at least two cases, lawsuits contend, poor service led to patient deaths.
2. “Private equity has, in this case, threatened public safety,” said Richard Thomas, the mayor of Mount Vernon, N.Y, which relied on TransCare. “It’s not the way to treat the public.”
3. Do the Write Thing “didn’t sit well with the firefighters,” said Nico Latini, who has worked at Rural/Metro for a decade. “We operate under a high level of integrity and we do the right thing every day — with an R, not a W.”
This article focuses more on public health concerns, rather than EMS response. She analyzes sociopolitical factors that affected the response post-Chernobyl and the impacts that had on people's lives and the healthcare they received as a result.
The object of this study is to observe whether or not there was an overdiagnosis of thyroid cancer after the Fukushima nuclear disaster in 2011. They did this by comparing the observed prevalance of thyroid cancer in the Thyroid Screening Programme with the estimated historical controls on the assumption that there was neither nuclear accident nor screening intervention.
This is a chaper from the book, "Medicine, Rationality, and Experience: an anthropological perspective", which appears to have been referenced by other anthropologists.
Delivering AIDS Care Equitably in the United States: AIDS became a disease that disproportionately affected the poor in America. A study done in Baltimore reported how racism and poverty were the cause of excess deaths among African Americans. Efforts were made by physicians to improve community-based care and to get physicians in impoverished areas providing high standard of care. By addressing monetary barriers between poor African Americans and healthcare, dramatic improvements were made and lives were saved. Further studies were done in rural Haiti and Rwanda, which implemented the "PIH model". This model was designed to prevent excess mortality due to AIDS by preventing poverty and social inequalities. It also focused on preventing transmission of the disease. Each of these studies proved to be successful and supported the concept that biosocial circumstances are just as vital to patient care as is the molecular basis of a disease.
Emergency response isn't explicitly addressed in the article, but in order to incorporate structural interventions into public health, emergency response would have to be improved as well. As the article states, there are many "diseases of poverty" and medical emergencies would be more common in those populations. Noting these trends can streamline medical response and help with providing education/ resources to prevent emergencies.