From the Wise: A Public Health Call to Implement a Preventive Health Record

Multiple tools exist to help older adults manage their medication list. However, during disasters/public health emergencies evacuees, especially older adults, lack access to personal health information (medications) which are vital to receiving or maintaining quality care as a result of displacement.

A two phased, mixed method study identified a set of minimum health information elements, and validated the set with 4 focus groups of seniors. In phase one, clinically credentialed expert panel members (n=64) and a literature review of existing health information elements (n=6) were sampled. A step-wise process using a Likert-type scale and thematic data analyses produced a set of minimum health information elements. In phase two, focus groups were conducted in 3 FEMA regions. Audio recordings from each focus group were transcribed and thematically analyzed. Independent reviews ensured reliability and validity.

A minimum set of 30 health information elements abridged from an original 676 were deemed necessary to provide critical care from first receivers and responders within the initial 96 hours of a disaster/public health response. Older adults identified that they are “not motivated to keep my health information up to date,” but would “carry it [secure medication-health information card]” to prepare for not only disasters but everyday emergency events. Older adults clearly identified they would want to have this information immediately available and ensure a “family member/friend has access to this information.” Ultimately, older adults identified a social responsibility toward the concept of the card to ensure individuals will be cared for during any public health event.