2026-03-11T19:53:52Z https://kanazawa-med.repo.nii.ac.jp/oai

oai:kanazawa-med.repo.nii.ac.jp:00000007 2023-08-31T05:52:55Z 1:6:7

Impact on Ambulance Call of Differences in Living Environment After a Major Disaster 牛本 知孝 ウシモト トモユキ 村坂 憲史 ムラサカ ケンシ 盛田 英樹 モリタ ヒデキ 櫻井 勝 サクライ マサル 石﨑 昌夫 イシザキ マサオ 和藤 幸弘 ワトウ ユキヒロ The Great East Japan Earthquake temporary housing ambulance emergency medical service catastrophic disasters [Purpose] After the Great East Japan Earthquake in 2011, many temporary housing complexes with various living environment levels were built in Kamaishi City. This study focused on the changes in ambulance calls before and after the earthquake and investigated the effects of living environment on ambulance calls of residents. [Methods] After the earthquake, residential facilities in Kamaishi City were classified into owners housing and three temporary types of housing by living environment (i.e., with support center, without support center, and community-care-type). For 3 years before and after the earthquake, data on each group’s population and the profile of ambulance calls were collected, and statistical analysis was conducted. [Results] After the earthquake, the ratio of age-adjusted ambulance calls decreased in the temporary housing as a whole, and ambulance calls significantly increased in owners housing. No significant difference was found between groups with and groups without a support center. The number of ambulance calls has increased significantly at each severity and time zone. The decrease in each severity was lower in the community-care-type than in other temporary housing. The rate of ambulance calls made outside daily medical service hours was unchanged compared with before the earthquake. It was suggested that measures focusing on factors other than medical care are necessary and that a high level of medical support is not necessarily required. In addition, whereas people in temporary housing have been provided various interventions, focus on the lack of interventions for people in owners housing is needed. [Conclusion] To improve the temporary housing environment, providing medical support, equipment and community formation and considering comprehensively the geographical environment and other factors are necessary. Providing support to residents of owners housing, which has less administrative intervention than temporary housing and which allows an increase in ambulance call, is also important. 金沢医科大学医学会 2020-06 eng journal article VoR https://doi.org/10.57457/00000001 https://kanazawa-med.repo.nii.ac.jp/records/7 10.57457/00000001 0385-5759 金沢医科大学雑誌 Journal of Kanazawa Medical University 45 1 1 9 https://kanazawa-med.repo.nii.ac.jp/record/7/files/45(1)1-9.pdf application/pdf 914.0 kB 2022-09-21