Supportive and Preventive Medicine
Vaccine administration
vi.
Telehealth and telepharmacy services
Medication supply
Identify necessary antidotes, critical medications and alternatives, as well as necessary par
levels
ii.
Ensure proper preparation and handling of medications
iii.
Maintain effective distribution systems
iv.
Compile accurate therapeutic and patient records
| d. | Policy coordination |
|---|
Develop diagnosis and treatment guidelines and/or policies
ii.
Coordinate efforts with local and state health departments
iii.
Incorporate medication expertise in policy decisions at local and state level
While pharmacists are well-suited to perform the aforementioned tasks, in a disaster response it is
also necessary to consider which tasks would most benefit from pharmacist input and which tasks
may be delegated to other healthcare professionals
quality-of-life. SDoH encompass five domains of modifiable and non-modifiable factors (Healthy People
2030, HHS, Office of Disease Prevention and Health Promotion, https://health.gov/healthypeople):
Economic stability—employment, food insecurity, housing instability, poverty
enrollment, high school graduation, language and literary
Health care access and quality—access to health services and primary care, health literacy
Neighborhood and built environment—access to foods that support a healthy diet, crime and violence,
environmental conditions, housing quality
Social and community context—civic participation, discrimination, incarceration, social cohesion,
culture, family
outcomes and costs by identifying opportunities for societal improvement (HHS, Office of the Assistant
Secretary for Planning and Evaluation. Building the Evidence Base for Social Determinants of Health Inter-
ventions, https://aspe.hhs.gov/reports/building-evidence-base-social-determinants-health-interventions)
Some professional societies, such as the American Thoracic Society and American Heart Association,
recommend training of clinicians to facilitate patient screening for SDoH; however, formal curricula
and potential interventions to address these gaps, as well as to identify other population differences
ICU recovery clinics are in an excellent position to pave the way towards addressing SDoH by engaging
with patients and caregivers about the challenges they face in post-ICU care