Date of Award
Fall 11-6-2025
Embargo Period
11-20-2026
Document Type
Dissertation
Degree Name
Doctor of Health Administration
Department
Health Administration
College
College of Health Professions
First Advisor
Jillian Harvey
Second Advisor
Ragan DuBose-Morris
Third Advisor
Kit Simpson
Abstract
Healthcare systems, particularly in urban centers like New York City (NYC), are at severe risk due to the increasing frequency and intensity of climate-related events, which are being driven by climate change. In NYC, extreme heat events (EHE) are defined as two or more days with a heat index (HI) of or higher, or one or more days reaching . These events exacerbate health inequities, disproportionately affecting vulnerable populations, such as older adults and individuals with chronic illnesses (PwCD). The primary objective of this mixed-methods study is to investigate the impact of EHE on healthcare utilization, primarily emergency department (ED) utilization from 2019-2022, among Medicare populations in NYC and control counties in New York State. It will further assess chronic disease care management in heat action plans (HAP) and examine preparedness strategies through qualitative research with the German Red Cross in Dhaka, Bangladesh. Ultimately, this study aims to be an impetus for a toolbox for public health, healthcare systems, and government agencies in NYC, to make healthcare systems more ready and able to respond.
Recommended Citation
Noor, Sami, "Healthcare System Resilience and Chronic Disease Care Management During Extreme Heat Events in New York City: A Mixed-Methods Study of Emergency Department Utilization and Preparedness Frameworks" (2025). MUSC Theses and Dissertations. 1083.
https://medica-musc.researchcommons.org/theses/1083
Rights
Copyright is held by the author. All rights reserved.
Included in
Community Health and Preventive Medicine Commons, Environmental Public Health Commons, Health and Medical Administration Commons, Health Services Administration Commons