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DIS-HEALTH MODELİ: AFETLERDE SAĞLIK İLETİŞIMİ VE OKURYAZARLIĞI İÇİN STRATEJİK BİR ÇERÇEVE

Yıl 2025, Cilt: 7 Sayı: 2, 148 - 161, 30.12.2025

Öz

Afetler, sağlık iletişimini ciddi şekilde sekteye uğratarak bilgi kirliliğine ve halkın güvenilir sağlık bilgilerine erişiminin azalmasına yol açar. Düşük sağlık okuryazarlığı düzeyi, kriz yönetimini daha da karmaşık hâle getirir. Bu çalışma, afetlerin tüm evrelerinde (öncesi, sırası ve sonrası) sağlık iletişimini ve sağlık okuryazarlığını güçlendirmek amacıyla geliştirilen DIS-HEALTH Modelini tanıtmaktadır. Model; tanı ve tespit, eğitim ve kapasite geliştirme, saha uygulama ve müdahale, sürekli değerlendirme ve iyileştirme olmak üzere dört bileşenden oluşur. Amaç; kriz anlarında zamanında bilgi akışını sağlamak, bilinçli karar almayı desteklemek ve halkın sürece katılımını artırmaktır. Çalışma ayrıca kurumsal sorumluluk paylaşımı ve sektörler arası iş birliği ihtiyacına dikkat çeker. Modelin etkili uygulanabilmesi için ulusal otoriteler, yerel yönetimler, STK'lar ve uluslararası kuruluşlar arasında koordinasyon gereklidir. Bu model, teknoloji destekli ve kanıta dayalı sağlık iletişimi stratejileriyle afet dayanıklılığını artırmayı hedefler.

Kaynakça

  • Adams, M. R. (2018). Disabilities and Disasters: How Social Cognitive and Community Factors Influence Preparedness among People with Disabilities (Doctoral dissertation) University of California, Los Angeles.
  • Agyepong, A. L. & Liang, X. (2022). Mapping the Knowledge Frontiers of Public Risk Communication in Disaster Risk Management. Journal of Risk Research, 26, 302-323.
  • Angerer, A., Stahl, J., Krasniqi, E., & Banning, S. (2022). The management perspective in digital health literature: systematic review. JMIR mHealth and uHealth, 10(11), e37624.
  • Brown, L. M., Haun, J. N., & Peterson, L. (2014). A proposed disaster literacy model. Disaster medicine and public health preparedness, 8(3), 267-275.
  • Cornelius, A. P., Char, D. M., Doyle, C., Noll, S., Reyes, V., Wang, J., & Mace, S. E. (2022). Disparities in disaster healthcare: a review of past disasters. American journal of disaster medicine, 17(2), 171-184.
  • Çalışkan, C., & Üner, S. (2021). Disaster literacy and public health: a systematic review and integration of definitions and models. Disaster medicine and public health preparedness, 15(4), 518-527.
  • Davis, J. R., Wilson, S., Brock-Martin, A., Glover, S., & Svendsen, E. R. (2010). The impact of disasters on populations with health and health care disparities. Disaster medicine and public health preparedness, 4(1), 30-38.
  • Dwarakanath, L., Kamsin, A., Rasheed, R. A., Anandhan, A., & Shuib, L. (2021). Automated machine learning approaches for emergency response and coordination via social media in the aftermath of a disaster: A review. Ieee Access, 9, 68917-68931.
  • Eckert, S., Sopory, P., Day, A., Wilkins, L., Padgett, D., Novak, J., ... & Gamhewage, G. (2018). Health-related disaster communication and social media: mixed-method systematic review. Health communication, 33(12), 1389-1400.
  • Edgar, T., & Volkman, J. (2012). Using Communication Theory for Health Promotion. Health Promotion Practice, 13, 587-590.
  • Elgammal, N. (2021). COVID-19 Crisis Communication: The Strategic Use of Instagram Messages by the Bahraini Ministry of Health in Light of the Crisis and Emergency Risk Communication Model (CERC). Arab Media & Society, (31).
  • Felix, E., Rubens, S., & Hambrick, E. (2020). The relationship between physical and mental health outcomes in children exposed to disasters. Current psychiatry reports, 22, 1-7.
  • Giordani, A., Sadler, C., & Celemín, L. F. (2016). Communication and impact through targeted channels and media. Trends in Food Science & Technology, 57, 311-315.
  • Giorgadze, T., Maisuradze, I., Japaridze, A., Utiashvili, Z., & Abesadze, G. (2011). Disasters and their consequences for public health. Georgian Med News, 194, 59-63.
  • Hammad-u-Salam, M., Hussain, Z., & Jabeen, S. (2021). A Review: An Active Response Smart System For Survival Detection On Disaster Precincts. Int. J, 9(7).
  • Hatami, H., Neisi, A., & Kooti, M. (2017). Functional, structural and non-structural preparedness of Ahvaz health centers against disasters in 2014–2015. Jundishapur J Health Sci, 9(1), e66561.
  • Heinkel, S. B., Miller, C., Thiebes, B., Than, Z. M., Kyi, T. T., Aung, T., ... & Kraas, F. (2025). Institutional risk and crisis communication on natural hazards and disaster risks in Yangon, Myanmar. International Journal of Disaster Risk Reduction, 116, 105064.
  • Houston, J. B. (2012). Public disaster mental/behavioral health communication: Intervention across disaster phases. Journal of Emergency Management, 10(4), 283-292.
  • Hu, D., Pai, J. T., & Chen, Y. Y. (2018). A study of flood disaster risk communication model and adaptive behaviours for river-watershed residents in Taiwan. International Review for Spatial Planning and Sustainable Development, 6(4), 128-147.
  • Karanfiloğlu, M., & Sağlam, M. (2021). Health Communicatıon During The Pandemic: A Research For Health Care Professionals. Journal of Communication Theory and Research, 2021(54), 220-235.
  • Kungu, E. (2025). Health Communication Strategies in Times of Crisis. Research Invention Journal of Scientific and Experimental Sciences 5(1), 84-89.
  • Lee, J. C., Chang, C. P., & Liao, Y. (2023). Capacity Building for Disaster Risk Reduction: A Long-Term Program of the IRDR International Centre of Excellence at Taipei (ICoE-Taipei). Journal of Disaster Research, 18(7), 691-699.
  • Lyshol, H., & Rolfheim-Bye, C. (2021). The role of trust in risk communication: the Norwegian experience. European Journal of Public Health, 31(Supplement_3), ckab164-426.
  • Malik, A., Khan, M. L., & Quan-Haase, A. (2021). Public health agencies outreach through Instagram during the COVID-19 pandemic: Crisis and Emergency Risk Communication perspective. International Journal of Disaster Risk Reduction, 61, 102346.
  • McAtee, K. J., Bedenbaugh, R., Lakis, D. C., Bachmann, D. J., & Kman, N. E. (2022). Emergency preparedness and disaster response: There’s an app for that 2.0. Prehospital and disaster medicine, 37(1), 117-123.
  • Mbola, P., Nkosi, D. V., & Morakinyo, O. M. (2024). Disaster management training for environmental health: A narrative literature review. Jàmbá: Journal of Disaster Risk Studies, 16(1), 1-9. Naushad, V. A., Bierens, J. J., Nishan, K. P., Firjeeth, C. P., Mohammad, O. H., Maliyakkal, A. M., ... & Schreiber, M. D. (2019). A systematic review of the impact of disaster on the mental health of medical responders. Prehospital and disaster medicine, 34(6), 632-643.
  • Reynolds, B., & W. Seeger, M. (2005). Crisis and Emergency Risk Communication as an Integrative Model. Journal of Health Communication, 10(1), 43–55.
  • Saito, M., and Lillian M. (2015). Reproductive Health and Reproductive Rights during the Recovery Phase Post Disaster. Lessons from Major Disasters in Japan. Journal of Disaster Studies, 2, 38-45.
  • Seeger, M. W., Pechta, L. E., Price, S. M., Lubell, K. M., Rose, D. A., Sapru, S., ... & Smith, B. J. (2018). A conceptual model for evaluating emergency risk communication in public health. Health security, 16(3), 193-203.
  • Seifi, B., Ghanizadeh, G., & Seyedin, H. (2018). Disaster health literacy of middle-aged women. Journal of menopausal medicine, 24(3), 150-154.
  • Shahid, Z., Hanif, A., Naqvi, S. H. B., Hassan, S., & Gull, M. (2024). Role of Collaborative Governance towards Crisis Management: A Case Study of Provincial Disaster Management Authority (PDMA). Journal of Public Policy Practitioners, 3(1), 121-147.
  • Soini, J., & Polancic, G. (2010, July). Toward adaptable communication and enhanced collaboration in global crisis management using process modeling. In Picmet 2010 Technology Management For Global Economic Growth (pp. 1-10). IEEE.
  • Tomić, Z., Vegar, V., & Radalj, M. (2024). Crisis Communication in Healthcare. Medicina Academica Integrativa, 1(1), 11-25.
  • Wang, H., Cleary, P. D., Little, J., & Auffray, C. (2020). Communicating in a public health crisis. The Lancet. Digital Health, 2(10), e503.
  • Widyastuti, D. A. R. (2021). Using new media and social media in disaster communication. Komunikator, 13 (2), 100–111.
  • Wood, E., & Miller, S. K. (2021). Cognitive dissonance and disaster risk communication. Journal of Emergency Management and Disaster Communications, 2(01), 39-56. Ziadlou, D., Eslami, A., & Hassani, H. R. (2008, November). Telecommunication methods for implementation of telemedicine systems in crisis. In 2008 Third International Conference on Broadband Communications, Information Technology & Biomedical Applications (pp. 268-273). IEEE.

DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY

Yıl 2025, Cilt: 7 Sayı: 2, 148 - 161, 30.12.2025

Öz

Disasters severely disrupt health communication, often leading to misinformation and reduced public access to reliable health information. Low health literacy further complicates crisis response. This study introduces the DIS-HEALTH Model, a strategic framework designed to strengthen health communication and health literacy across all disaster phases—before, during, and after the crisis. The model consists of four components: detection and diagnosis, education and capacity building, field implementation and intervention, and continuous improvement. It aims to support timely information flow, informed decision-making, and public engagement during emergencies. Importantly, the study highlights the need for institutional responsibility sharing and cross-sector collaboration. Effective implementation requires coordination among national health authorities, local governments, NGOs, and international bodies. A national framework is proposed to clarify roles and enhance cooperation. This model offers practical guidance for improving disaster resilience through evidence-based, technology-integrated health communication strategies.

Kaynakça

  • Adams, M. R. (2018). Disabilities and Disasters: How Social Cognitive and Community Factors Influence Preparedness among People with Disabilities (Doctoral dissertation) University of California, Los Angeles.
  • Agyepong, A. L. & Liang, X. (2022). Mapping the Knowledge Frontiers of Public Risk Communication in Disaster Risk Management. Journal of Risk Research, 26, 302-323.
  • Angerer, A., Stahl, J., Krasniqi, E., & Banning, S. (2022). The management perspective in digital health literature: systematic review. JMIR mHealth and uHealth, 10(11), e37624.
  • Brown, L. M., Haun, J. N., & Peterson, L. (2014). A proposed disaster literacy model. Disaster medicine and public health preparedness, 8(3), 267-275.
  • Cornelius, A. P., Char, D. M., Doyle, C., Noll, S., Reyes, V., Wang, J., & Mace, S. E. (2022). Disparities in disaster healthcare: a review of past disasters. American journal of disaster medicine, 17(2), 171-184.
  • Çalışkan, C., & Üner, S. (2021). Disaster literacy and public health: a systematic review and integration of definitions and models. Disaster medicine and public health preparedness, 15(4), 518-527.
  • Davis, J. R., Wilson, S., Brock-Martin, A., Glover, S., & Svendsen, E. R. (2010). The impact of disasters on populations with health and health care disparities. Disaster medicine and public health preparedness, 4(1), 30-38.
  • Dwarakanath, L., Kamsin, A., Rasheed, R. A., Anandhan, A., & Shuib, L. (2021). Automated machine learning approaches for emergency response and coordination via social media in the aftermath of a disaster: A review. Ieee Access, 9, 68917-68931.
  • Eckert, S., Sopory, P., Day, A., Wilkins, L., Padgett, D., Novak, J., ... & Gamhewage, G. (2018). Health-related disaster communication and social media: mixed-method systematic review. Health communication, 33(12), 1389-1400.
  • Edgar, T., & Volkman, J. (2012). Using Communication Theory for Health Promotion. Health Promotion Practice, 13, 587-590.
  • Elgammal, N. (2021). COVID-19 Crisis Communication: The Strategic Use of Instagram Messages by the Bahraini Ministry of Health in Light of the Crisis and Emergency Risk Communication Model (CERC). Arab Media & Society, (31).
  • Felix, E., Rubens, S., & Hambrick, E. (2020). The relationship between physical and mental health outcomes in children exposed to disasters. Current psychiatry reports, 22, 1-7.
  • Giordani, A., Sadler, C., & Celemín, L. F. (2016). Communication and impact through targeted channels and media. Trends in Food Science & Technology, 57, 311-315.
  • Giorgadze, T., Maisuradze, I., Japaridze, A., Utiashvili, Z., & Abesadze, G. (2011). Disasters and their consequences for public health. Georgian Med News, 194, 59-63.
  • Hammad-u-Salam, M., Hussain, Z., & Jabeen, S. (2021). A Review: An Active Response Smart System For Survival Detection On Disaster Precincts. Int. J, 9(7).
  • Hatami, H., Neisi, A., & Kooti, M. (2017). Functional, structural and non-structural preparedness of Ahvaz health centers against disasters in 2014–2015. Jundishapur J Health Sci, 9(1), e66561.
  • Heinkel, S. B., Miller, C., Thiebes, B., Than, Z. M., Kyi, T. T., Aung, T., ... & Kraas, F. (2025). Institutional risk and crisis communication on natural hazards and disaster risks in Yangon, Myanmar. International Journal of Disaster Risk Reduction, 116, 105064.
  • Houston, J. B. (2012). Public disaster mental/behavioral health communication: Intervention across disaster phases. Journal of Emergency Management, 10(4), 283-292.
  • Hu, D., Pai, J. T., & Chen, Y. Y. (2018). A study of flood disaster risk communication model and adaptive behaviours for river-watershed residents in Taiwan. International Review for Spatial Planning and Sustainable Development, 6(4), 128-147.
  • Karanfiloğlu, M., & Sağlam, M. (2021). Health Communicatıon During The Pandemic: A Research For Health Care Professionals. Journal of Communication Theory and Research, 2021(54), 220-235.
  • Kungu, E. (2025). Health Communication Strategies in Times of Crisis. Research Invention Journal of Scientific and Experimental Sciences 5(1), 84-89.
  • Lee, J. C., Chang, C. P., & Liao, Y. (2023). Capacity Building for Disaster Risk Reduction: A Long-Term Program of the IRDR International Centre of Excellence at Taipei (ICoE-Taipei). Journal of Disaster Research, 18(7), 691-699.
  • Lyshol, H., & Rolfheim-Bye, C. (2021). The role of trust in risk communication: the Norwegian experience. European Journal of Public Health, 31(Supplement_3), ckab164-426.
  • Malik, A., Khan, M. L., & Quan-Haase, A. (2021). Public health agencies outreach through Instagram during the COVID-19 pandemic: Crisis and Emergency Risk Communication perspective. International Journal of Disaster Risk Reduction, 61, 102346.
  • McAtee, K. J., Bedenbaugh, R., Lakis, D. C., Bachmann, D. J., & Kman, N. E. (2022). Emergency preparedness and disaster response: There’s an app for that 2.0. Prehospital and disaster medicine, 37(1), 117-123.
  • Mbola, P., Nkosi, D. V., & Morakinyo, O. M. (2024). Disaster management training for environmental health: A narrative literature review. Jàmbá: Journal of Disaster Risk Studies, 16(1), 1-9. Naushad, V. A., Bierens, J. J., Nishan, K. P., Firjeeth, C. P., Mohammad, O. H., Maliyakkal, A. M., ... & Schreiber, M. D. (2019). A systematic review of the impact of disaster on the mental health of medical responders. Prehospital and disaster medicine, 34(6), 632-643.
  • Reynolds, B., & W. Seeger, M. (2005). Crisis and Emergency Risk Communication as an Integrative Model. Journal of Health Communication, 10(1), 43–55.
  • Saito, M., and Lillian M. (2015). Reproductive Health and Reproductive Rights during the Recovery Phase Post Disaster. Lessons from Major Disasters in Japan. Journal of Disaster Studies, 2, 38-45.
  • Seeger, M. W., Pechta, L. E., Price, S. M., Lubell, K. M., Rose, D. A., Sapru, S., ... & Smith, B. J. (2018). A conceptual model for evaluating emergency risk communication in public health. Health security, 16(3), 193-203.
  • Seifi, B., Ghanizadeh, G., & Seyedin, H. (2018). Disaster health literacy of middle-aged women. Journal of menopausal medicine, 24(3), 150-154.
  • Shahid, Z., Hanif, A., Naqvi, S. H. B., Hassan, S., & Gull, M. (2024). Role of Collaborative Governance towards Crisis Management: A Case Study of Provincial Disaster Management Authority (PDMA). Journal of Public Policy Practitioners, 3(1), 121-147.
  • Soini, J., & Polancic, G. (2010, July). Toward adaptable communication and enhanced collaboration in global crisis management using process modeling. In Picmet 2010 Technology Management For Global Economic Growth (pp. 1-10). IEEE.
  • Tomić, Z., Vegar, V., & Radalj, M. (2024). Crisis Communication in Healthcare. Medicina Academica Integrativa, 1(1), 11-25.
  • Wang, H., Cleary, P. D., Little, J., & Auffray, C. (2020). Communicating in a public health crisis. The Lancet. Digital Health, 2(10), e503.
  • Widyastuti, D. A. R. (2021). Using new media and social media in disaster communication. Komunikator, 13 (2), 100–111.
  • Wood, E., & Miller, S. K. (2021). Cognitive dissonance and disaster risk communication. Journal of Emergency Management and Disaster Communications, 2(01), 39-56. Ziadlou, D., Eslami, A., & Hassani, H. R. (2008, November). Telecommunication methods for implementation of telemedicine systems in crisis. In 2008 Third International Conference on Broadband Communications, Information Technology & Biomedical Applications (pp. 268-273). IEEE.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Yönetimi, Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Derleme
Yazarlar

Dilek Kolca 0000-0002-8631-5147

Gönderilme Tarihi 19 Mart 2025
Kabul Tarihi 24 Temmuz 2025
Yayımlanma Tarihi 30 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 2

Kaynak Göster

APA Kolca, D. (2025). DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY. SDÜ Sağlık Yönetimi Dergisi, 7(2), 148-161.
AMA Kolca D. DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY. SDÜ Sağlık Yönetimi Dergisi. Aralık 2025;7(2):148-161.
Chicago Kolca, Dilek. “DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY”. SDÜ Sağlık Yönetimi Dergisi 7, sy. 2 (Aralık 2025): 148-61.
EndNote Kolca D (01 Aralık 2025) DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY. SDÜ Sağlık Yönetimi Dergisi 7 2 148–161.
IEEE D. Kolca, “DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY”, SDÜ Sağlık Yönetimi Dergisi, c. 7, sy. 2, ss. 148–161, 2025.
ISNAD Kolca, Dilek. “DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY”. SDÜ Sağlık Yönetimi Dergisi 7/2 (Aralık2025), 148-161.
JAMA Kolca D. DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY. SDÜ Sağlık Yönetimi Dergisi. 2025;7:148–161.
MLA Kolca, Dilek. “DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY”. SDÜ Sağlık Yönetimi Dergisi, c. 7, sy. 2, 2025, ss. 148-61.
Vancouver Kolca D. DIS-HEALTH MODEL: A STRATEGIC FRAMEWORK FOR DISASTER HEALTH COMMUNICATION AND LITERACY. SDÜ Sağlık Yönetimi Dergisi. 2025;7(2):148-61.


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