Zhong Shuang, Clark Michele, Hou Xiang-Yu, Zang Yuli, FitzGerald Gerard
Center for Emergency and Disaster Management, School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland 4059, Australia.
School of Clinical Sciences, Queensland University of Technology, Brisbane, Queensland 4059, Australia.
Int J Environ Res Public Health. 2014 Jun 18;11(6):6335-53. doi: 10.3390/ijerph110606335.
Hospital disaster resilience can be defined as "the ability of hospitals to resist, absorb, and respond to the shock of disasters while maintaining and surging essential health services, and then to recover to its original state or adapt to a new one." This article aims to provide a framework which can be used to comprehensively measure hospital disaster resilience. An evaluation framework for assessing hospital resilience was initially proposed through a systematic literature review and Modified-Delphi consultation. Eight key domains were identified: hospital safety, command, communication and cooperation system, disaster plan, resource stockpile, staff capability, disaster training and drills, emergency services and surge capability, and recovery and adaptation. The data for this study were collected from 41 tertiary hospitals in Shandong Province in China, using a specially designed questionnaire. Factor analysis was conducted to determine the underpinning structure of the framework. It identified a four-factor structure of hospital resilience, namely, emergency medical response capability (F1), disaster management mechanisms (F2), hospital infrastructural safety (F3), and disaster resources (F4). These factors displayed good internal consistency. The overall level of hospital disaster resilience (F) was calculated using the scoring model: F = 0.615F1 + 0.202F2 + 0.103F3 + 0.080F4. This validated framework provides a new way to operationalise the concept of hospital resilience, and it is also a foundation for the further development of the measurement instrument in future studies.
医院灾害恢复力可定义为“医院在维持和提升基本医疗服务的同时，抵抗、承受并应对灾害冲击，然后恢复到原有状态或适应新状态的能力”。本文旨在提供一个可用于全面衡量医院灾害恢复力的框架。通过系统的文献综述和改良德尔菲咨询法，初步提出了一个评估医院恢复力的框架。确定了八个关键领域：医院安全、指挥、通信与合作系统、灾害预案、资源储备、人员能力、灾害培训与演练、应急服务与扩容能力以及恢复与适应。本研究的数据采用专门设计的问卷，从中国山东省的41家三级医院收集。进行因子分析以确定该框架的基础结构。它确定了医院恢复力的四因素结构，即应急医疗响应能力（F1）、灾害管理机制（F2）、医院基础设施安全（F3）和灾害资源（F4）。这些因素显示出良好的内部一致性。使用评分模型计算医院灾害恢复力的总体水平（F）：F = 0.615F1 + 0.202F2 + 0.103F3 + 0.080F4。这个经过验证的框架为实施医院恢复力概念提供了一种新方法，也是未来研究中进一步开发测量工具的基础。
