Ahmadi Batol, Foroushani Abbas Rahimi, Tanha Narjes, Abad Amjad Mohamadi Bolban, Asadi Heshmatollah
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Electron Physician. 2016 Nov 25;8(11):3198-3204. doi: 10.19082/3198. eCollection 2016 Nov.
At the time of disasters, hospitals are considered as one of the most important facilities which should provide emergency services continuously. The purpose of this study was to determine the functional vulnerability of Tehran hospitals in dealing with natural disasters.
This cross-sectional study was conducted in educational hospitals of Tehran University of Medical Science (TUMS), in 2013. Of all 26 hospitals, 12 hospitals were selected through single-stage cluster sampling, including six general (Shariati, Amiralam, Sina, Imam, Hazrat Rasoul, Baharlou) and six specialized (Bahrami, Hazrat-e Aliasghar, Shahid rajaie, Roozbeh, Moheb yas, Children Medical Center) hospitals. Data were collected using World Health Organization (WHO) checklist for functional indicators of safe hospitals, recommended for countries with similar climates. Data were collected through interviews with members of hospital crisis committees and direct observations. Data analysis was carried out using SPSS version 18 using descriptive statistics and Fisher's exact test.
Fifty percent of hospitals in the study, in terms of functional vulnerability status, were in satisfactory condition with low level of vulnerability, 41.7% were in the moderate level and 8.3% were in a non-satisfactory condition with high levels of vulnerability. The results of Fisher's exact test showed that there wasn't a significant correlation between functional vulnerability and hospitals lifespan (p=0.99) and type of specialty (p=0.99).
As this study, assesses hospitals' main weaknesses in terms of procedures, strategies, plans, human resources, monitoring and evaluation, it is essential that each of these areas be reviewed by hospital managers separately, in order to take significant actions to eliminate their weaknesses.
在灾难发生时，医院被视为应持续提供紧急服务的最重要设施之一。本研究的目的是确定德黑兰医院在应对自然灾害时的功能脆弱性。
这项横断面研究于2013年在德黑兰医科大学（TUMS）的教学医院进行。在所有26家医院中，通过单阶段整群抽样选取了12家医院，包括6家综合医院（沙里亚蒂医院、阿米拉勒姆医院、西纳医院、伊玛目医院、哈兹拉特·拉苏勒医院、巴赫拉卢医院）和6家专科医院（巴赫拉米医院、阿利亚斯加尔烈士医院、拉贾伊烈士医院、鲁兹贝赫医院、莫赫布·亚斯医院、儿童医学中心）。使用世界卫生组织（WHO）为气候相似国家推荐的安全医院功能指标清单收集数据。通过与医院危机委员会成员进行访谈和直接观察来收集数据。使用SPSS 18版进行数据分析，采用描述性统计和费舍尔精确检验。
就功能脆弱性状况而言，研究中的医院有50%处于脆弱性低水平的满意状态，41.7%处于中等水平，8.3%处于脆弱性高水平的不满意状态。费舍尔精确检验结果表明，功能脆弱性与医院寿命（p = 0.99）和专科类型（p = 0.99）之间无显著相关性。
由于本研究评估了医院在程序、策略、计划、人力资源、监测和评估方面的主要弱点，医院管理者必须分别对这些领域进行审查，以便采取重大行动消除其弱点。
