Health Secur. 2017 Jan/Feb;15(1):97-103. doi: 10.1089/hs.2016.0056.
In 2015, in order to assess the preparedness of Japan's special hospitals that have been designated to admit and treat patients with highly infectious diseases, we conducted a cross-sectional study of all 47 hospitals with this designation, using a self-report questionnaire that addressed 5 issues: (1) hospital characteristics and the occupation of the respondents; (2) the availability and content of the hospital guidelines for managing patients with suspected or confirmed viral hemorrhagic fever; (3) the implementation of preparedness activities in the context of the recent Ebola crisis; (4) characteristics of admission rooms for patients; and (5) human resources and occupational issues. Although our study found that most of Japan's designated hospitals were well-equipped, several areas of concern were also identified, including the lack of an effective clinical protocol, problems with management of human resources, and occupational issues. Developing a more feasible response protocol to any possible outbreak of new or reemergent infectious diseases is essential not only for Japan but for the global community in view of the threat posed by highly infectious diseases.
2015 年，为了评估日本指定的专门医院在收治和治疗高度传染性疾病患者方面的准备情况，我们对所有 47 家指定医院进行了一项横断面研究，使用自我报告问卷来调查以下 5 个问题：（1）医院特征和受访者的职业；（2）疑似或确诊病毒性出血热患者管理医院指南的可用性和内容；（3）在最近的埃博拉危机背景下开展的准备活动；（4）患者收治病房的特征；以及（5）人力资源和职业问题。尽管我们的研究发现，日本大多数指定医院的设备都很齐全，但也发现了一些令人关注的问题，包括缺乏有效的临床方案、人力资源管理方面的问题以及职业问题。鉴于高度传染性疾病带来的威胁，制定一个更可行的针对任何新出现或再现的传染病暴发的应对方案不仅对日本，而且对全球社会都至关重要。
