Vick Dan J, Wilson Asa B, Fisher Michael, Roseamelia Carrie
Vice President of Medical Affairs, St. Vincent Evansville, Evansville, Indiana; formerly Vice President for Medical Affairs and Chief Medical Officer, Oneida Healthcare, Oneida, New York.
Associate Professor, Department of Health Care Administration, Methodist University, Fayetteville, North Carolina.
J Emerg Manag. 2018 Jul/Aug;16(4):213-227. doi: 10.5055/jem.2018.0371.
The intent of this study was to assess disaster preparedness in community hospitals across New York.
Descriptive and analytical cross-sectional survey study. The survey instrument consisted of 35 questions that examined six elements of disaster preparedness: disaster plan development, onsite surge capacity, available materials and resources, disaster education and training, disaster preparedness funding levels, and perception of disaster preparedness.
Community hospitals in New York.
Contact information was obtained for 207 of 208 community hospitals. Email invitations to participate in the survey were sent to hospital CEOs and disaster preparedness coordinators. Completed surveys were received from 80 hospitals.
Hospital responses to questions related to the six elements of disaster preparedness.
Most (87.5 percent) hospitals had experienced a disaster event during the past 5 years (2012-2016). Eighty percent had disaster plans that addressed all of six major types of disasters. Only 17.5 percent believed their disaster plans were "very sufficient" and did not require any revisions. Nearly three-quarters (73.3 percent) of hospitals could continue operations for less than a week without external resources. Less than half (49.4 percent) reported being satisfied or very satisfied with the level of funding that they received from the Hospital Preparedness Program. Most (88.8 percent) respondents felt that barriers to disaster preparedness exist for their organizations.
The results demonstrate the current level of disaster preparedness among New York hospitals. The study's approach is discussed as a model that will enable hospitals to identify focus areas for improvement and opportunities for legislation and advocacy.
本研究旨在评估纽约各社区医院的灾难准备情况。
描述性和分析性横断面调查研究。调查问卷包含35个问题，考察灾难准备的六个要素：灾难预案制定、现场应急能力、可用物资和资源、灾难教育与培训、灾难准备资金水平以及对灾难准备的认知。
纽约的社区医院。
获取了208家社区医院中207家的联系信息。向医院首席执行官和灾难准备协调员发送了参与调查的电子邮件邀请。共收到80家医院的完整调查问卷。
医院对与灾难准备六个要素相关问题的回答。
大多数（87.5%）医院在过去5年（2012 - 2016年）经历过灾难事件。80%的医院有应对所有六种主要灾难类型的灾难预案。只有17.5%的医院认为其灾难预案“非常充分”，无需任何修订。近四分之三（73.3%）的医院在没有外部资源的情况下，运营时间持续不到一周。不到一半（49.4%）的医院表示对从医院准备项目获得的资金水平感到满意或非常满意。大多数（88.8%）受访者认为其所在机构存在灾难准备方面的障碍。
研究结果显示了纽约医院当前的灾难准备水平。本文讨论了该研究方法，可作为一种模式，使医院能够确定改进重点领域以及立法和宣传的机会。
