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 Nov/Dec;16(6):365-376. doi: 10.5055/jem.2018.0385.
This study sought to determine whether differences exist in disaster preparedness between Upstate and Downstate community hospitals in New York.
A descriptive and analytical cross-sectional survey study was conducted using a 35-element questionnaire. These questions examined six disaster preparedness components: disaster plan development, onsite surge capacity, available materials and resources, disaster education and training, disaster preparedness funding levels, and perception of disaster preparedness.
The population surveyed included community hospitals across New York.
Invitations to participate in the survey were emailed to the CEOs and disaster preparedness coordinators at 207 of the 208 community hospitals in New York. Eighty hospitals completed surveys, including 41 Upstate hospitals and 39 Downstate facilities.
Responses to questions pertaining to the six disaster preparedness elements.
There were differences in disaster preparedness between Upstate and Downstate hospitals with respect to disaster plan development, available materials and resources, and disaster education and training. No differences were identified in onsite surge capacity, disaster preparedness funding levels, or perception of disaster preparedness.
The results demonstrate the current condition of disaster preparedness in Upstate and Downstate community hospitals in New York. Differences in preparedness between hospitals in the two locations may reflect factors such as availability of resources and differing priorities with regard to threat levels. They also suggest opportunities for improvement in disaster preparedness, which may require additional government resources and advocacy organization efforts.
本研究旨在确定纽约州北部和南部社区医院在灾难准备方面是否存在差异。
采用一份包含35个问题的问卷进行描述性和分析性横断面调查研究。这些问题考察了六个灾难准备组成部分：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。
调查对象包括纽约州各地的社区医院。
向纽约州208家社区医院中的207家医院的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。80家医院完成了调查，其中包括41家北部医院和39家南部医院。
对与六个灾难准备要素相关问题的回答。
北部和南部医院在灾难预案制定、可用物资和资源以及灾难教育与培训方面的灾难准备存在差异。在现场应急能力、灾难准备资金水平或对灾难准备的认知方面未发现差异。
研究结果表明了纽约州北部和南部社区医院灾难准备的现状。两地医院在准备方面的差异可能反映了诸如资源可用性和对威胁水平的不同优先级等因素。这些结果还表明了灾难准备方面有待改进的机会，这可能需要政府提供更多资源以及倡导组织做出努力。
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