Medcalf Sharon, Roy Shreya, Bekmuratova Sarbinaz, ElRayes Wael, Sayles Harlan, Gruba Jonathon, Shope Ronald
Assistant Professor, Department of Epidemiology; Director, Center for Biosecurity, Biopreparedness, and Emerging Infectious Diseases, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska.
PhD Student/Graduate Assistant, Department of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska.
J Emerg Manag. 2020 Mar/Apr;18(2):163-169. doi: 10.5055/jem.2020.0459.
The objective of this article is to trace the hospital emergency preparedness movement in the United States, strengthen the case for hospital investments in emergency preparedness, and make recommendations to ensure sustainability of the program. Design/Approach: This article is a narrative review. Main themes from the literature about the US Hospital Preparedness Program (HPP) are discussed, beginning with the trends in funding levels of the HPP, the rise of regional healthcare coalitions, preparedness performance measures, and the challenges faced over the past 15 years of HPP activities. Finally, recommendations are made about ways to sustain the program.
The HPP was established in 2002 and funding for the program has seen a 56 percent decrease over the last 16 years. Beyond the initial investment in supplies and equipment, hospitals have received very little of the healthcare preparedness funding. Disaster drills and exercises to test emergency plans in hospitals are perceived as a costly distraction from daily work. The biggest challenge is the lack of engagement and support from hospital leadership.
To ensure the sustainability of the HPP, the positive impact of preparedness activities on the hospital's day-to-day operations must be demonstrated.
本文旨在追溯美国医院应急准备工作的发展历程，强化医院对应急准备工作进行投资的理由，并提出确保该项目可持续性的建议。设计/方法：本文是一篇叙述性综述。文中讨论了有关美国医院应急准备项目（HPP）的文献中的主要主题，从HPP的资金水平趋势、区域医疗联盟的兴起、应急准备绩效指标以及HPP过去15年活动中面临的挑战开始。最后，针对维持该项目的方法提出了建议。
HPP于2002年设立，在过去16年里该项目的资金减少了56%。除了对物资和设备的初始投资外，医院获得的医疗应急准备资金非常少。医院用于测试应急预案的灾难演练被视为日常工作中代价高昂的干扰因素。最大的挑战是缺乏医院领导层的参与和支持。
为确保HPP的可持续性，必须证明应急准备活动对医院日常运营的积极影响。
