Sharififar Simintaj, Jahangiri Katayoun, Zareiyan Armin, Khoshvaghti Amir
Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Nursing, Aja University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2020 Mar 16;34:21. doi: 10.34171/mjiri.34.21. eCollection 2020.
The fatal pandemics of infectious diseases and the possibility of using microorganisms as biological weapons are both rising worldwide. Hospitals are vital organizations in response to biological disasters and have a crucial role in the treatment of patients. Despite the advances in studies about hospital planning and performance during crises, there are no internationally accepted standards for hospital preparedness and disaster response. Thus, this study was designed to explain the effective factors in hospital performance during biological disasters. Qualitative content analysis with conventional approach was used in the present study. The setting was Ministry of Health and related hospitals, and other relevant ministries responsible at the time of biologic events in Islamic Republic of Iran (IR of Iran) in 2018. Participants were experts, experienced individuals providing service in the field of biological disaster planning and response, policymakers in the Ministry of Health, and other related organizations and authorities responsible for the accreditation of hospitals in IR of Iran. Data were collected using 12 semi-structured interviews in Persian language. Analysis was performed according to Graneheim method. After analyzing 12 interviews, extraction resulted in 76 common codes, 28 subcategories, and 8 categories, which are as follow: detection; treatment and infection control; coordination, Resources; training and exercises; communication and information system; construction; and planning and assessment. Hospital management in outbreaks of infectious diseases (intentional or unintentional) is complex and requires different actions than during natural disasters. In such disasters, readiness to respond and appropriate action is a multifaceted operation. In IR of Iran, there have been few researches in the field of hospital preparation in biologic events, and the possibility of standardized assessment has be reduced due to lack of key skills in confronting biological events. It is hoped that the aggregated factors in the 8 groups of this study can evaluate hospital performance more coherently.
全球范围内，致命传染病大流行以及将微生物用作生物武器的可能性都在增加。医院是应对生物灾害的重要机构，在患者治疗中发挥着关键作用。尽管在危机期间医院规划和绩效研究方面取得了进展，但尚无国际公认的医院应急准备和灾害应对标准。因此，本研究旨在解释生物灾害期间影响医院绩效的有效因素。本研究采用传统方法进行定性内容分析。研究背景为伊朗伊斯兰共和国（伊朗）卫生部及相关医院，以及2018年生物事件发生时负责的其他相关部委。参与者包括专家、在生物灾害规划和应对领域提供服务的经验丰富人员、卫生部政策制定者以及伊朗负责医院认证的其他相关组织和当局。数据通过12次波斯语半结构化访谈收集。分析按照格兰海姆方法进行。在分析12次访谈后，提取出76个共同代码、28个子类别和8个类别，具体如下：检测；治疗与感染控制；协调、资源；培训与演练；通信与信息系统；建设；以及规划与评估。传染病爆发（有意或无意）期间的医院管理很复杂，需要采取与自然灾害期间不同的行动。在这类灾害中，应对准备和适当行动是一项多方面的工作。在伊朗，生物事件医院准备领域的研究很少，由于缺乏应对生物事件的关键技能，标准化评估的可能性降低。希望本研究8组中的综合因素能够更连贯地评估医院绩效。
