Barabadi Abbas, Ghiasi Mohammad Hossein, Nouri Qarahasanlou Ali, Mottahedi Adel
UiT The Arctic University of Norway, Department of Technology and Safety, Tromsø, Norway.
Iran Alumina Company, Jajarm Alumina Complex, Jajarm, Iran.
Arch Bone Jt Surg. 2020 Apr;8(Suppl 1):262-269. doi: 10.22038/abjs.2020.47817.2360.
Large-scale events such as COVID-19 show that there are situations that can lead to huge stress on health infrastructure systems (HIS). The pandemic reveals that it is very difficult to protect HIS from all kinds of possible hazards. They can be unpredictable and spread rapidly; hence, it is hard to find an effective mitigation strategy to completely protect society and its important HIS.
An often raised central question is what we should do if we cannot protect HIS from these types of hazards. To answer this question, the focus should move from HIS protection to HIS resilience. Therefore, in this paper, the Critical Infrastructure Resilience Index (CIRI) is used to estimate the resilience of health infrastructure systems.
The results of the case study show that HIS resilience was enhanced significantly after the implementation of measures. The results indicate that among the resilience phases the learning phase of resilience is the weakest part. This requires a root cause analysis, which should be prioritized by HIS managers and stakeholders.
This paper discusses how the resilience concept will help decision- and policy-makers to have a clear view of HIS performance before, during, and after the disaster. An easy-to-use and applicable methodology for HIS assessment and evaluation was employed. It can be concluded that resilience and its identified phases can help HIS managers to allocate available resources accordingly in the phases during and post-crisis.
诸如新冠疫情这样的大规模事件表明，存在一些会给卫生基础设施系统（HIS）带来巨大压力的情况。这场大流行揭示出，保护卫生基础设施系统免受各种可能危害非常困难。这些危害可能不可预测且传播迅速；因此，很难找到一种有效的缓解策略来全面保护社会及其重要的卫生基础设施系统。
一个经常被提出的核心问题是，如果我们无法保护卫生基础设施系统免受这类危害，我们该怎么做。为了回答这个问题，重点应从卫生基础设施系统保护转向其恢复力。因此，在本文中，关键基础设施恢复力指数（CIRI）被用于评估卫生基础设施系统的恢复力。
案例研究结果表明，实施措施后卫生基础设施系统的恢复力显著增强。结果表明，在恢复力各阶段中，恢复力的学习阶段是最薄弱的部分。这需要进行根本原因分析，卫生基础设施系统管理者和利益相关者应将其作为优先事项。
本文讨论了恢复力概念将如何帮助决策者和政策制定者在灾难发生前、期间和之后清楚了解卫生基础设施系统的表现。采用了一种易于使用且适用的卫生基础设施系统评估方法。可以得出结论，恢复力及其确定的阶段可以帮助卫生基础设施系统管理者在危机期间和危机后各阶段相应地分配可用资源。
