Bazyar Jafar, Pourvakhshoori Negar, Safarpour Hamid, Farrokhi Mehrdad, Khankeh Hamid Reza, Daliri Salman, Rajabi Elham, Delshad Vahid, Sayehmiri Kourosh
Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2020 May;49(5):837-850.
Disasters are increasing all over the world. Iran, is one of the high-risk countries in this regard; so it is unavoidable to prepare hospitals as vital centers when disasters happen. This study aimed to evaluation the hospital preparedness based on previous studies in Iran.
A systematic review and meta-analysis by browsing through all articles published since 2006 to 2017, in English and Persian both languages were designed. Databases that we searched to, include Google Scholar, PubMed, Web of Science, Scopus, Medlib, Cochrane Library, Science Direct, Internationally and SID, Irandoc and Magiran, domestically. Two expert researchers investigated separately. Researchers used random and fixed effect models in the meta-analysis. Moreover, random and fixed effects model and meta-regression tests were applied by using STATA ver. 11. The <0.05 was considered statistically significant.
Twenty-five studies with a sample size of 181 hospitals were introduced to the process of meta-analysis. Iranian hospital preparedness is 53%, totally, that is moderate. Preparedness in different categories is as follows: emergency services 62%, communication 57%, security 54%, education 57%, logistic 65%, human resources 52%, Management and command 64%, reception 43%, transfer and evacuation 44%, traffic 47%, non-structural safety 57%, and structural safety 49%.
Hospital preparedness is moderate in Iran. Optimal management of existing resources and the use of Update technologies in the field of hospital services be directed towards improving the preparedness of hospitals for disasters.
世界各地的灾害正在增加。伊朗是这方面的高风险国家之一；因此，在灾害发生时将医院作为关键中心进行准备是不可避免的。本研究旨在根据伊朗以往的研究评估医院的准备情况。
设计了一项系统综述和荟萃分析，通过浏览2006年至2017年以来发表的所有英文和波斯文文章。我们搜索的数据库包括谷歌学术、PubMed、科学网、Scopus、Medlib、考克兰图书馆、科学Direct、国际数据库以及国内的SID、伊朗文献数据库和Magiran。两名专家研究员分别进行调查。研究人员在荟萃分析中使用了随机和固定效应模型。此外，使用STATA ver. 11应用随机和固定效应模型以及荟萃回归检验。P<0.05被认为具有统计学意义。
25项样本量为181家医院的研究被纳入荟萃分析过程。伊朗医院的总体准备率为53%，处于中等水平。不同类别的准备情况如下：应急服务62%、通信57%、安全54%、教育57%、后勤65%、人力资源52%、管理与指挥64%、接待43%、转运与疏散44%、交通47%、非结构安全57%、结构安全49%。
伊朗医院的准备情况处于中等水平。应对现有资源进行优化管理，并在医院服务领域采用更新技术，以提高医院应对灾害的准备水平。
