Singh Sukhbir, Govindagoudar Manjunath B, Chaudhry Dhruva, Singh Pawan Kumar, Vashist Aarushi, Vashist Madan Gopal
Department of Hospital Administration, Pt. B. D. Sharma Post-Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Department of Pulmonary and Critical Care Medicine, Pt. B. D. Sharma Post-Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
J Family Med Prim Care. 2021 Jul;10(7):2619-2624. doi: 10.4103/jfmpc.jfmpc_2455_20. Epub 2021 Jul 30.
Hospitals are at the forefront of dealing infectious public health emergencies. Recently, COVID-19 has been declared as pandemic by the World Health Organization. Dealing with COVID-19 pandemic requires high intensity of administrative activity.
We conducted this study to assess and compare, objectively, hospital preparedness with available Centre of Disease Control and Prevention (CDC) standards.
CDC has issued checklist for the assessment of hospital preparedness for COVID-19 pandemic, globally. This list contains 10 elements with sub-sections. We objectified the same and scored the hospital preparations accordingly. Various financial efforts made by the hospital to procure COVID19-specified items was also recorded.
As per the CDC checklist, the hospital scored 197 points (72.06%) out of 270 points with highest points in element two and eight. Element two is for the development for written COVID-19 plan. Element eight consists of addressing the occupational health of healthcare workers. Lowest scoring was in the element seven represented visitor access and movement within facility. During the study period, the hospital procured items of approximately 55 lakhs. In the study period, doctors, nursing staff, housekeeping staff, and security staff were channelized for doing COVID-19 duties.
We obtained a score above 70% (good) which is quite encouraging, and we concluded that pandemic preparations in hospitals are necessary and it can be assessed objectively against prevailing standards. It is important in poor countries like India where spending on healthcare is minimal compared to other countries. Additionally, this assessment can be used to guide us further changes in policies and identifying the gaps in pandemic preparedness in hospitals which require special attention.
医院处于应对传染性公共卫生紧急事件的前沿。最近，世界卫生组织已宣布新冠病毒病为大流行病。应对新冠病毒病大流行需要高强度的管理活动。
我们开展本研究以客观评估和比较医院的准备情况与疾病控制和预防中心（CDC）的现有标准。
CDC已发布用于全球评估医院应对新冠病毒病大流行准备情况的清单。该清单包含10个要素及子部分。我们将其客观化并据此对医院的准备情况进行评分。还记录了医院为采购新冠病毒病特定物品所做的各种资金投入。
根据CDC清单，该医院在270分中得197分（72.06%），在要素二和要素八得分最高。要素二是关于制定新冠病毒病书面计划。要素八包括解决医护人员的职业健康问题。得分最低的是要素七，涉及访客进入设施及在设施内的活动。在研究期间，医院采购物品花费约550万卢比。在研究期间，医生、护士、保洁人员和安保人员被安排执行新冠病毒病相关职责。
我们获得了高于70%（良好）的分数，这相当令人鼓舞，并且我们得出结论，医院进行大流行准备是必要的，并且可以根据现行标准进行客观评估。在像印度这样与其他国家相比医疗保健支出极少的贫穷国家，这一点很重要。此外，这种评估可用于指导我们进一步的政策变革，并识别医院大流行准备方面需要特别关注的差距。
