Third Faculty of Medicine, Charles University, Prague, Czechia.
Department of Public Health, Third Faculty of Medicine, Charles University, Prague, Czechia.
Int J Public Health. 2023 Dec 14;68:1606398. doi: 10.3389/ijph.2023.1606398. eCollection 2023.
The COVID-19 pandemic exposed the inadequacy of pandemic preparedness mechanisms worldwide. This study gathered comprehensive data from Czech hospitals, identified possible weaknesses in important areas of crisis preparedness, and quantified changes performed to enhance crisis resilience of healthcare facilities. Drawing on literature review on pandemic preparedness and hospital crisis management and detailed interviews with hospital representatives, a questionnaire was designed and distributed by email among quality managers of all Czech hospitals. Statistical analysis of their responses was conducted using EZR software. Fisher's exact test and Kruskal-Wallis test, with testing, were used to assess statistical significance. Achieving response rate of 31.9%, responses from 65 hospitals were analysed. New crisis management policies were necessary in 72.3% of responding hospitals. Furthermore, a majority of the respondents changes indicated the need for changes in policies on general pandemic, human resources and infrastructure and material preparedness. The COVID-19 crisis required significant alterations to previously established hospital crisis management protocols and establishment of new ones. The absence of a unified system for crisis preparedness was noted at hospital and national levels.
新冠疫情暴露了全球大流行防范机制的不足。本研究从捷克医院收集了全面的数据，确定了危机防范重要领域可能存在的弱点，并量化了为增强医疗机构应对危机的韧性而进行的变革。通过对大流行防范和医院危机管理的文献综述，以及对医院代表的详细访谈，设计了一份问卷，并通过电子邮件分发给所有捷克医院的质量经理。使用 EZR 软件对他们的回答进行了统计分析。使用 Fisher 确切检验和 Kruskal-Wallis 检验， 检验，评估统计显著性。通过实现 31.9%的回复率，分析了来自 65 家医院的回复。在 72.3%的有回应的医院中，需要制定新的危机管理政策。此外，大多数受访者的变革表明，需要对一般大流行、人力资源和基础设施以及物资准备方面的政策进行变革。新冠疫情危机要求对先前建立的医院危机管理协议进行重大修改，并建立新的协议。在医院和国家层面都注意到缺乏统一的危机防范系统。
