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动荡时代医院的复原力:关于资源与能力的系统文献综述

Resilience of hospitals in an age of disruptions: a systematic literature review on resources and capabilities.

作者信息

Carbonara Nunzia, Pellegrino Roberta, De Luca Cristina

机构信息

Department of Mechanics Mathematics and Management, Polytechnic University of Bari, Bari, Italy.

出版信息

Health Syst (Basingstoke). 2024 Jun 27;13(3):192-228. doi: 10.1080/20476965.2024.2365144. eCollection 2024.

Abstract

Hospitals play a critical role in ensuring continuous and effective healthcare delivery, especially during crises. However, the COVID-19 pandemic exposed vulnerabilities in hospital systems, prompting a need to enhance resilience-the ability to withstand, absorb, respond to, recover from, and learn from disasters. A systematic literature review, grounded in the resource-based view, identified organizational characteristics, in terms of resources and capabilities, and their synergistic effects that bolster hospital resilience. The results demonstrate that digital technologies impact on anticipation and adaptation abilities, organizational capabilities to reorganize roles, tasks, and spaces enhance adaptability, and Inter-organizational collaborations increase the responsiveness of the hospitals. The study provides substantial theoretical and practical contributions. It expands knowledge of hospital resilience in light of recent disruptive events and promotes integration capabilities as determinants for the majority of resilience dimensions. All organisational and inter-organisational collaboration, cooperation, and coordination are deemed crucial for hospital resilience.

摘要

医院在确保持续和有效的医疗服务提供方面发挥着关键作用,尤其是在危机期间。然而,新冠疫情暴露了医院系统的脆弱性,促使人们需要增强恢复力——即承受、吸收、应对、从灾难中恢复并从中吸取教训的能力。一项基于资源基础观的系统文献综述,确定了在资源和能力方面的组织特征及其对增强医院恢复力的协同效应。结果表明,数字技术影响预期和适应能力,重组角色、任务和空间的组织能力增强适应性,组织间合作提高医院的响应能力。该研究提供了重要的理论和实践贡献。鉴于近期的颠覆性事件,它扩展了对医院恢复力的认识,并促进了整合能力作为大多数恢复力维度的决定因素。所有组织内和组织间的协作、合作与协调对于医院恢复力都至关重要。

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本文引用的文献

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Enabling Privacy-Assured Fog-Based Data Aggregation in E-Healthcare Systems.在电子医疗系统中实现基于雾计算的隐私保障数据聚合
IEEE Trans Industr Inform. 2020 May 19;17(3):1948-1957. doi: 10.1109/TII.2020.2995228. eCollection 2021 Mar.

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