Yamauchi K, Mizuno S, Xu Z
Department of Medical Information and Medical Records, Nagoya University Hospital, Japan.
Nagoya J Med Sci. 1996 Dec;59(3-4):121-8.
One month following the Great Hanshin Earthquake of January 17, 1995, we conducted a survey of 173 hospitals in Aichi Prefecture to pinpoint problems related to their actual disaster-readiness and the medical backup systems in place to deal with such disasters. This study revealed that staff at 50% of the surveyed hospitals could reach the hospital within an hour, but that communication is almost entirely dependent on phone lines, suggesting that cordless/portable/mobile phones, radio systems, Internet, communications satellites and the like should be studied in the days to come for possible use as effective communication alternatives in times of disaster. Whereas 92% of the surveyed hospitals had manuals dealing with fire outbreaks, other areas were less well represented. For example, only 36.9% of surveyed hospitals had manuals for earthquakes, 31.7% had manuals for power outages and 14.2% had manuals to deal with flooding and water disasters. New manuals must be developed incorporating the key points garnered from experience (especially Hanshin) and be ready for use immediately. It is the time for each hospital to seriously rethink the measures it should take to deal with disasters.
1995年1月17日阪神大地震发生一个月后，我们对爱知县的173家医院进行了一项调查，以查明与它们实际的灾害准备情况以及应对此类灾害的医疗支援系统相关的问题。这项研究表明，在接受调查的医院中，50%的医院工作人员能够在一小时内到达医院，但通信几乎完全依赖电话线，这表明在未来的日子里，应该研究无绳/便携式/移动电话、无线电系统、互联网、通信卫星等，以便在灾难发生时作为有效的通信替代手段。虽然92%的接受调查的医院有处理火灾爆发的手册，但其他领域的手册较少。例如，只有36.9%的接受调查的医院有地震手册，31.7%有停电手册，14.2%有应对洪水和水灾的手册。必须编写新的手册，纳入从经验（特别是阪神地震的经验）中获得的要点，并随时可供立即使用。现在是每家医院认真重新思考应对灾害应采取的措施的时候了。
