Exploring hospital resilience protective or risk factors

Lessons for future disaster response efforts

Datos Bibliográficos

ID22077308
AutoresWenwen Shi (0000-0002-9129-3093, Second Military Medical University), Rujie Chen (Second Military Medical University), Kuan Wang (0000-0001-7829-5476, Second Military Medical University), Yixin Wang (0009-0000-1209-5981, Second Military Medical University), Li Gui (0000-0003-2076-7658, Second Military Medical University, autor de correspondencia)
Año2024
Volumen12
Páginas1378257-1378257
Fecha de publicación2024-03-27
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1378257
PMID38601510
OpenAlexW4393229181
IdiomaEN
Citas recibidas1
Referencias citadas24

Background: Hospital resilience is essential in responding to disasters, but current research focuses mainly on frameworks and models rather than the protection of resilience and analysis of risk factors during public health emergencies. This study aims to examine the development of resilience in Chinese frontline hospitals during the initial COVID-19 outbreak in 2020, providing insights for future disaster response efforts. Objectives: We conducted interviews with 26 hospital staff members who were involved in the initial response to the COVID-19 outbreak in China. We used a semi-structured interview approach and employed purposive sampling and snowball sampling techniques. The interview outline was guided by the 'Action Framework' proposed by the World Health Organization (WHO) for responding to infectious disease emergencies. This framework includes dimensions such as command, surveillance, risk communication, medical response, and public health response. We analyzed the collected data using Colaizzi's seven-step data analysis method and the template analysis method. Results: WHO's 'action framework' effectively highlights the factors that contribute to hospital resilience. While medical response, including the availability of materials and facilities, the use of information technology, and the capacity for infectious disease diagnosis and treatment, remains crucial, other important aspects include awareness and beliefs about infections, treatment experience, interdisciplinary collaboration, and more. Additionally, it is essential to establish an intelligent command system, foster trusting partnerships between teams, improve monitoring capabilities for infectious disease agents, enhance risk communication through information synchronization and transparency, strengthen infection control planning, and improve environmental disinfection capabilities for effective public health emergency response. These contradictions significantly impact the enhancement of hospital resilience in dealing with major infectious disease outbreaks. Conclusion: In responding to sudden major infectious diseases, hospitals play a vital role within the healthcare system. Enhancing hospital resilience involves more than just improving treatment capabilities. It also requires effective command coordination at the hospital level, infection control planning, and the deployment of intelligent equipment. Additionally, planning for effective communication and coordination between hospitals, communities, and the national healthcare system can further enhance hospital resilience

Business · Computer security · Disease · Environmental health · Medical emergency · Public health · Snowball sampling · Computer Science · Disaster Management and Resilience · Disaster Response and Management · Medicine · Nursing · Viral Infections and Outbreaks Research