Evaluation of Hospital Preparedness in Managing Disaster Impact: A Systematic Review (original) (raw)

2018, Advanced Science Letters

Background: Hospitals play a vital role in disaster stricken regions. The resilient hospitals will be able to provide essential services to affected people and it can mitigate the risk of injuries during and after disasters. The aim of this paper was to obtain the indicators required for the evaluation of hospital resilience. Methods: This systematic review was conducted in 2018. Through this systematic review, the international electronic databases were investigated for the researches published in English. The exclusion and inclusion criteria were determined to extract the hospital resilience indicators. These indicators were used in order to develop a model to keep the system performance at an acceptable level during disasters. Results: Out of 1794 researches that were published until September 2018, 89 articles and guidelines with full text were surveyed. Thirty-two articles and guidelines were then selected and analyzed to collect the indicators related to hospital disaster resilience (HDR). The domains and the indicators were extracted from these selected researches. We suggested a model including three domains and twenty seven subdomains. The three domains were constructive, infrastructural and administrative resilience. The relevant indicators were designed for each subdomain to measure the HDR. Conclusion ; Since diverse indicators affect hospital resilience, therefore, other studies should be conducted to propose some models or tools to quantify the hospital resilience in different countries and scopes with an all hazard approach.

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