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Published on: September 16, 2022
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Validation of a framework for measuring hospital disaster resilience using factor analysis.
Shuang Zhong1, Michele Clark2, Xiang-Yu Hou3
1Center for Emergency and Disaster Management, School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland 4059, Australia. amigo-008@163.com.
Summary
This study developed a validated framework to measure hospital disaster resilience, identifying four key factors: emergency response, management mechanisms, infrastructural safety, and resources. This framework operationalizes resilience assessment for hospitals.
Area of Science:
- Healthcare Management
- Public Health
- Disaster Medicine
Background:
- Hospital disaster resilience is crucial for maintaining essential health services during emergencies.
- Existing methods for assessing hospital resilience are limited in comprehensiveness.
- A standardized framework is needed to effectively measure and improve hospital preparedness.
Purpose of the Study:
- To develop and validate a comprehensive framework for measuring hospital disaster resilience.
- To identify key domains and factors contributing to a hospital's ability to withstand and recover from disasters.
- To provide a quantitative tool for assessing hospital resilience levels.
Main Methods:
- Systematic literature review and Modified-Delphi consultation to propose an initial framework.
- Data collection from 41 tertiary hospitals in Shandong Province, China, using a specialized questionnaire.
- Factor analysis to determine the underlying structure of hospital disaster resilience.
Main Results:
- Identified eight key domains of hospital disaster resilience.
- Factor analysis revealed a four-factor structure: emergency medical response capability, disaster management mechanisms, hospital infrastructural safety, and disaster resources.
- Developed a scoring model (F = 0.615F1 + 0.202F2 + 0.103F3 + 0.080F4) for overall resilience assessment.
- The identified factors demonstrated good internal consistency.
Conclusions:
- The validated framework provides an operational approach to measuring hospital disaster resilience.
- This research lays the groundwork for developing advanced measurement instruments for hospital preparedness.
- The findings can guide hospitals in enhancing their resilience capabilities through targeted interventions.
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