利马 (秘鲁) 国家医院的灾难准备和医院安全
Roxana Obando Zegarra1, Janet Mercedes Arévalo-Ipanaqué2, Ruth América Aliaga Sánchez3
1Hospital Daniel Alcides Carrión, Lima, Perú; Peruvian University Cayetano Heredia, Lima, Peru.
Prehospital and disaster medicine
|August 10, 2023
概括
利马利马利马利马利马利马利马利
科学领域:
- 减少医疗保健基础设施的灾害风险.
- 公共卫生准备和反应
- 医院的结构和功能脆弱性评估评估
背景情况:
- 秘鲁的医院面临重大灾害风险,包括地震和流行病.
- 利马的医院基础设施差异很大,增加了地震的脆弱性.
- 每天高的患者需求使医院的容量受到压力,特别是在紧急情况下.
研究的目的:
- 评估秘鲁利马公共医院的医院安全指数 (HSI).
- 确定医疗保健机构在自然灾害时的脆弱性.
- 在易发生灾害的城市地区,为改善医院抵御能力的战略提供信息.
主要方法:
- 在18个国家管理的利马医院进行了横截面观察研究.
- 利用泛美卫生组织 (PAHO) 医院安全指数指标 (第1版).
- 统计分析包括了基平方测试,其置信度为95% (显著性为P < .05).
主要成果:
- 平均床位占用率为90%,医院平均70年.
- 观察到一个低的床对居民的比例为1:25,126.
- 平均HSI得分为0.36,表明显著的脆弱性 (0.63),与医院特征没有相关性.
结论:
- 大多数利马的医院是地震和灾害安全的C类;只有一个是A类.
- 迫切需要澄清安全状况并解决特定的机构缺陷.
- 需要量身定制的干预措施来提高利马的医院安全和防灾准备.
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