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How Prepared Are Hospitals’ Emergency Management Capacity? Factors Influencing Efficiency of Disaster Rescue

Published online by Cambridge University Press:  18 May 2016

Lijun Gao ,
Qunhong Wu ,
Ye Li ,
Ding Ding ,
Yanhua Hao ,
Yu Cui ,
Zheng Kang ,
Mingli Jiao ,
Libo Liang  and
Adamm Ferrier
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Lijun Gao
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Qunhong Wu*
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Ye Li
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Ding Ding
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Yanhua Hao
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Yu Cui
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Zheng Kang
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Mingli Jiao
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Libo Liang
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Adamm Ferrier
Affiliation:
School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
Ning Ning*
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
Hong Sun
Affiliation:
School of Health Management, Harbin Medical University, Heilongjiang, China Collaborative Innovation Centre of Social Risks Governance in Health, Sub-center, Harbin Medical University, Heilongjiang, China
*
Correspondence and reprint requests to Qunhong Wu, MD, School of Health Management, Harbin Medical University. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China. Fax: 86-0451-87502853. Telephone number: 86-0451-87502851 (e-mail: wuqunhong@163.com).
Correspondence and reprint requests to Ning Ning, MD, School of Health Management, Harbin Medical University. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China (e-mail: ningninghyd@163.com).
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Abstract

Objectives

In light of government investment over the past decade, we explored the capacity for disaster response in Heilongjiang Province, identifying the factors that affect response capacity.

Methods

We surveyed 1257 medical staff in 65 secondary and tertiary hospitals in Heilongjiang province to explore their perceptions of disaster management capacity using a cross-sectional multistage, stratified cluster sampling method.

Results

All tertiary hospitals (100%) and most secondary hospitals (93%) have documented disaster management plans that are regularly reviewed. In secondary hospitals, drills were less prevalent (76.7%) but the occurrence of simulated training exercises was closer to tertiary hospitals (86.0%). We noted that 95.4% of all hospitals have leadership groups responsible for disaster preparedness capacity building, but only 10.8% have a stockpiled network of reserve supplies.

Conclusions

Although response capacity has improved in Heilongjiang Province, vulnerabilities remain. We recommend that priorities should be targeted at preparedness capacity building, in terms of reliable and relevant operational response plans, the expansion of existing response mechanisms to oversee local education and scenario training, and to ensure there is sufficient access to protective equipment and materials, either held in reserve, or alternatively by activating resilient supply chain mechanisms. (Disaster Med Public Health Preparedness. 2018;12:176–183)

Keywords

emergency preparednessmedical rescuehospital
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 2 , April 2018 , pp. 176 - 183
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2016 

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Footnotes

†

Authors contributed equally to the first author.

*

Authors’ contributions have been corrected since original publication. An erratum notice detailing this change was also published (DOI: 10.1017/dmp.2016.137).

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