IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v11y2014i6p6335-6353d37209.html
   My bibliography  Save this article

Validation of a Framework for Measuring Hospital Disaster Resilience Using Factor Analysis

Author

Listed:
  • Shuang Zhong

    (Center 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
    Center for Health Management and Policy, Shandong University, Jinan, Shandong 250012, China)

  • Michele Clark

    (School of Clinical Sciences, Queensland University of Technology, Brisbane, Queensland 4059, Australia)

  • Xiang-Yu Hou

    (Center 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)

  • Yuli Zang

    (School of Nursing, Shandong University, #44 Wenhua West Road, Jinan, Shandong 250012, China)

  • Gerard FitzGerald

    (Center 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)

Abstract

Hospital disaster resilience can be defined as “the ability of hospitals to resist, absorb, and respond to the shock of disasters while maintaining and surging essential health services, and then to recover to its original state or adapt to a new one.” This article aims to provide a framework which can be used to comprehensively measure hospital disaster resilience. An evaluation framework for assessing hospital resilience was initially proposed through a systematic literature review and Modified-Delphi consultation. Eight key domains were identified: hospital safety, command, communication and cooperation system, disaster plan, resource stockpile, staff capability, disaster training and drills, emergency services and surge capability, and recovery and adaptation. The data for this study were collected from 41 tertiary hospitals in Shandong Province in China, using a specially designed questionnaire. Factor analysis was conducted to determine the underpinning structure of the framework. It identified a four-factor structure of hospital resilience, namely, emergency medical response capability (F 1 ), disaster management mechanisms (F 2 ), hospital infrastructural safety (F 3 ), and disaster resources (F 4 ). These factors displayed good internal consistency. The overall level of hospital disaster resilience (F) was calculated using the scoring model: F = 0.615F 1 + 0.202F 2 + 0.103F 3 + 0.080F 4 . This validated framework provides a new way to operationalise the concept of hospital resilience, and it is also a foundation for the further development of the measurement instrument in future studies.

Suggested Citation

  • Shuang Zhong & Michele Clark & Xiang-Yu Hou & Yuli Zang & Gerard FitzGerald, 2014. "Validation of a Framework for Measuring Hospital Disaster Resilience Using Factor Analysis," IJERPH, MDPI, vol. 11(6), pages 1-19, June.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:6:p:6335-6353:d:37209
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/11/6/6335/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/11/6/6335/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Nelson, C. & Lurie, N. & Wasserman, J. & Zakowski, S., 2007. "Conceptualizing and defining public health emergency preparedness," American Journal of Public Health, American Public Health Association, vol. 97(S1), pages 9-11.
    2. Fikret Berkes, 2007. "Understanding uncertainty and reducing vulnerability: lessons from resilience thinking," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 41(2), pages 283-295, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Noriko Sudo & Gengaku Mashiro & Shigeru Beppu & Risa Hakamata, 2019. "A Training Program to Enhance Disaster Preparedness of Group Companies in the Tokyo Metropolitan Area," IJERPH, MDPI, vol. 16(23), pages 1-20, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yongdeng Lei & Jing’ai Wang & Yaojie Yue & Hongjian Zhou & Weixia Yin, 2014. "Rethinking the relationships of vulnerability, resilience, and adaptation from a disaster risk perspective," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 70(1), pages 609-627, January.
    2. Ana Raquel Nunes, 2021. "Exploring the interactions between vulnerability, resilience and adaptation to extreme temperatures," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 109(3), pages 2261-2293, December.
    3. Busby, Joshua & Smith, Todd G. & Krishnan, Nisha & Wight, Charles & Vallejo-Gutierrez, Santiago, 2018. "In harm's way: Climate security vulnerability in Asia," World Development, Elsevier, vol. 112(C), pages 88-118.
    4. J. Park & T. P. Seager & P. S. C. Rao & M. Convertino & I. Linkov, 2013. "Integrating Risk and Resilience Approaches to Catastrophe Management in Engineering Systems," Risk Analysis, John Wiley & Sons, vol. 33(3), pages 356-367, March.
    5. Ming-Kuang Chung & Dau-Jye Lu & Bor-Wen Tsai & Kuei-Tien Chou, 2019. "Assessing Effectiveness of PPGIS on Protected Areas by Governance Quality: A Case Study of Community-Based Monitoring in Wu-Wei-Kang Wildlife Refuge, Taiwan," Sustainability, MDPI, vol. 11(15), pages 1-20, August.
    6. Yubin Lee & Byung-Woo Kim & Shin-Woo Kim & Hyunjin Son & Boyoung Park & Heeyoung Lee & Myoungsoon You & Moran Ki, 2021. "Precautionary Behavior Practices and Psychological Characteristics of COVID-19 Patients and Quarantined Persons," IJERPH, MDPI, vol. 18(11), pages 1-15, June.
    7. Florence Jacquet & A Aboul-Naga & Bernard Hubert, 2020. "The contribution of ARIMNet to address livestock systems resilience in the Mediterranean region," Post-Print hal-03625860, HAL.
    8. Liang Zhao & Gaofeng Xu & Yan Cui & Feng Kong & Huina Gao & Xia Zhou, 2023. "Post-Disaster Restoration and Reconstruction Assessment of the Jiuzhaigou Lake Landscape and a Resilience Development Pathway," IJERPH, MDPI, vol. 20(5), pages 1-18, February.
    9. Ríos-Núñez, Sandra M. & Coq-Huelva, Daniel & García-Trujillo, Roberto, 2013. "The Spanish livestock model: A coevolutionary analysis," Ecological Economics, Elsevier, vol. 93(C), pages 342-350.
    10. Kristie L. Ebi, 2011. "Resilience to the Health Risks of Extreme Weather Events in a Changing Climate in the United States," IJERPH, MDPI, vol. 8(12), pages 1-14, December.
    11. Kai Chen & Xiaoping Lin & Han Wang & Yujie Qiang & Jie Kong & Rui Huang & Haining Wang & Hui Liu, 2022. "Visualizing the Knowledge Base and Research Hotspot of Public Health Emergency Management: A Science Mapping Analysis-Based Study," Sustainability, MDPI, vol. 14(12), pages 1-23, June.
    12. Brune, Sara & Vilá, Olivia & Knollenberg, Whitney, 2023. "Family farms' resilience under the COVID-19 crisis: Challenges and opportunities with agritourism," Land Use Policy, Elsevier, vol. 134(C).
    13. Alton C. Byers & Mohan Bahadur Chand & Jonathan Lala & Milan Shrestha & Elizabeth A. Byers & Teiji Watanabe, 2020. "Reconstructing the History of Glacial Lake Outburst Floods (GLOF) in the Kanchenjunga Conservation Area, East Nepal: An Interdisciplinary Approach," Sustainability, MDPI, vol. 12(13), pages 1-27, July.
    14. Kuang-Chung Lee & Paulina G. Karimova & Shao-Yu Yan & Yee-Shien Li, 2020. "Resilience Assessment Workshops: A Biocultural Approach to Conservation Management of a Rural Landscape in Taiwan," Sustainability, MDPI, vol. 12(1), pages 1-15, January.
    15. C. Ordóñez & P. Duinker, 2015. "Climate change vulnerability assessment of the urban forest in three Canadian cities," Climatic Change, Springer, vol. 131(4), pages 531-543, August.
    16. Kathryn J. Bowen & Sharon Friel & Kristie Ebi & Colin D. Butler & Fiona Miller & Anthony J. McMichael, 2011. "Governing for a Healthy Population: Towards an Understanding of How Decision-Making Will Determine Our Global Health in a Changing Climate," IJERPH, MDPI, vol. 9(1), pages 1-18, December.
    17. Shukui Tan & Haipeng Song & Ghulam Akhmat & Javeed Hussain, 2014. "Governing Harmonious Human Engagement with the Spatial Capital," Sustainability, MDPI, vol. 6(3), pages 1-19, March.
    18. Antonio Adrián Arciénaga Morales & Janni Nielsen & Hernán Alberto Bacarini & Silvia Irene Martinelli & Sergio Takeo Kofuji & Juan Francisco García Díaz, 2018. "Technology and Innovation Management in Higher Education—Cases from Latin America and Europe," Administrative Sciences, MDPI, vol. 8(2), pages 1-34, April.
    19. Schoch-Spana, Monica & Ravi, Sanjana J. & Martin, Elena K., 2022. "Modeling epidemic recovery: An expert elicitation on issues and approaches," Social Science & Medicine, Elsevier, vol. 292(C).
    20. Elena Savoia & Foluso Agboola & Paul D. Biddinger, 2014. "A Conceptual Framework to Measure Systems’ Performance during Emergency Preparedness Exercises," IJERPH, MDPI, vol. 11(9), pages 1-11, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:11:y:2014:i:6:p:6335-6353:d:37209. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.