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

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  • 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
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    References listed on IDEAS

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    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.
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    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.

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