Effective indicators of hospital resilience in epidemic conditions

R Jafari Nodoushan; M Zarezadeh; F Shamsi; A Ahmadiyazdi; E Karimi

doi:10.18502/tkj.v13i4.9144

R Jafari Nodoushan Department of Health, Safety and Environment Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
M Zarezadeh Health Policy and Management Research Center, Department of Health Care Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
F Shamsi Center for Healthcare Data Modeling, Department of Biostatistics and Epidemiology, School of public Health,Shahid Sadoughi University of Medical Sciences, Yazd, Iran
A Ahmadiyazdi Industrial Engineering Department, Faculty of Engineering, Yazd University, Yazd, Iran
E Karimi MSc Student of Health, Safety and Environment Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI: https://doi.org/10.18502/tkj.v13i4.9144

Keywords: Hospital, Resilience, Epidemic disease

Abstract

Introduction: The concept of hospital resilience means "the ability of a hospital to withstand, absorb and respond to catastrophic shocks ."Humans have been plagued by a variety of disasters throughout their lives, including emerging diseases, and have suffered irreparable loss. Hospitals play a key role in crisis management and control of epidemics, and therefore the hospitals readiness to continue medical services in crises is of particular importance. Therefore, the present study was conducted with the aim of obtaining effective indicators on hospital resilience in epidemic conditions.

Materials and Methods: A qualitative study was conducted to identify the indicators. The main method of data collection was semi-structured interviews with experts and also review of extensive texts. Finally, using qualitative content analysis method and with the help of MAXQDA software, the main dimensions, indicators and below Indicators were extracted.

Results: According to the results, the main dimensions included: 3 dimensions (management and leadership, readiness and adaptability capacity ) and the main indicators include 11 indicators (manpower management, support services management, disease management, cohesion and structuring, redundancy, knowledge management, Organizational culture, service delivery, infection prevention and control, environmental health, recovery). The number of sub-main indicators is also 43.

Conclusion: In order to improve resilience, hospitals can focus on the identified indicators and monitor and improve them. Correction and improvement of effective indicators will lead to the promotion of resilience and effective management and control of pandemic crises in hospitals.