A Longitudinal Study of Hospital Safety From Disasters in Kermanshah Province, Iran: Insights for Disaster Risk Reduction

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Disaster Medicine and Public Health Preparedness Pub Date : 2024-04-29 DOI:10.1017/dmp.2024.67

Vahid Ghanbari, Yaghob Hidari, Nader Salari, Joseph Kimuli Balikuddembe, Ehsan Rahimi, Leili Rostamnia

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Abstract

Objective: The Hospital Safety Index (HSI) developed by the World Health Organization (WHO) was adopted by most countries to evaluate the safety of hospitals against disasters. This study aimed to assess the status of hospital safety from disasters between 2016 and 2022 in Kermanshah province in Iran. Methods: This is a retrospective longitudinal study which investigated HSI data from 23 hospitals. Data were gathered by Farsi Hospital Safety Index (FHSI) and analyzed with a repeated measures analysis of variance (ANOVA). Results: The risk of hydro-meteorological (from 43.1 to 32.7) and biological hazards (51.3 to 35.5) significantly decreased. Although structural safety remained constant (from 67.8 to 70.1), nonstructural (from 51.5 to 71.2), and functional (from 47.1 to 71.2) safety scores increased significantly over study period. Conclusions: The findings revealed hospitals safety in Kermanshah province gradually improved. However, the health-care stakeholders should pay the necessary attention to improving the structural safety of hospitals.

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伊朗克尔曼沙阿省医院防灾安全纵向研究：减少灾害风险的启示

目的：世界卫生组织（WHO）制定的医院安全指数（Hospital Safety Index，HSI）被大多数国家采用来评估医院的防灾安全。本研究旨在评估 2016 年至 2022 年期间伊朗克尔曼沙阿省医院的抗灾安全状况。研究方法这是一项回顾性纵向研究，调查了 23 家医院的 HSI 数据。数据通过法西医院安全指数（FHSI）收集，并采用重复测量方差分析（ANOVA）进行分析。研究结果水文气象（从 43.1 降至 32.7）和生物危害（从 51.3 降至 35.5）的风险显著降低。虽然结构性安全保持不变（从 67.8 到 70.1），但非结构性（从 51.5 到 71.2）和功能性（从 47.1 到 71.2）安全得分在研究期间大幅上升。结论研究结果表明，克尔曼沙阿省的医院安全状况逐步改善。然而，医疗保健相关方应对改善医院的结构安全给予必要的关注。

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来源期刊

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.