Abstract
BackgroundHospitals play a vital role in disaster stricken regions. The resilient hospitals will be able to provide essential services to affected people and it can mitigate the risk of injuries during and after disasters. This study aimed to obtain the indicators required for the evaluation of hospital resilience.MethodsThis systematic review was conducted in 2018. Through this systematic review, international electronic databases were investigated for the research studies published in English. The exclusion and inclusion criteria were determined to extract the hospital resilience indicators. These indicators will be used in order to develop a model to keep the system performance at an acceptable level during disasters.ResultsOut of 1794 research studies published until September 2018, 89 articles and guidelines with full text were surveyed. Thirty-two articles and guidelines were then selected and analyzed to collect the indicators related to hospital disaster resilience (HDR). The domains and the indicators were extracted from these selected research studies. The authors collected and categorized them into three domains and twenty seven subdomains. The three domains included constructive, infrastructural, and administrative resilience. The relevant indicators were designed for each subdomain to assess HDR.ConclusionSince diverse indicators affect hospital resilience, other studies should be conducted to propose some models or tools to quantify the hospital resilience in different countries and scopes with an all hazards approach.
Highlights
Hospitals play a vital role in disaster stricken regions
The experts mainly were from scientific institutions and organizations which were involved in disaster risk reduction and disaster management and had some academic papers and systematic review articles in this field
The initial search resulted in identification of 1794 potentially relevant documents from the four international databases (PubMed, Scopus, Web of Sciences and Google scholar), 612 literatures were duplicated and removed
Summary
The resilient hospitals will be able to provide essential services to affected people and it can mitigate the risk of injuries during and after disasters. Natural and human made disasters impose different range of damages, injuries and death to affected communities [1]. These can disrupt infrastructures and facilities, such as hospitals, schools, transportation systems, and emergency services. When these disasters occur, damages can be related to physical components, such as building structure, construction materials, and non-structural systems like medical equipment, lifelines, and architectural features. It is important to encourage researchers, engineers and decision makers to develop ways to improve the resilience of healthcare facilities [14, 15]
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