Validation of a framework for measuring hospital disaster resilience using factor analysis

Zhong, Shuang, Clark, Michele, Hou, Xiang-Yu, Zang, Yuli, & FitzGerald, Gerry (2014) Validation of a framework for measuring hospital disaster resilience using factor analysis. International Journal of Environmental Research and Public Health, 11(6), pp. 6335-6353.

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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 (F1), disaster management mechanisms (F2), hospital infrastructural safety (F3), and disaster resources (F4). These factors displayed good internal consistency. The overall level of hospital disaster resilience (F) was calculated using the scoring model: F = 0.615F1 + 0.202F2 + 0.103F3 + 0.080F4. 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.

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ID Code: 72919
Item Type: Journal Article
Refereed: Yes
Keywords: disaster, hospital resilience, preparedness, factor analysis, evaluation framework
DOI: 10.3390/ijerph110606335
ISSN: 1660-4601
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > Schools > School of Clinical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: 2014 by the authors; licensee MDPI, Basel, Switzerland.
Copyright Statement: This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
Deposited On: 19 Jun 2014 23:00
Last Modified: 30 Jun 2014 00:37

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