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Disaster Preparedness Attributes and Hospital's Resilience in Malaysia

机译:备灾属性和医院在马来西亚的复原力

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Disaster resilience hospital (DRH) is the hospital's ability to resist, absorb, accommodate and recover from the effects of a hazard in a timely and efficient manner. DRH includes the preservation and restoration of the hospital's essential basic structures and functions. Resilience (i.e. robustness; redundancy; resourcefulness; and rapidity) could be achieved through enhancement of preparedness attributes in terms of structural, non-structural and functional measures. However, over the past few years there is a growing body of evidence to show that the impacts of disasters are affecting negatively towards public hospitals in Malaysia. It is believed that to a certain extent the preparedness attributes of hospitals towards disaster resilience are insufficient. Hence, the purpose of this paper is twofold: to investigate the hospital preparedness attributes and resilience indicators; and to establish relationship of preparedness attributes towards hospital's resilience. Cross-sectional survey was conducted among twenty six (26) Malaysian hospitals' staff. A total 243 preparedness attributes (structural- 21; non-structural-107; and functional-115) and 23 resilience indicators (robustness- 5; redundancy-5; resourcefulness-6; and rapidity-7) were subjected to non-parametric Spearman Correlation. The results revealed that 17 preparedness attributes and 23 resilience indicators are rated 'very critical' by the respondents by which human resources & training and ability to adapt in a timely manner are ranked first. In addition, non-structural preparedness presented greater strength of correlation towards robustness; redundancy; and resourcefulness. On the contrary, the functional attributes showed higher correlation towards rapidity. The results could serve as indicators for the public hospital's stakeholders in Malaysia to improve its preparedness and enhancing its resilience. K disaster resilience hospital;; disaster preparedness attributes;; Malaysia;; quantitative
机译:灾难恢复医院(DRH)是医院抵抗,吸收,容纳和恢复及时有效的危险的影响。 DRH包括保存和恢复医院的基本结构和功能。恢复力(即鲁棒性;冗余;资源富裕;和速度)可以通过在结构性,非结构性和功能措施方面的制备属性的提高来实现。然而,在过去的几年里,有一个日益增长的证据表明灾害的影响对马来西亚公立医院产生了负面影响。据信,在一定程度上,医院对灾难恢复力的准备属性是不够的。因此,本文的目的是双重:调查医院准备属性和恢复力指标;并建立准备归属于医院恢复力的关系。横断面调查是在二十六(26)名马来西亚医院的工作人员之间进行的。共243个准备属性(结构 - 21;非结构-107;和功能-115)和23个弹性指标(鲁棒性 - 5;冗余-5; reasualfuls-6;和rapyity-7)受到非参数矛盾相关性。结果表明,17个准备属性和23个恢复力指标被受访者评为“非常关键”,受访者通过其资源和培训以及及时适应能力排名第一。此外,非结构制备呈现出更大的稳健性的相关性;冗余;和资源丰富。相反,功能属性表现出更高的速度相关性。结果可以作为马来西亚公立医院利益攸关方的指标,以改善其准备和提高其恢复力。 K灾难恢复院;备灾属性;;马来西亚;;定量

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