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Proposing and developing the definition and conceptual framework for healthcare resilience to cope with disasters

机译:提出和发展医疗保健抵御灾害能力的定义和概念框架

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摘要

Building healthcare resilience is an important step towards creating more resilient communities to better cope with future disasters. To date, however, there appears to be little literature on how the concept of healthcare resilience should be defined and operationalized with a conceptual framework. This article aims to build a comprehensive healthcare disaster management approach guided by the concept of resilience. Methods: Google and major health electronic databases were searched to retrieve critical relevant publications. A total of 61 related publications were included, to provide a comprehensive overview of theories and definitions relevant to disaster resilience. Results and Discussions: Resilience is an inherent and adaptive capacity to cope with future uncertainty, through multiple strategies with all hazards approaches, in an attempt to achieve a positive outcome with linkage and cooperation. Healthcare resilience can be defined as the capability of healthcare organisations to resist, absorb, and respond to the shock of disasters while maintaining the most essential functions, then recover to their original state or adapt to a new state. It can be assessed by criteria, namely: robustness, redundancy, resourcefulness; and a complex of key dimensions, namely: vulnerability and safety, disaster resources and preparedness, continuity of essential health services, recovery and adaptation. Conclusions: This new concept places healthcare organisations’ disaster capabilities, management tasks, activities and disaster outcomes together into a comprehensive whole view, using an integrated approach and establishing achievable goals.
机译:建立医疗保健抗灾能力是朝着建立更具抗灾能力的社区迈进的重要一步,以更好地应对未来的灾难。但是,迄今为止,关于如何通过概念框架定义和实施医疗保健弹性概念的文献似乎很少。本文旨在建立一种以抗灾力概念为指导的综合医疗灾难管理方法。方法:搜索Google和主要的健康电子数据库以检索重要的相关出版物。总共包括61种相关出版物,以全面概述与抗灾能力有关的理论和定义。结果与讨论:抵御能力是一种内在的,适应性的能力,可以通过采用多种危险措施的多种策略应对未来的不确定性,以期通过联系与合作取得积极成果。医疗保健的恢复能力可以定义为医疗保健组织抵抗,吸收和应对灾难冲击的能力,同时保持最基本的功能,然后恢复到其原始状态或适应新状态。可以通过标准进行评估,即:健壮性,冗余性,资源丰富性;以及一系列关键方面的复杂性,即:脆弱性与安全性,灾难资源与备灾,基本卫生服务的连续性,恢复与适应。结论:这种新概念将医疗机构的灾难能力,管理任务,活动和灾难结果整合在一起,形成一个综合的整体视图,并采用综合方法并建立可实现的目标。

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