PURPOSE. A predicted increase in climate change-related extreme weather events will present hospitals with new health-related and physical risks which were not originally anticipated in building and infrastructure designs. Markus et al.'s building systems model is used to analyse a range of adaptive strategies to cope with such events. The paper aims to discuss these issues.ududDESIGN/METHODOLOGY/APPROACH. Focus group interviews were conducted with a wide range of hospital stakeholders across three case study hospitals in Australia and New Zealand which have experienced extreme weather events.ududFINDINGS. It is concluded that effective adaptive strategies must balance responses across different organisational sub-systems. Contrary to previous research, the findings indicate that hospital managers do see hospital infrastructure as an important component of disaster response. However, it is the least adaptable of all response subsystems, making other options more attractive in the heat of a crisis.ududRESEARCH LIMITATIONS/IMPLICATIONS. A focus on three case studies allowed the researchers to explore in-depth the experiences of stakeholders who had experienced extreme weather events. While producing highly valid results, the inherent limitation of this approach is the lack of breath. So further case studies are needed to generalise from the results.ududPRACTICAL IMPLICATIONS. Recommendations are made to improve the adaptive capacity of healthcare facilities to cope with the future health challenges of climate change risk.ududORIGINALITY/VALUE. By acknowledging that no one group holds all the knowledge to deal with extreme weather events, this paper capture the collective knowledge of all key stakeholders who have a stake in the process of responding effectively to such an event. It shows that hospital adaptation strategies cannot be considered in isolation from the surrounding emergency management systems in which a hospital is embedded.
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机译：目的。与气候变化有关的极端天气事件的预计增加将使医院面临与健康和身体有关的新风险，而建筑和基础设施设计原本并未预期这些风险。 Markus等人的建筑系统模型用于分析各种适应策略，以应对此类事件。本文旨在讨论这些问题。 ud udDESIGN / METHODOLOGY / APPROACH。在澳大利亚和新西兰的三家案例研究医院中，经历了极端天气事件的医院的利益相关方进行了焦点小组访谈。 ud udFINDINGS。结论是有效的适应策略必须平衡不同组织子系统之间的响应。与以前的研究相反，研究结果表明医院管理人员确实将医院基础设施视为灾难响应的重要组成部分。但是，它是所有响应子系统中适应性最差的，这使得其他选项在危机中更具吸引力。 ud udRESEARCH限制/隐含。通过对三个案例研究的关注，研究人员可以深入探索经历过极端天气事件的利益相关者的经验。在产生高度有效的结果的同时，这种方法的固有局限性是呼吸困难。因此，需要进一步的案例研究以从结果中得出结论。 ud ud实际意义。建议提高医疗机构的适应能力，以应对气候变化风险的未来健康挑战。 ud udORIGINALITY / VALUE。通过承认没有人拥有应对极端天气事件的所有知识，本文捕获了与有效应对此类事件有关的所有关键利益相关者的集体知识。它表明，不能将医院的适应策略与周围嵌入医院的应急管理系统孤立地考虑。
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