Preparation to provide healthcare in disasters in public hospitals in the district of Lima, Peru
Objective: To assess the safety and degree of preparation of public hospitals in the district of Lima to provide healthcare in the event of disaster by studying their structural and nonstructural safety and their compliance with the established standards for the organization of the hospital’s Emerge...
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2024
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| author | Obando Zegarra, Roxana Arévalo Ipanaqué, Janet Mercedes Aliaga Sánchez, Ruth América Martínez, José Antonio Cernuda Obando Zegarra, Martina Arcos González, Pedro |
| author_browse | Aliaga Sánchez, Ruth América Arcos González, Pedro Arévalo Ipanaqué, Janet Mercedes Martínez, José Antonio Cernuda Obando Zegarra, Martina Obando Zegarra, Roxana |
| author_facet | Obando Zegarra, Roxana Arévalo Ipanaqué, Janet Mercedes Aliaga Sánchez, Ruth América Martínez, José Antonio Cernuda Obando Zegarra, Martina Arcos González, Pedro |
| author_sort | Obando Zegarra, Roxana |
| collection | Producción científica |
| description | Objective: To assess the safety and degree of preparation of public hospitals in the district of Lima to provide healthcare in the event of disaster by studying their structural and nonstructural safety and their compliance with the established standards for the organization of the hospital’s Emergency Operations Centers (EOCs). Design: A cross-sectional observational study of 20 out of the 38 public hospitals in the district of Lima was conducted. The hospitals were selected based on the criteria of being state-run, having complete information on open access safety indicators, and belonging to Categories II and III according to the Peruvian Ministry of Health classification, equivalent to the usual secondary and tertiary levels of specialization hospitals. A multivariate regression analysis was performed to study the determining elements of vulnerability. Results: Only with the existence of a formally established EOC emergency committee and up-to-date and available telephone directory does the average compliance reach 65 percent among all government hospitals. Only in four of the criteria did the hospitals achieve 50 percent good compliance, indicating that they have a plan, have trained the responsible personnel, and have the necessary resources to implement them. Fifty percent of hospitals in the district of Lima do not have a plan for psychosocial care for patients, family members, and health personnel in the event of a disaster; and that only 55 percent have a plan, trained personnel, and resources available for attention in the case of a disaster. In the multivariant analysis of the vulnerability determinants, the statistically significant (p < 0.05) elements were the year in which the emergency plan was drawn up and the year in which the hospital was built. Conclusions: Public hospitals in Lima have varying levels of hospital security and vulnerability. Several of them do not have adequate capacity and security to provide medical care to patients and protect health personnel in the event of a disaster. Security is compromised by several factors, with the main significant (p < 0.05) determinants of vulnerability being the year the hospitals were built and the time since the hospitals’ emergency plan was drawn up. Emergency plans will need to be updated, and the dimensions that are most deficient in them corrected. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/893 |
| institution | UPeU |
| language | English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/8932026-10-30T16:14:57ZPreparation to provide healthcare in disasters in public hospitals in the district of Lima, PeruObando Zegarra, RoxanaArévalo Ipanaqué, Janet MercedesAliaga Sánchez, Ruth AméricaMartínez, José Antonio CernudaObando Zegarra, MartinaArcos González, PedroGovernment (linguistics)Health careMedical emergencyPublic healthVulnerability (computing)PsychosocialObservational studyOccupational safety and healthMedicineBusinessEnvironmental healthNursingEconomic growthComputer securityPhilosophyPathologyEconomicsComputer sciencePsychiatryLinguisticsCross-Sectional StudiesDisaster Planning organization & administrationEmergency Service, Hospital organization & administrationHospitals, Public organization & administrationHumansPeruGuideline AdherenceHealth Sciences Health Professions Emergency Medical Services Disaster Response and ManagementSocial Sciences Business, Management and Accounting Organizational Behavior and Human Resource Management Facility Location and Emergency ManagementSocial Sciences Social Sciences Sociology and Political Science Disaster Management and ResilienceObjective: To assess the safety and degree of preparation of public hospitals in the district of Lima to provide healthcare in the event of disaster by studying their structural and nonstructural safety and their compliance with the established standards for the organization of the hospital’s Emergency Operations Centers (EOCs). Design: A cross-sectional observational study of 20 out of the 38 public hospitals in the district of Lima was conducted. The hospitals were selected based on the criteria of being state-run, having complete information on open access safety indicators, and belonging to Categories II and III according to the Peruvian Ministry of Health classification, equivalent to the usual secondary and tertiary levels of specialization hospitals. A multivariate regression analysis was performed to study the determining elements of vulnerability. Results: Only with the existence of a formally established EOC emergency committee and up-to-date and available telephone directory does the average compliance reach 65 percent among all government hospitals. Only in four of the criteria did the hospitals achieve 50 percent good compliance, indicating that they have a plan, have trained the responsible personnel, and have the necessary resources to implement them. Fifty percent of hospitals in the district of Lima do not have a plan for psychosocial care for patients, family members, and health personnel in the event of a disaster; and that only 55 percent have a plan, trained personnel, and resources available for attention in the case of a disaster. In the multivariant analysis of the vulnerability determinants, the statistically significant (p < 0.05) elements were the year in which the emergency plan was drawn up and the year in which the hospital was built. Conclusions: Public hospitals in Lima have varying levels of hospital security and vulnerability. Several of them do not have adequate capacity and security to provide medical care to patients and protect health personnel in the event of a disaster. Security is compromised by several factors, with the main significant (p < 0.05) determinants of vulnerability being the year the hospitals were built and the time since the hospitals’ emergency plan was drawn up. Emergency plans will need to be updated, and the dimensions that are most deficient in them corrected.Articlehttps://pubmed.ncbi.nlm.nih.gov/3964877710.5055/ajdm.0494https://hdl.handle.net/20.500.15037/893W4405021727enAmerican Journal of Disaster Medicine1932-149X2331-32262024-09-012026-06-13T09:39:46Z2026-06-13T09:39:46Z |
| spellingShingle | Government (linguistics) Health care Medical emergency Public health Vulnerability (computing) Psychosocial Observational study Occupational safety and health Medicine Business Environmental health Nursing Economic growth Computer security Philosophy Pathology Economics Computer science Psychiatry Linguistics Cross-Sectional Studies Disaster Planning organization & administration Emergency Service, Hospital organization & administration Hospitals, Public organization & administration Humans Peru Guideline Adherence Health Sciences Health Professions Emergency Medical Services Disaster Response and Management Social Sciences Business, Management and Accounting Organizational Behavior and Human Resource Management Facility Location and Emergency Management Social Sciences Social Sciences Sociology and Political Science Disaster Management and Resilience Obando Zegarra, Roxana Arévalo Ipanaqué, Janet Mercedes Aliaga Sánchez, Ruth América Martínez, José Antonio Cernuda Obando Zegarra, Martina Arcos González, Pedro Preparation to provide healthcare in disasters in public hospitals in the district of Lima, Peru |
| title | Preparation to provide healthcare in disasters in public hospitals in the district of Lima, Peru |
| title_full | Preparation to provide healthcare in disasters in public hospitals in the district of Lima, Peru |
| title_fullStr | Preparation to provide healthcare in disasters in public hospitals in the district of Lima, Peru |
| title_full_unstemmed | Preparation to provide healthcare in disasters in public hospitals in the district of Lima, Peru |
| title_short | Preparation to provide healthcare in disasters in public hospitals in the district of Lima, Peru |
| title_sort | preparation to provide healthcare in disasters in public hospitals in the district of lima peru |
| topic | Government (linguistics) Health care Medical emergency Public health Vulnerability (computing) Psychosocial Observational study Occupational safety and health Medicine Business Environmental health Nursing Economic growth Computer security Philosophy Pathology Economics Computer science Psychiatry Linguistics Cross-Sectional Studies Disaster Planning organization & administration Emergency Service, Hospital organization & administration Hospitals, Public organization & administration Humans Peru Guideline Adherence Health Sciences Health Professions Emergency Medical Services Disaster Response and Management Social Sciences Business, Management and Accounting Organizational Behavior and Human Resource Management Facility Location and Emergency Management Social Sciences Social Sciences Sociology and Political Science Disaster Management and Resilience |
| topic_facet | Government (linguistics) Health care Medical emergency Public health Vulnerability (computing) Psychosocial Observational study Occupational safety and health Medicine Business Environmental health Nursing Economic growth Computer security Philosophy Pathology Economics Computer science Psychiatry Linguistics Cross-Sectional Studies Disaster Planning organization & administration Emergency Service, Hospital organization & administration Hospitals, Public organization & administration Humans Peru Guideline Adherence Health Sciences Health Professions Emergency Medical Services Disaster Response and Management Social Sciences Business, Management and Accounting Organizational Behavior and Human Resource Management Facility Location and Emergency Management Social Sciences Social Sciences Sociology and Political Science Disaster Management and Resilience |
| url | https://pubmed.ncbi.nlm.nih.gov/39648777 https://hdl.handle.net/20.500.15037/893 |
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