Disaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru)
INTRODUCTION: Peru's health infrastructures, particularly hospitals, are exposed to disaster threats of different natures. Traditionally, earthquakes have been the main disaster in terms of physical and structural vulnerability, but the coronavirus disease 2019 (COVID-19) pandemic has also show...
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2023
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| author | Obando Zegarra, Roxana Arévalo Ipanaqué, Janet Mercedes Aliaga Sánchez, Ruth América Cernuda Martínez, José Antonio Delgado Echevarría, Juan Carlos Arcos González, Pedro |
| author_browse | Aliaga Sánchez, Ruth América Arcos González, Pedro Arévalo Ipanaqué, Janet Mercedes Cernuda Martínez, José Antonio Delgado Echevarría, Juan Carlos Obando Zegarra, Roxana |
| author_facet | Obando Zegarra, Roxana Arévalo Ipanaqué, Janet Mercedes Aliaga Sánchez, Ruth América Cernuda Martínez, José Antonio Delgado Echevarría, Juan Carlos Arcos González, Pedro |
| author_sort | Obando Zegarra, Roxana |
| collection | Producción científica |
| description | INTRODUCTION: Peru's health infrastructures, particularly hospitals, are exposed to disaster threats of different natures. Traditionally, earthquakes have been the main disaster in terms of physical and structural vulnerability, but the coronavirus disease 2019 (COVID-19) pandemic has also shown their functional vulnerability. Public hospitals in Lima are very different in terms of year constructed, type of construction, and number of floors, making them highly vulnerable to earthquakes. In addition, they are subject to a high demand for care daily. Therefore, if a major earthquake were to occur in Lima, the hospitals would not have the capacity to respond to the high demand. OBJECTIVE: The aim of this study was to analyze the Hospital Safety Index (HSI) in hospitals in Lima (Peru). MATERIALS AND METHODS: This was a cross-sectional observational study of 18 state-run hospitals that met the inclusion criteria; open access data were collected for the indicators proposed by the Pan American Health Organization (PAHO) Version 1. Associations between variables were calculated using the chi-square test, considering a confidence level of 95%. A P value less than .05 was considered to determine statistical significance. RESULTS: The average bed occupancy rate was 90%, the average age was 70 years, on average had one bed per 25,126 inhabitants, and HSI average score was 0.36 with a vulnerability of 0.63. No association was found between HSI and hospital characteristics. CONCLUSION: Most of the hospitals were considered Category C in earthquake and disaster safety, and only one hospital was Category A. The hospital situation needs to be clarified, and the specific deficiencies of each institution need to be identified and addressed according to their own characteristics and context. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/897 |
| institution | UPeU |
| language | English |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/8972026-10-30T16:14:57ZDisaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru)Obando Zegarra, RoxanaArévalo Ipanaqué, Janet MercedesAliaga Sánchez, Ruth AméricaCernuda Martínez, José AntonioDelgado Echevarría, Juan CarlosArcos González, PedroObservational studyVulnerability (computing)PreparednessOccupational safety and healthEnvironmental healthConfidence intervalGeographyPublic healthMedicineMedical emergencyNursingComputer securityPolitical scienceInternal medicinePathologyComputer scienceLawCOVID-19 epidemiologyAgedCross-Sectional StudiesDisaster PlanningDisastersHospitalsHospitals, StateHumansPeru epidemiologyHealth Sciences Health Professions Emergency Medical Services Disaster Response and ManagementSocial Sciences Social Sciences Sociology and Political Science Disaster Management and ResilienceSocial Sciences Business, Management and Accounting Organizational Behavior and Human Resource Management Facility Location and Emergency ManagementINTRODUCTION: Peru's health infrastructures, particularly hospitals, are exposed to disaster threats of different natures. Traditionally, earthquakes have been the main disaster in terms of physical and structural vulnerability, but the coronavirus disease 2019 (COVID-19) pandemic has also shown their functional vulnerability. Public hospitals in Lima are very different in terms of year constructed, type of construction, and number of floors, making them highly vulnerable to earthquakes. In addition, they are subject to a high demand for care daily. Therefore, if a major earthquake were to occur in Lima, the hospitals would not have the capacity to respond to the high demand. OBJECTIVE: The aim of this study was to analyze the Hospital Safety Index (HSI) in hospitals in Lima (Peru). MATERIALS AND METHODS: This was a cross-sectional observational study of 18 state-run hospitals that met the inclusion criteria; open access data were collected for the indicators proposed by the Pan American Health Organization (PAHO) Version 1. Associations between variables were calculated using the chi-square test, considering a confidence level of 95%. A P value less than .05 was considered to determine statistical significance. RESULTS: The average bed occupancy rate was 90%, the average age was 70 years, on average had one bed per 25,126 inhabitants, and HSI average score was 0.36 with a vulnerability of 0.63. No association was found between HSI and hospital characteristics. CONCLUSION: Most of the hospitals were considered Category C in earthquake and disaster safety, and only one hospital was Category A. The hospital situation needs to be clarified, and the specific deficiencies of each institution need to be identified and addressed according to their own characteristics and context.Articlehttps://pubmed.ncbi.nlm.nih.gov/37559200https://www.cambridge.org/core/services/aop-cambridge-core/content/view/5226C009846E1E6F9A8BF89021A443A2/S1049023X23006179a.pdf/div-class-title-disaster-preparedness-and-hospital-safety-in-state-hospitals-in-lima-peru-div.pdfhttps://doi.org/10.1017/s1049023x2300617910.1017/s1049023x23006179https://hdl.handle.net/20.500.15037/897W4385716646enPrehospital and Disaster Medicine1049-023X1945-19382023-08-102026-06-13T09:39:52Z2026-06-13T09:39:52Z |
| spellingShingle | Observational study Vulnerability (computing) Preparedness Occupational safety and health Environmental health Confidence interval Geography Public health Medicine Medical emergency Nursing Computer security Political science Internal medicine Pathology Computer science Law COVID-19 epidemiology Aged Cross-Sectional Studies Disaster Planning Disasters Hospitals Hospitals, State Humans Peru epidemiology Health Sciences Health Professions Emergency Medical Services Disaster Response and Management Social Sciences Social Sciences Sociology and Political Science Disaster Management and Resilience Social Sciences Business, Management and Accounting Organizational Behavior and Human Resource Management Facility Location and Emergency Management Obando Zegarra, Roxana Arévalo Ipanaqué, Janet Mercedes Aliaga Sánchez, Ruth América Cernuda Martínez, José Antonio Delgado Echevarría, Juan Carlos Arcos González, Pedro Disaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru) |
| title | Disaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru) |
| title_full | Disaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru) |
| title_fullStr | Disaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru) |
| title_full_unstemmed | Disaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru) |
| title_short | Disaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru) |
| title_sort | disaster preparedness and hospital safety in state hospitals in lima peru |
| topic | Observational study Vulnerability (computing) Preparedness Occupational safety and health Environmental health Confidence interval Geography Public health Medicine Medical emergency Nursing Computer security Political science Internal medicine Pathology Computer science Law COVID-19 epidemiology Aged Cross-Sectional Studies Disaster Planning Disasters Hospitals Hospitals, State Humans Peru epidemiology Health Sciences Health Professions Emergency Medical Services Disaster Response and Management Social Sciences Social Sciences Sociology and Political Science Disaster Management and Resilience Social Sciences Business, Management and Accounting Organizational Behavior and Human Resource Management Facility Location and Emergency Management |
| topic_facet | Observational study Vulnerability (computing) Preparedness Occupational safety and health Environmental health Confidence interval Geography Public health Medicine Medical emergency Nursing Computer security Political science Internal medicine Pathology Computer science Law COVID-19 epidemiology Aged Cross-Sectional Studies Disaster Planning Disasters Hospitals Hospitals, State Humans Peru epidemiology Health Sciences Health Professions Emergency Medical Services Disaster Response and Management Social Sciences Social Sciences Sociology and Political Science Disaster Management and Resilience Social Sciences Business, Management and Accounting Organizational Behavior and Human Resource Management Facility Location and Emergency Management |
| url | https://pubmed.ncbi.nlm.nih.gov/37559200 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/5226C009846E1E6F9A8BF89021A443A2/S1049023X23006179a.pdf/div-class-title-disaster-preparedness-and-hospital-safety-in-state-hospitals-in-lima-peru-div.pdf https://doi.org/10.1017/s1049023x23006179 https://hdl.handle.net/20.500.15037/897 |
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