Universidad Peruana Cayetano Heredia

Disaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru)

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dc.contributor.author Obando Zegarra, Roxana
dc.contributor.author Arevalo-Ipanaque, JM
dc.contributor.author Sanchez, RAA
dc.contributor.author Martinez, JAC
dc.contributor.author Echevarria, JCD
dc.contributor.author Gonzalez, PA
dc.date.accessioned 2023-10-09T17:09:17Z
dc.date.available 2023-10-09T17:09:17Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14216
dc.description.abstract 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. en_US
dc.language.iso eng
dc.publisher Cambridge University Press
dc.relation.ispartofseries Prehospital and Disaster Medicine
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Disasters/Organization And Management en_US
dc.subject Earthquakes en_US
dc.subject Hospitals en_US
dc.title Disaster Preparedness and Hospital Safety in State Hospitals in Lima (Peru) en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1017/S1049023X23006179
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.08
dc.relation.issn 1945-1938


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