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灾难性医疗需求激增情境下医院韧性的建设策略
引用本文:周一丹,宁宁,周文婧,乔瑾,郝艳华,吴群红.灾难性医疗需求激增情境下医院韧性的建设策略[J].中国医院管理,2021(1).
作者姓名:周一丹  宁宁  周文婧  乔瑾  郝艳华  吴群红
作者单位:哈尔滨医科大学卫生管理学院·黑龙江公共健康安全及医改策略研究高端智库
基金项目:国家自然科学基金项目(71874044,71473065)。
摘    要:在灾难性医疗需求激增环境中,集医疗需求与社会责任于一体的医院系统面临瞬息万变的复杂挑战,医院如何有效应对缓解灾难性医疗需求激增成为亟待关注的话题。韧性较强的医院系统有足够的能力在经干扰后展现坚韧、抵抗、调适的特征来维持系统内外部平衡。将韧性理论应用于医院抵御灾难性医疗需求激增中,明确医院韧性系统的作用及建设机制,从健壮性、冗余性、资源性及快速性角度提出医院韧性的建设策略,为医院系统进一步提升应对突发公共卫生事件的能力提供理论支撑及政策建议。

关 键 词:灾难性医疗需求  激增  医院韧性建设

Strategy to Build the Hospital Resilience in the Context of Disaster Medical Surge
Institution:(School of Health Management,Harbin Medical University/High-end Think Tank of Heilongjiang Public Health Security and Medical Reform Strategy Research,Harbin,Heilongjiang,150081,China)
Abstract:In the context of disaster medical surge,hospital systems that bear medical demand and social responsibility are facing complex challenges.How to effectively deal with the disaster medical surge for hospitals has become a urgent topic.A resilient hospital system has sufficient capacity to show toughness,resistance and adaptation characteristics after disturbance to maintain the internal and external balance of the system.This article applies the resilience theory to the hospital’s response to disaster medical surge,and clarifies the role and construction mechanism of the hospital’s resilience system.This article proposes the construction strategy of hospital resilience from the perspectives of robustness,redundancy,resources and rapidity,and provides theoretical support and policy suggestions for the hospital system to further improve its ability to respond to public health emergencies.
Keywords:disaster medical demand  surge  hospital resilience construction
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