RECALMIN IV. Evolution in the activity of internal medicine units of the National Health System (2008–2021)

Díez-Manglano, Jesús; Carretero-Gómez, Juana; Chimeno-Viñas, M.M.; Martín-Escalante, M.D.; Recio-Iglesias, J.; Manzano-Espinosa, L.; Zapatero-Gaviria, Antonio; Prado, Náyade del; Elola, Javier

doi:10.1016/j.rceng.2023.02.001

Cited by 1 publication

(2 citation statements)

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Section: Discussionmentioning

confidence: 99%

“…31 Another study carried out in Spain indicated that, in six years, the average annual growth in occupancy was four percent. 32 In the face of a seismic event, hospital beds in Lima would be insufficient, a fact that has been amply demonstrated during the last pandemic, in addition to the shortage of health professionals trained to deal with disaster emergencies and the limited resources available to deal with them. 31 Finally, with respect to the HSI, the average score recorded by Lima's hospitals was 0.36, which implied an average vulnerability of 0.63; in addition, 55.6% belonged to Category C and only 5.6% belonged to Category A.…”

Section: Discussionmentioning

confidence: 99%

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

Zegarra

Arévalo-Ipanaqué

Sánchez

et al. 2023

Prehosp. Disaster med.

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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.

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Section: Discussionmentioning

confidence: 99%