| 摘要: |
| 韧性作为一种新的灾害风险管理理念,已成为防灾减灾领域的研究热点,考虑到医疗系统在城市运行和灾后救援中的重要作用,在地震期间和之后,区域医疗系统应该具有足够的韧性,并提供连续的医疗服务。如何综合考虑区域范围内多家医院和交通系统的安全性、应急响应能力、多系统的整合与协作,有效评估区域医疗系统的抗震韧性水平,并提出科学的改进建议,对建设韧性城乡具有重要的理论意义。本文通过梳理国内外文献,阐明了区域医疗系统韧性的概念和内涵,总结了地震后短期应急和长期修复两个阶段韧性评估的重点,归纳了现有区域医疗系统韧性的评估框架,从医院集群系统、面向医疗的交通系统、应急医疗服务系统和医疗交通耦合系统4个方面阐述了现有评估方法。区域医疗系统韧性的研究旨在提高其面对灾害时的抵抗性、短期适应性和长期恢复性,这些研究对于满足紧急和日常的医疗需求以及指导灾后恢复具有重要意义。目前区域医疗系统抗震韧性的研究取得了一些进展,但仍然存在一些挑战,本文最后展望了未来的研究方向。 |
| 关键词: 区域医疗系统 单体医院 交通系统 抗震韧性 功能评估 恢复时间 |
| DOI：10.11918/202401041 |
| 分类号:TU352 |
| 文献标识码:A |
| 基金项目:国家重点研发计划(2023YFC3805100)；国家自然科学基金(4,1) |
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| Review of seismic resilience of regional healthcare systems |
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PEI Shunshun1,2,ZHAI Changhai1,2,HU Jie1,2
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(1.Key Lab of Structures Dynamic Behavior and Control (Harbin Institute of Technology), Ministry of Education, Harbin 150090, China; 2.Key Lab of Smart Prevention and Mitigation of Civil Engineering Disasters (Harbin Institute of Technology), Ministry of Industry and Information Technology, Harbin 150090, China)
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| Abstract: |
| Resilience, as a new concept in disaster risk management, has become a research hotspot in the field of disaster prevention and mitigation. Considering the significant role of the healthcare system in urban operations and post-disaster rescue, regional medical systems should possess sufficient resilience and provide continuous medical services during and after earthquakes. How to comprehensively consider the safety of multiple hospitals and transportation systems within a region, their emergency response capabilities, integration, and collaboration of multiple systems, effectively assess the seismic resilience level of post-earthquake regional medical systems, and propose scientific improvement suggestions, hold important theoretical significance for the construction of resilient urban and rural areas. This paper, through reviewing domestic and international literature, elucidates the concept and connotation of regional medical system resilience, summarizes the key points of resilience assessment in the two phases of short-term emergency and long-term restoration after earthquakes, and generalizes the existing assessment framework for regional medical system resilience. It elaborates on existing assessment methods from four aspects: hospital cluster system, medical-oriented transportation system, emergency medical service system, and interdependent transportation-healthcare system. The research on regional medical system resilience aims to enhance its resistance, short-term adaptability, and long-term recovery when facing disasters. These studies are of great significance for meeting both emergency and daily medical needs and guiding post-disaster recovery. While some progress has been made in the research on seismic resilience of regional medical systems, there are still some challenges. The paper concludes with an outlook on potential directions for future research. |
| Key words: regional healthcare systems single hospital transportation systems seismic resilience functionality assessment recovery time |
