Concept of hospital resilience governance in the context of major public health emergencies: a semantic network analysis
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摘要:
目的 探讨重大突发公共卫生事件情境下医院韧性治理的相关概念,为提升医院应对重大突发公共卫生事件的能力提供理论支持。 方法 收集2014年8月10日 — 2021年4月25日中国知网(CNKI)数据库中收录的与“医院韧性治理”相关的136篇研究文献及1662条文献语段,梳理出医院韧性治理相关语义,并应用ROST CM 6.0软件对医院韧性治理的高频关键词进行语义网络分析。 结果 通过对“韧性治理”的35个关键要素进行相关语义网络分析,最终将重大突发公共卫生事件情境下医院韧性治理的概念定义为医院为有效应对重大突发公共卫生事件的扰动、冲击,通过多部门综合管理与多主体合作治理等机制使医院整体在灾难全过程展现出抵抗、吸收、恢复、适应、学习等关键韧性功能来维持医院主要功能稳定,最终实现灾害风险降低和应灾能力提升的灾难管理过程。 结论 重大突发公共卫生事件情境下的医院韧性治理直观表现为医院在面对灾难冲击时通过多部门多主体持续性的参与协作在应灾全过程中展现出韧性功能特征来克服实际困境,使医院整体在高风险情境中保持安全有序地运转。 -
关键词:
- 医院韧性治理 /
- 概念 /
- 重大突发公共卫生事件
Abstract:Objective To explore relevant concepts of hospital resilience governance (HRG) in the context of major public health emergencies and to provide theoretical support for improving hospitals’ ability to respond to major public health emergencies. Methods Via searching China National Knowledge Infrastructure, we retrieved 136 HRG-related literatures published from August 10, 2014 to April 25, 2021 and sorted out HRG-related semantics based on 1 662 paragraphs extracted from the literatures. ROST CM 6.0 software was used to perform semantic network analysis on the high-frequency keywords relevant to HRG. Results Through semantic network analysis on 35 key elements of HRG abstracted from high-frequency key words in the 1 662 paragraphs, the concept of HRG in the context of major public health emergencies is defined as a management process to enhance a hospital′s overall resilience against the disturbance and impact caused by major public health emergencies through multi-departmental comprehensive management and multi-subjects cooperation; the implementation of the management process could support a hospital to maintain the stability of main functions due to promoted resistance, absorption, recovery, adaptation and learning when coping with a major public health emergency. Conclusion The successful HRG in the context of major public health emergencies could be manifested directly by hospitals′ safe and orderly operation in high risk circumstances during whole process of major emergencies through continuous participation and cooperation of multiple subjects and departments. -
Key words:
- hospital resilience governance /
- concept /
- major public health emergency
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