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. 2022 Feb;16(1):245-253.
doi: 10.1017/dmp.2020.331. Epub 2020 Sep 10.

COVID-19 Preparedness Among Emergency Departments: A Cross-Sectional Study in France

Enrique Casalino  1   2   3 , Donia Bouzid  1   2   3 , Arsalene Ben Hammouda  2   4 , Mathias Wargon  2   5 , Sonja Curac  2   6 , Romain Hellmann  1   2   7 , Christophe Choquet  1   2 , Daniel Aiham Ghazali  3   8
Affiliations

COVID-19 Preparedness Among Emergency Departments: A Cross-Sectional Study in France

Enrique Casalino et al. Disaster Med Public Health Prep. 2022 Feb.

Abstract

Objectives: The aim of this study was to evaluate hospital and emergency department (ED) preparedness in France facing the coronavirus disease 2019 (COVID-19) rapid growth epidemic-phase, and to determine the link between preparedness and responsiveness.

Methods: In this cross-sectional study, from March 7 to March 11, 2020, all heads of ED departments in France were contacted to answer an electronic survey, including 23 questions. Quality, Organization, Training, Resources, Management, Interoperability, and Responsiveness were evaluated by calculating scores (10 points). Multivariate analysis of variance was used to compare scores. Spearman's correlation coefficient and multifaceted regression analysis were performed between Responsiveness and dimensions scores.

Results: A total of 287 of 636 French EDs were included (45.1%). Calculated scores showed (median): Quality 5.38; Organization 6.4; Training 4.6; Resources 4.13; Management 2.38; Interoperability 4.0; Responsiveness 6.25; seasonal influenza score was 5. Significant differences between scores as a function of hospital and ED main characteristics were found. Furthermore, we found significant correlations (P < 0.01) between Responsiveness and all preparedness dimensions. Organization (adjusted-R2 0.2897), Management (aR2 0.321), and Interoperability (aR2 0.422) were significantly associated with Responsiveness.

Conclusions: Preparedness in all its dimensions is low, indicating vulnerability. Preparedness and responsiveness face a certain and ongoing risk are close linked, and that Organizational, Management, and Interoperability dimensions are main determinants.

Keywords: COVID-19; emergency; preparedness; public health; responsiveness.

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Figures

FIGURE 1
FIGURE 1
Relationship Between Responsiveness and Preparedness Scores Facing the COVID-19 Pandemic.
See this image and copyright information in PMC

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