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. 2022;2(1):31.
doi: 10.1007/s43762-022-00060-z. Epub 2022 Sep 15.

Establishment of hospital resilience framework in urban China: insight from Wuhan City

Annan Jin  1   2 , Gang Li  1   2 , Yue Yu  1   2 , Jiaobei Wang  1   2 , Qifan Nie  3
Affiliations

Establishment of hospital resilience framework in urban China: insight from Wuhan City

Annan Jin et al. Comput Urban Sci. 2022.

Abstract

Since the Corona Virus Disease 2019 (COVID-19) swept the world, many countries face a problem that is a shortage of medical resources. The role of emergency medical facilities in response to the epidemic is beginning to arouse public attention, and the construction of the urban resilient emergency response framework has become the critical way to resist the epidemic. Today, China has controlled the domestically transmitted COVID-19 cases through multiple emergency medical facilities and inclusive patient admission criteria. Most of the existing literature focuses on case studies or characterizations of individual facilities. This paper constructs an evaluation system to measure urban hospital resilience from the spatial perspective and deciphered the layout patterns and regularities of emergency medical facilities in Wuhan, the city most affected by the epidemic in China. Findings indicate that the pattern of one center and two circles are a more compelling layout structure for urban emergency medical facilities in terms of accessibility and service coverage for residents. Meanwhile, the Fangcang shelter hospital has an extraordinary performance in terms of emergency response time, and it is a sustainable facility utilization approach in the post-epidemic era. This study bolsters areas of the research on the urban resilient emergency response framework. Moreover, the paper summarizes new medical facilities' planning and location characteristics and hopes to provide policy-makers and urban planners with valuable empirical evidence.

Keywords: COVID-19; Hospital resilience; Optimization; Response framework; Spatial analysis.

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Conflict of interest statement

Competing interestsThe authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
The medical treatment process during the COVID-19 epidemic in Wuhan
Fig. 2
Fig. 2
The evaluation framework and indicators
Fig. 3
Fig. 3
Study area and the emergency medical facilities in Wuhan
Fig. 4
Fig. 4
The Layout of Emergency Medical Facilities in Wuhan
Fig. 5
Fig. 5
The relationship between the number of beds and the opening hours of hospitals
Fig. 6
Fig. 6
The relationship between three emergency medical facilities and road environment
Fig. 7
Fig. 7
The accessibility of emergency medical facilities
Fig. 8
Fig. 8
45-min service area of the designated hospital
Fig. 9
Fig. 9
Comparison between the optimization results of the maximum coverage model and the actual distribution of mobile cabin hospitals
Fig. 10
Fig. 10
Layout optimization suggestions of urban emergency medical facilities
See this image and copyright information in PMC

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