Factor Analysis to Evaluate Hospital Resilience
Publication: ASCE-ASME Journal of Risk and Uncertainty in Engineering Systems, Part A: Civil Engineering
Volume 4, Issue 1
Abstract
Health care facilities should be able to quickly adapt to catastrophic events such as natural and human-made disasters. One way to reduce the impacts of extreme events is to enhance a hospital’s resilience. Resilience is defined as the ability to absorb and recover from hazardous events, containing the effects of disasters when they occur. The goal of this paper is to propose a fast methodology for quantifying disaster resilience of health care facilities. An evaluation of disaster resilience was conducted on empirical data from tertiary hospitals in the San Francisco Bay area. A survey was conducted during a 4-month period using an ad hoc questionnaire, and the collected data were analyzed using factor analysis. A combination of variables was used to describe the characteristics of the hidden factors. Three factors were identified as most representative of hospital disaster resilience: (1) cooperation and training management; (2) resources and equipment capability; and (3) structural and organizational operating procedures. Together they cover 83% of the total variance. The overall level of hospital disaster resilience (R) was calculated by linearly combining the three extracted factors. This methodology provides a relatively simple way to evaluate a hospital’s ability to manage extreme events.
Get full access to this article
View all available purchase options and get full access to this article.
Acknowledgments
The research leading to these results has received funding from the European Research Council under the Grant No. ERC_IDEAL RESCUE_637842 of the project IDEAL RESCUE-Integrated Design and Control of Sustainable Communities during Emergencies.
References
Bruneau, M., et al. (2003). “A framework to quantitatively assess and enhance the seismic resilience of communities.” Earthquake Spectra, 19(4), 733–752.
Cimellaro, G. P., Malavisi, M., and Mahin, S. (2017). “Using discrete event simulation models to evaluate resilience of an emergency department.” J. Earthquake Eng., 21(2), 203–226.
Cimellaro, G. P., Reinhorn, A. M., and Bruneau, M. (2010). “Framework for analytical quantification of disaster resilience.” Eng. Struct., 32(11), 3639–3649.
Cimellaro, G. P., Reinhorn, A. M., and Bruneau, M. (2010b). “Seismic resilience of a hospital system.” Struct. Infrastruct. Eng., 6(1–2), 127–144.
Cimellaro, G. P., Renschler, C., Reinhorn, A. M., and Arendt, L. (2016). “PEOPLES: A framework for evaluating resilience.” J. Struct. Eng., 1–13.
Kaiser, H. F. (1960). “The application of electronic computers to factor analysis.” Educ. Psychol. Meas., 20(1), 141–151.
Kammouh, O., Dervishaj, G., and Cimellaro, G. P. (2017). “A new resilience rating system for countries and states.” Proc. Eng., 198, 985–998.
Li, X. H., Zhao, L. J., Ruan, K. P., Feng, Y., Xu, D. S., and Ruan, K. F. (2013). “The application of factor analysis to evaluate deforming behaviors of directly compressed powders.” Powder Technol., 247, 47–54.
Nakajima, T., Nishida, K., and Manabe, M. (2012). “Management evaluation of public hospital—Approach from factor analysis.”, Osaka School of International Public Policy, Osaka, Japan.
O’Malley, A. J., Zaslavsky, A. M., Hays, R. D., Hepner, K. A., Keller, S., and Cleary, P. D (2005). “Exploratory factor analyses of the CAHPS hospital pilot survey responses across and within medical, surgical and obstetric services.” Health Serv. Res., 40(6p2), 2078–2095.
Pett, M. A., Lackey, N. R., and Sullivan, J. J. (2003). Making sense of factor analysis: The use of factor analysis for instrument development in health care research, SAGE Publications, London.
SPSS Statistic version 21 [Computer software]. IBM, Armonk, NY.
Stemberg, E. (2003). “Planning for resilience in hospital internal disaster.” Prehospital Disaster Med., 18(4), 291–299.
Williams, B., Brown, T., and Onsman, A. (2010). “Exploratory factor analysis: A five-step guide for novices.” J. Emergency Primary Health Care, 8(3), 1–13.
Zhong, S., Clark, M., Hou, X. Y., Zang, Y. L., and Fitzgerald, G. (2014). “Development of hospital disaster resilience: Conceptual framework and potential measurement.” Emergency Med. J., 31(11), 930–938.
Information & Authors
Information
Published In
ASCE-ASME Journal of Risk and Uncertainty in Engineering Systems, Part A: Civil Engineering
Volume 4 • Issue 1 • March 2018
Copyright
©2018 American Society of Civil Engineers.
History
Received: Jul 22, 2016
Accepted: Sep 7, 2017
Published online: Jan 16, 2018
Published in print: Mar 1, 2018
Discussion open until: Jun 16, 2018
Authors
Metrics & Citations
Metrics
Citations
Download citation
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.