RESUMEN
Objective: Epidemics are sudden and rapidly spreading. Hospitals in underdeveloped areas are particularly vulnerable in case of an outbreak. This paper aims to assess the epidemic risk state and its change trend of hospitals in different epidemic stages, identify the key factors affecting hospital epidemic risk change, provide priority reference for hospital epidemic risk control, and enhance the hospital's ability to respond to sudden epidemics. Methods: Based on Grounded theory, the epidemic risk indicators that affect hospital safety are summarized. The concept of epidemic risk state and its random state space is proposed according to Markov chain theory. The impact of each indicator on the random risk state and its change is comprehensively assessed from two aspects: risk occurrence probability and risk loss. Finally, the assessment of the hospital epidemic risk state and its change at different stages is achieved. Results: The stable risk states of public hospitals in underdeveloped areas in non-epidemic stage t0, early epidemic stage t1, and outbreak stage t2 are P ^ t 0 ( S n ) = { 0 . 142 , 0 . 546 , 0 . 220 , 0 . 093 } , P ^ t 1 ( S n ) = { 0 . 025 , 0 . 364 , 0 . 254 , 0 . 357 } , and P ^ t 2 ( S n ) = { 0 . 020 , 0 . 241 , 0 . 191 , 0 . 548 } , respectively. In non-epidemic stage, the key factor in improving the hospital epidemic risk state is emergency funding. In early epidemic stage, the key factors in improving the hospital epidemic risk state are the training of medical staff in epidemic prevention skills and the management of public health. In outbreak state, the key factor in improving the hospital epidemic risk state is the training of medical staff in epidemic prevention skills and psychological awareness. Conclusion: This paper proposes the concept of epidemic risk state, providing an effective assessment method for the epidemic risk state and its change trend in public hospitals. According to the assessment, public hospitals in underdeveloped areas in different epidemic stages should adopt different risk control strategies to improve their current risk state. Blind risk control is inefficient and may even cause the epidemic risk to transition toward a more dangerous state.
Asunto(s)
Epidemias , Hospitales Públicos , Humanos , Hospitales Públicos/estadística & datos numéricos , Medición de Riesgo , Cadenas de Markov , Brotes de Enfermedades/estadística & datos numéricos , Teoría FundamentadaRESUMEN
Infectious diseases risk is directly related to human life safety. After the COVID-19 pandemic, people have paid unprecedented attention to the risk of infectious diseases. Compared with treatment after the outbreak of the epidemic, identifying the influencing factors of infectious disease risk and quantitatively analyzing and assessing infectious disease risk before the outbreak of the epidemic plays an equally important role. This article focuses on the risk of irregular outbreaks of infectious diseases. On the one hand, a method based on information gain is proposed to calculate the weight of environmental factors directly related to infectious disease risk, to clarify the correlation between environmental factors and infectious disease risk. On the other hand, the risk calculation method based on risk weight number is proposed to calculate the risk level of different infectious diseases under the influence of specific environmental factors. Finally, the effectiveness and feasibility of the proposed method are verified through case analysis and discussion. By comparing it with other risk assessment methods, the advantages and disadvantages of the proposed method are demonstrated.