Progress and challenges of disaster health management in China: a scoping review

Background: Despite the importance of an effective health system response to various disasters, relevant research is still in its infancy, especially in middle- and low-income countries. Objective: This paper provides an overview of the status of disaster health management in China, with its aim to...

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Main Authors: Shuang Zhong, Michele Clark, Xiang-Yu Hou, Yuli Zang, Gerard FitzGerald
Format: Article
Language:English
Published: Taylor & Francis Group 2014-09-01
Series:Global Health Action
Subjects:
Online Access:http://www.globalhealthaction.net/index.php/gha/article/download/24986/pdf_1
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author Shuang Zhong
Michele Clark
Xiang-Yu Hou
Yuli Zang
Gerard FitzGerald
author_facet Shuang Zhong
Michele Clark
Xiang-Yu Hou
Yuli Zang
Gerard FitzGerald
author_sort Shuang Zhong
collection DOAJ
description Background: Despite the importance of an effective health system response to various disasters, relevant research is still in its infancy, especially in middle- and low-income countries. Objective: This paper provides an overview of the status of disaster health management in China, with its aim to promote the effectiveness of the health response for reducing disaster-related mortality and morbidity. Design: A scoping review method was used to address the recent progress of and challenges to disaster health management in China. Major health electronic databases were searched to identify English and Chinese literature that were relevant to the research aims. Results: The review found that since 2003 considerable progress has been achieved in the health disaster response system in China. However, there remain challenges that hinder effective health disaster responses, including low standards of disaster-resistant infrastructure safety, the lack of specific disaster plans, poor emergency coordination between hospitals, lack of portable diagnostic equipment and underdeveloped triage skills, surge capacity, and psychological interventions. Additional challenges include the fragmentation of the emergency health service system, a lack of specific legislation for emergencies, disparities in the distribution of funding, and inadequate cost-effective considerations for disaster rescue. Conclusions: One solution identified to address these challenges appears to be through corresponding policy strategies at multiple levels (e.g. community, hospital, and healthcare system level).
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spelling doaj.art-bcedb72a75b541e8bf117f43a00f5b042022-12-21T18:20:49ZengTaylor & Francis GroupGlobal Health Action1654-98802014-09-01701910.3402/gha.v7.2498624986Progress and challenges of disaster health management in China: a scoping reviewShuang Zhong0Michele Clark1Xiang-Yu Hou2Yuli Zang3Gerard FitzGerald4 Center for Emergency and Disaster Management, School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia Center for Emergency and Disaster Management, School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia Center for Emergency and Disaster Management, School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia School of Nursing, Shandong University, Jinan, China Center for Emergency and Disaster Management, School of Public Health and Social Work, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, AustraliaBackground: Despite the importance of an effective health system response to various disasters, relevant research is still in its infancy, especially in middle- and low-income countries. Objective: This paper provides an overview of the status of disaster health management in China, with its aim to promote the effectiveness of the health response for reducing disaster-related mortality and morbidity. Design: A scoping review method was used to address the recent progress of and challenges to disaster health management in China. Major health electronic databases were searched to identify English and Chinese literature that were relevant to the research aims. Results: The review found that since 2003 considerable progress has been achieved in the health disaster response system in China. However, there remain challenges that hinder effective health disaster responses, including low standards of disaster-resistant infrastructure safety, the lack of specific disaster plans, poor emergency coordination between hospitals, lack of portable diagnostic equipment and underdeveloped triage skills, surge capacity, and psychological interventions. Additional challenges include the fragmentation of the emergency health service system, a lack of specific legislation for emergencies, disparities in the distribution of funding, and inadequate cost-effective considerations for disaster rescue. Conclusions: One solution identified to address these challenges appears to be through corresponding policy strategies at multiple levels (e.g. community, hospital, and healthcare system level).http://www.globalhealthaction.net/index.php/gha/article/download/24986/pdf_1Chinadisaster managementdisaster responsehealth systemhealth policy
spellingShingle Shuang Zhong
Michele Clark
Xiang-Yu Hou
Yuli Zang
Gerard FitzGerald
Progress and challenges of disaster health management in China: a scoping review
Global Health Action
China
disaster management
disaster response
health system
health policy
title Progress and challenges of disaster health management in China: a scoping review
title_full Progress and challenges of disaster health management in China: a scoping review
title_fullStr Progress and challenges of disaster health management in China: a scoping review
title_full_unstemmed Progress and challenges of disaster health management in China: a scoping review
title_short Progress and challenges of disaster health management in China: a scoping review
title_sort progress and challenges of disaster health management in china a scoping review
topic China
disaster management
disaster response
health system
health policy
url http://www.globalhealthaction.net/index.php/gha/article/download/24986/pdf_1
work_keys_str_mv AT shuangzhong progressandchallengesofdisasterhealthmanagementinchinaascopingreview
AT micheleclark progressandchallengesofdisasterhealthmanagementinchinaascopingreview
AT xiangyuhou progressandchallengesofdisasterhealthmanagementinchinaascopingreview
AT yulizang progressandchallengesofdisasterhealthmanagementinchinaascopingreview
AT gerardfitzgerald progressandchallengesofdisasterhealthmanagementinchinaascopingreview